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Impact of offspring endothelial function from de novo hypertensive disorders during pregnancy: An evidence-based
Aslah Nabilah Abdull Sukor1, Sheril June Ankasha1, Azizah Ugusman1
1Department of Physiology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Insights
Hypertensive disorders of pregnancy (HDP) can impair offspring cardiovascular health. This review found that HDP negatively impacts endothelial function in children, increasing long-term cardiovascular disease risk.
Area of Science:
- Obstetrics and Gynecology
- Cardiovascular Medicine
- Pediatrics
Background:
- Hypertensive disorders of pregnancy (HDP), including gestational hypertension and preeclampsia, pose risks to maternal and offspring health.
- HDP is linked to maternal complications and may increase offspring's long-term cardiovascular disease (CVD) risk.
- Endothelial dysfunction is a key factor in CVD development.
Purpose of the Study:
- To systematically review and identify studies examining the impact of de novo HDP on offspring endothelial function.
- To synthesize current evidence on the relationship between HDP exposure in utero and vascular health in offspring.
Main Methods:
- A comprehensive literature search was performed across PubMed, Scopus, and Medline databases.
- Searches covered articles published from 1976 to 2022, supplemented by additional sources.
- Data from 13 selected studies were extracted and analyzed.
Main Results:
- All reviewed studies indicated impaired endothelial function in offspring exposed to de novo HDP.
- Key findings suggest links to impaired vasodilation, early atherosclerosis, inflammation, and epigenetic dysregulation.
- Offspring of pregnancies with HDP exhibit compromised vascular health.
Conclusions:
- De novo HDP significantly affects offspring endothelial function.
- This dysfunction may contribute to an increased risk of developing cardiovascular diseases later in life.
- Further research into the mechanisms and long-term consequences is warranted.
Abstract:
De novo hypertensive disorders of pregnancy (HDP) which consist of gestational hypertension and preeclampsia affect maternal and offspring morbidity and mortality, and potentially increase the risk of cardiovascular disease in the offspring. It is well known that de novo HDP causes various maternal complications, including cardiovascular diseases, placental abruption and liver and kidney failure. However, there are studies suggesting that offspring of pregnancies complicated by de novo HDP have an increased risk of long-term cardiovascular disease. The endothelium is an important regulator of vascular function, and its dysfunction is highly associated with the development of cardiovascular diseases. Hence, this review aimed to systematically identify articles related to the effect of de novo HDP on the endothelial function of the offspring. A computerized database search was conducted on PubMed, Scopus, and Medline from 1976 until 2022. A total of 685 articles were obtained. We identified another three additional articles through review articles and Google Scholar. Altogether, we used 13 articles for data extraction. All studies reported that endothelial function was impaired in the offspring of de novo HDP. This is most likely attributed to impaired vasodilation, subclinical atherosclerosis formation, inflammation, and dysregulated epigenetic regulation of endothelial functions.
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