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Author Spotlight: Modeling an Aspect of Preeclampsia in Female Mice Using Hypoxic Human Placenta-Derived Small Extracellular Vesicles
Published on: January 26, 2024
Preeclampsia up to date-What's going on?
Kanako Bokuda1, Atsuhiro Ichihara2
1Department of Endocrinology and Hypertension, Tokyo Women's Medical University, Tokyo, Japan. bokuda.kanako@twmu.ac.jp.
Insights
Preeclampsia, a serious pregnancy hypertension disorder, causes significant maternal and infant mortality. This review covers its prediction, prevention, management, and long-term health risks, including COVID-19 links.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Cardiovascular Health in Pregnancy
Background:
- Preeclampsia is a major hypertensive disorder of pregnancy.
- It is linked to placental malperfusion and multi-organ damage.
- Preeclampsia contributes significantly to global maternal and perinatal mortality rates.
Purpose of the Study:
- To review the latest advancements in preeclampsia prediction and prevention.
- To discuss current management strategies and long-term health outcomes for mothers and children.
- To explore the emerging association between COVID-19 and preeclampsia.
Main Methods:
- Comprehensive literature review of recent studies on preeclampsia.
- Analysis of data on prediction biomarkers (e.g., cfDNA, sFlt-1, PlGF).
- Synthesis of information on management protocols and long-term follow-up studies.
Main Results:
- Preeclampsia poses significant risks for chronic diseases later in life for both mother and child.
- Early prediction and timely intervention are crucial for improving outcomes.
- Emerging research suggests a potential link between COVID-19 infection and preeclampsia development or severity.
Conclusions:
- Preeclampsia requires a multi-faceted approach encompassing prediction, prevention, and management.
- Understanding long-term sequelae is vital for comprehensive maternal and child healthcare.
- Further research is needed to elucidate the impact of COVID-19 on preeclampsia and vice versa.
Abstract:
Preeclampsia is a hypertensive disorder in pregnancy characterized by placental malperfusion and subsequent multi-organ injury. It accounts for approximately 14% of maternal deaths and 10-25% of perinatal deaths globally. In addition, preeclampsia has been attracting attentions for its association with risks for developing chronic diseases in later life for both mother and child. This mini-review discusses on latest knowledge on prediction, prevention, management, and long-term outcomes of preeclampsia and also touches on association between COVID-19 and preeclampsia. HTN hypertension, HDP hypertensive disorders of pregnancy, PE preeclampsia, BP blood pressure, cfDNA cell-free DNA, ST2 human suppression of tumorigenesis 2, sFlt-1 soluble fms-like tyrosine kinase-1, PIGF placental growth factor, VEGF vascular endothelial growth factor, VEGFR VEGF receptor, TGFβ transforming growth factor β, ENG endoglin, sENG soluble ENG, PRES posterior reversible encephalopathy syndrome, AKI acute kidney injury, CVD cardiovascular disease, ESKD end-stage kidney disease, ACE angiotensinogen converting enzyme, Ang angiotensin.
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