The Clinical Implications of Progesterone in Preeclampsia

Zhenzhen Liu1,2, Weirong Gu1

  • 1Key Lab of Reproduction and Development, Department of Obstetrics and Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai 200011, China.

Biomolecules
|October 29, 2025
PubMed

Insights

Progesterone (P4) is crucial for pregnancy maintenance and may play a role in preeclampsia development and prevention. This review examines progesterone

Area of Science:

  • Obstetrics and Gynecology
  • Reproductive Endocrinology
  • Maternal-Fetal Medicine

Background:

  • Preeclampsia is a major global health concern impacting maternal and neonatal outcomes.
  • Progesterone (P4) is a vital steroid hormone essential for pregnancy maintenance.
  • Emerging evidence links P4 to preeclampsia pathogenesis and prevention.

Purpose of the Study:

  • To review the physiological roles of progesterone in pregnancy.
  • To explore the pathological functions of progesterone in preeclampsia.
  • To assess the clinical applications of progesterone for preeclampsia prevention and treatment.

Main Methods:

  • Literature review of studies on progesterone and preeclampsia.
  • Analysis of physiological and pathological roles of P4.
  • Evaluation of clinical evidence for P4 in preeclampsia management.

Main Results:

  • Progesterone influences vascular function, immune responses, and placental function relevant to preeclampsia.
  • Enzymes and metabolites in P4 synthesis/metabolism are associated with preeclampsia.
  • Clinical application of P4 shows potential but requires further validation.

Conclusions:

  • Progesterone has significant implications in preeclampsia pathogenesis and potential therapeutic applications.
  • Further research is needed to optimize clinical use of progesterone for preeclampsia.
  • This review provides evidence for future research and clinical practice regarding P4 in preeclampsia.

Related Concept Videos

Hormonal Regulation01:33

Hormonal Regulation

The renin-aldosterone system is an endocrine system which guides the renal absorption of water and electrolytes, thus managing blood pressure and osmoregulation. Activation of the system begins in the kidneys with a small cluster of cells adjacent to the afferent and efferent blood vessels of the renal corpuscle. As the nephrons are filtering blood, juxtaglomerular cells monitor blood pressure. If they detect a decrease in pressure, they release the hormone renin into the bloodstream.
35.7K
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists01:23

Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists

Prostacyclin receptor agonists are a class of therapeutic agents integral to managing pulmonary arterial hypertension (PAH). These drugs operate by mimicking the action of prostaglandin I2, or PGI2, a naturally occurring compound in the body.
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
452
Mitral Valve Prolapse III: Nursing Management01:19

Mitral Valve Prolapse III: Nursing Management

The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
279
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
3.1K
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
462
Adrenergic Antagonists: ɑ and β-Receptor Blockers01:31

Adrenergic Antagonists: ɑ and β-Receptor Blockers

Third-generation β-blockers, such as labetalol and carvedilol, represent a significant advancement in managing cardiovascular conditions. Unlike conventional β-blockers, which can induce peripheral vasoconstriction, third-generation drugs block α1 adrenoceptors. This promotes vasodilation through several mechanisms, such as increased nitric oxide production, inhibition of calcium ion entry, opening of potassium ion channels, and antioxidant action. Labetalol, for instance, is...
1.1K