Multi-omic insights of preeclampsia and cardiovascular health outcomes

Emma M Giesen1, Stefan Verlohren1, Sandra M Blois2,3

  • 1University-Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Communications Medicine
|October 31, 2025
PubMed

Insights

Preeclampsia disrupts maternal adaptations during pregnancy, increasing long-term cardiovascular disease risk for mothers and children. Multi-omics and systems biology reveal molecular mechanisms and biomarkers for personalized medicine to improve outcomes.

Area of Science:

  • Cardiovascular Science
  • Reproductive Medicine
  • Genomics and Systems Biology

Background:

  • Preeclampsia is a hypertensive pregnancy disorder associated with elevated cardiovascular disease (CVD) risk in mothers and offspring.
  • Maternal hemodynamic adaptation during pregnancy is crucial for fetal development and offspring cardiovascular health.
  • Disrupted maternal adaptations in preeclampsia lead to lasting cardiovascular effects for both mother and child.

Purpose of the Study:

  • To elucidate the molecular mechanisms underlying the long-term cardiovascular consequences of preeclampsia.
  • To identify candidate biomarkers for preeclampsia's lasting effects.
  • To inform personalized medicine approaches for improving cardiovascular outcomes in preeclampsia survivors.

Main Methods:

  • Synthesis of multi-omics data (genomics, epigenomics, transcriptomics, metabolomics).
  • Application of systems biology approaches.
  • Integration of molecular and clinical data.

Main Results:

  • Uncovered molecular mechanisms linking prenatal preeclampsia exposure to increased CVD risk.
  • Identified potential biomarkers for cardiovascular risk in mothers and offspring.
  • Highlighted the role of disrupted maternal hemodynamic adaptation.

Conclusions:

  • Multi-omics and systems biology offer a roadmap to understand and mitigate preeclampsia's long-term cardiovascular impact.
  • Personalized medicine strategies can be developed based on molecular insights.
  • Early intervention can improve cardiovascular health trajectories for mothers and children affected by preeclampsia.

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