Preeclampsia - Recent insights

被引:527
作者
Roberts, JM
Gammill, HS
机构
[1] Magee Womens Res Inst, Pittsburgh, PA 15213 USA
[2] Univ Pittsburgh, Dept Obstet Gynecol & Reprod Sci, Pittsburgh, PA USA
[3] Univ Pittsburgh, Dept Epidemiol, Pittsburgh, PA USA
关键词
preeclampsia; hypertension; pregnancy; oxidative stress; endothelium;
D O I
10.1161/01.HYP.0000188408.49896.c5
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Preeclampsia is a pregnancy complication with serious consequences for mother and infant. The disorder is diagnosed by gestational hypertension and proteinuria but is far more than pregnancy induced hypertension. Preeclampsia is proposed to occur in 2 stages. Stage 1 reduced placental perfusion is postulated as the root cause and to lead to the maternal syndrome, Stage 2. Why perfusion is reduced, how this translates to a maternal disease in some but not all women and what is the linkage of the 2 stages are topics of intense study. In the last decade such studies have provided valuable insights into pathophysiology that now guide ongoing clinical trials.
引用
收藏
页码:1243 / 1249
页数:7
相关论文
共 88 条
[1]   Placental apoptosis in preeclampsia [J].
Allaire, AD ;
Ballenger, KA ;
Wells, SR ;
McMahon, MJ ;
Lessey, BA .
OBSTETRICS AND GYNECOLOGY, 2000, 96 (02) :271-276
[2]   MATERNAL PLACENTAL VASCULOPATHY AND INFECTION - 2 DISTINCT SUBGROUPS AMONG PATIENTS WITH PRETERM LABOR AND PRETERM RUPTURED MEMBRANES [J].
ARIAS, F ;
RODRIQUEZ, L ;
RAYNE, SC ;
KRAUS, FT .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1993, 168 (02) :585-591
[3]   A genome-wide scan reveals a maternal susceptibility locus for pre-eclampsia on chromosome 2p13 [J].
Arngrímsson, R ;
Siguróardóttir, S ;
Frigge, ML ;
Bjarnadóttir, RI ;
Jónsson, T ;
Stefánsson, H ;
Baldursdóttir, A ;
Einarsdóttir, AS ;
Palsson, B ;
Snorradóttir, S ;
Lachmeijer, AMA ;
Nicolae, D ;
Kong, A ;
Bragason, BT ;
Gulcher, JR ;
Geirsson, RT ;
Stefánsson, K .
HUMAN MOLECULAR GENETICS, 1999, 8 (09) :1799-1805
[4]   ANALYSIS OF DIFFERENT INHERITANCE PATTERNS IN PREECLAMPSIA/ECLAMPSIA SYNDROME [J].
ARNGRIMSSON, R ;
BJORNSSON, H ;
GEIRSSON, RT .
HYPERTENSION IN PREGNANCY, 1995, 14 (01) :27-38
[5]   Mechanisms of endothelium-dependent relaxation in myometrial resistance vessels and their alteration in preeclampsia [J].
Ashworth, JR ;
Baker, PN ;
Warren, AY ;
Johnson, IR .
HYPERTENSION IN PREGNANCY, 1999, 18 (01) :57-71
[6]   Vitamin C and E supplementation in women at high risk for preeclampsia: A double-blind, placebo-controlled trial [J].
Beazley, D ;
Ahokas, R ;
Livingston, J ;
Griggs, M ;
Sibai, BM .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2005, 192 (02) :520-521
[7]   Expression of inflammatory cytokines in placentas from women with preeclampsia [J].
Benyo, DF ;
Smarason, A ;
Redman, CWG ;
Sims, C ;
Conrad, KP .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2001, 86 (06) :2505-2512
[8]   Forearm blood flow in pre-eclampsia [J].
Bowyer, L ;
Brown, MA ;
Jones, M .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2003, 110 (04) :383-391
[9]   Interaction of cocultured decidual endothelial cells and cytotrophoblasts in preeclampsia [J].
Campbell, S ;
Rowe, J ;
Jackson, CJ ;
Gallery, EDM .
BIOLOGY OF REPRODUCTION, 2004, 71 (01) :244-252
[10]   Low-dose aspirin to prevent preeclampsia in women at high risk [J].
Caritis, S ;
Sibai, B ;
Hauth, J ;
Lindheimer, MD ;
Klebanoff, M ;
Thom, E ;
VanDorsten, P ;
Landon, M ;
Paul, R ;
Miodovnik, M ;
Meis, P ;
Thurnau, G .
NEW ENGLAND JOURNAL OF MEDICINE, 1998, 338 (11) :701-705