Maternal endothelial damage as a disorder shared by early preeclampsia, late preeclampsia and intrauterine growth restriction
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Sebastian Kwiatkowski
, Barbara Dołegowska
Abstract
Introduction:
Preeclampsia (PE) and intrauterine growth restriction (IUGR) are separate disease entities that have frequently been reported as sharing the same pathogenesis. In both of them, angiogenesis disorders and generalized endothelial damage with an accompanying inflammation are the dominant symptoms. In this study, we attempted to prove that both these processes demonstrate the same profile in early PE, late PE and IUGR patients, while the only difference is in the degree of exacerbation of the lesions.
Patients, materials and methods:
In 167 patients divided into four groups, three of those with early PE, late PE and IUGR and one control group, fms-like tyrosine kinase-1 (sFlt-1), placental growth factor (PlGF), high sensitive c-reactive protein (hsCRP) and fibronectin were determined. The behavior of these parameters in each of the groups was studied, and correlations between them were sought for.
Results:
Higher concentrations of sFlt-1, hsCRP and fibronectin and a lower concentration of PlGF were found in the study groups compared to the control group. Significant correlations were observed between the factors concerned.
Conclusions:
The higher values of disordered angiogenesis markers, endothelial damage markers and inflammatory markers both in the PE and the intrauterine growth restriction (IUGR) groups suggest the existence of shared disorders in the development of these pathologies. The correlations between disordered angiogenesis markers and endothelial damage markers argue in favor of a mutual relationship between these two processes in the development of pathologies evolving as secondary to placental ischemia. The results obtained confirm that the lesion profiles are the same in both PE and IUGR patients, which can be utilized in developing common diagnostic criteria.
Author’s statement
Conflict of interest: Authors state no conflict of interest.
Material and methods: Informed consent: Informed consent has been obtained from all individuals included in this study.
Ethical approval: The research related to human subject use has complied with all the relevant national regulations, and institutional policies, and is in accordance with the tenets of the Helsinki Declaration, and has been approved by the authors’ institutional review board or equivalent committee.
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©2017 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Editorial
- Preeclampsia and intrauterine growth restriction: placental disorders still not fully understood
- Review article
- Hepar uterinum: a history of ideas on fetal nutrition
- Original articles
- Twin pregnancy in women above the age of 45 years: maternal and neonatal outcomes
- Maternal endothelial damage as a disorder shared by early preeclampsia, late preeclampsia and intrauterine growth restriction
- Maternal venous SHARP1 levels in preeclampsia
- Second-trimester maternal serum markers in the prediction of preeclampsia
- Pregnancy outcomes regarding maternal serum AFP value in second trimester screening
- Quantification of mechanical dyssynchrony in growth restricted fetuses and normal controls using speckle tracking echocardiography (STE)
- Serum cholesterol acceptor capacity in intrauterine growth restricted fetuses
- Antithrombin improves the maternal and neonatal outcomes but not the angiogenic factors in extremely growth-restricted fetuses at <28 weeks of gestation
- Simple approach based on maternal characteristics and mean arterial pressure for the prediction of preeclampsia in the first trimester of pregnancy
- Fetal death: an extreme manifestation of maternal anti-fetal rejection
- Intrauterine growth restriction and placental gene expression in severe preeclampsia, comparing early-onset and late-onset forms
- The relationship between maternal and umbilical cord adropin levels with the presence and severity of preeclampsia
- Expression of placental regulatory genes is associated with fetal growth
- Circulating soluble fms-like tyrosine kinase-1 and placental growth factor from 10 to 40 weeks’ pregnancy in normotensive women
- A one year review of eclampsia in an Ethiopian Tertiary Care Center (Saint Paul’s Hospital Millennium Medical College, SPHMMC)
- Congress Calendar
- Congress Calendar
Articles in the same Issue
- Frontmatter
- Editorial
- Preeclampsia and intrauterine growth restriction: placental disorders still not fully understood
- Review article
- Hepar uterinum: a history of ideas on fetal nutrition
- Original articles
- Twin pregnancy in women above the age of 45 years: maternal and neonatal outcomes
- Maternal endothelial damage as a disorder shared by early preeclampsia, late preeclampsia and intrauterine growth restriction
- Maternal venous SHARP1 levels in preeclampsia
- Second-trimester maternal serum markers in the prediction of preeclampsia
- Pregnancy outcomes regarding maternal serum AFP value in second trimester screening
- Quantification of mechanical dyssynchrony in growth restricted fetuses and normal controls using speckle tracking echocardiography (STE)
- Serum cholesterol acceptor capacity in intrauterine growth restricted fetuses
- Antithrombin improves the maternal and neonatal outcomes but not the angiogenic factors in extremely growth-restricted fetuses at <28 weeks of gestation
- Simple approach based on maternal characteristics and mean arterial pressure for the prediction of preeclampsia in the first trimester of pregnancy
- Fetal death: an extreme manifestation of maternal anti-fetal rejection
- Intrauterine growth restriction and placental gene expression in severe preeclampsia, comparing early-onset and late-onset forms
- The relationship between maternal and umbilical cord adropin levels with the presence and severity of preeclampsia
- Expression of placental regulatory genes is associated with fetal growth
- Circulating soluble fms-like tyrosine kinase-1 and placental growth factor from 10 to 40 weeks’ pregnancy in normotensive women
- A one year review of eclampsia in an Ethiopian Tertiary Care Center (Saint Paul’s Hospital Millennium Medical College, SPHMMC)
- Congress Calendar
- Congress Calendar