2018
DOI: 10.1007/s11906-018-0828-4
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The Endothelin System: A Critical Player in the Pathophysiology of Preeclampsia

Abstract: Purpose of Review Preeclampsia (PE) is a disorder of pregnancy typically characterized by new-onset hypertension and proteinuria after gestational week 20. Although preeclampsia is one of the leading causes of maternal and perinatal morbidity and death worldwide, the mechanisms of the pathogenesis of the disorder remain unclear and treatment options are limited. Placental ischemic events and the release of placental factors appear to play a critical role in the pathophysiology. These factors contribute to a ge… Show more

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Cited by 65 publications
(44 citation statements)
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References 69 publications
(75 reference statements)
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“…The early identification of PE can assist obstetricians in assuming pivotal measures for timely intervening for the avoidance or reduction of the occurrence of adverse pregnancy outcomes. A number of studies were conducted about the pathogenesis of PE . Among these etiological theories, the reduced migration and invasion abilities of trophoblasts are the broadly accepted causes.…”
Section: Discussionmentioning
confidence: 99%
“…The early identification of PE can assist obstetricians in assuming pivotal measures for timely intervening for the avoidance or reduction of the occurrence of adverse pregnancy outcomes. A number of studies were conducted about the pathogenesis of PE . Among these etiological theories, the reduced migration and invasion abilities of trophoblasts are the broadly accepted causes.…”
Section: Discussionmentioning
confidence: 99%
“…Preeklampsi hastalarının dolaşımındaki artmış ET-1 seviyelerinin hastalığın şiddeti ile uyumlu olduğunu gösteren çalışmalar mevcuttur. Ayrıca preeklampsi hastalarında belirlenmiş yüksek matriks metalloproteinaz aktivasyonunun ET-1 düzeyinin ve duyarlılığının artışına ve vazokonstrüksiyon lehine dengelerin bozulmasına yol açtığı bilinmektedir (50) . • Preeklampli gebelerin serumlarının in vitro ortamda insan umbilikal ven endotel hücre kültüründe aktivasyona yol açması (51)(52)(53)(54)(55) .…”
Section: Preeklampsi̇ Ve Endotel Di̇sfonksi̇yonuunclassified
“…The cause of pre‐eclampsia remains unclear. Relevant studies have shown that it is closely related to a reduction in the conversion of maternal spiral artery, 12 placental hypoperfusion 13 and systemic inflammation 14 during early pregnancy. Angiogenesis is the basis of normal placental development.…”
Section: Introductionmentioning
confidence: 99%