Pre-eclampsia part 2: prediction, prevention and management
Open accessAbstract
An antiangiogenic state might constitute a terminal pathway for the multiple aetiologies of pre-eclampsia, especially those resulting from placental abnormalities. The levels of angiogenic and antiangiogenic proteins in maternal blood change prior to a diagnosis of pre-eclampsia, correlate with disease severity and have prognostic value in identifying women who will develop maternal and/or perinatal complications. Potential interventions exist to ameliorate the imbalance of angiogenesis and, hence, might provide opportunities to improve maternal and/or perinatal outcomes in pre-eclampsia. Current strategies for managing pre-eclampsia consist of controlling hypertension, preventing seizures and timely delivery of the fetus. Prediction of pre-eclampsia in the first trimester is of great interest, as early administration of aspirin might reduce the risk of pre-eclampsia, albeit modestly. Combinations of biomarkers typically predict pre-eclampsia better than single biomarkers; however, the encouraging initial results of biomarker studies require external validation in other populations before they can be used to facilitate intervention in patients identified as at increased risk. Angiogenic and antiangiogenic factors might also be useful in triage of symptomatic patients with suspected pre-eclampsia, differentiating pre-eclampsia from exacerbations of pre-existing medical conditions and performing risk assessment in asymptomatic women. This Review article discusses the performance of predictive and prognostic biomarkers for pre-eclampsia, current strategies for preventing and managing the condition and its long-term consequences.
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Maternal plasma concentrations of sVEGFR-1 and soluble endoglin increase before preeclampsia is diagnosed, making them potential biomarkers for the disease.
“that causes maternal plasma concentrations of sVEGFR-1 and soluble endoglin to increase before preeclampsia is diagnosed, making them potential biomarkers for the disease(111, 120, 128, 129, 132, 133, 137, 138, 154–179).”
From Metformin, the Aspirin of the 21st Century: Its Role in Gestational Diabetes Mellitus, Prevention of Preeclampsia and Cancer, and the Promotion of Longevity (2017) · cites this paper as [111]
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- [106]Sibai BM Cunningham FG Chesley’s Hypertensive Disorders in Pregnancy Lindheimer MD Roberts JM Cunningham GC 214 225 Elsevier 2009
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Pre-eclampsia part 1: current understanding of its pathophysiology
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Angiogenic and antiangiogenic markers for prediction and risk classification of preeclampsia
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Placental Drug Delivery to Treat Pre‐Eclampsia and Fetal Growth Restriction
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- Authors
- Chaiworapongsa, T., Chaemsaithong, P., Korzeniewski, S. J., Yeo, L., & Romero, R.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Chaiworapongsa, Tinnakorn
- Venue
- Nature Reviews Nephrology
- Published
- 2014-07-08
- Volume
- 10
- Issue
- 9
- Pages
- 531-540
- ISSN
- 1745-8323 (ISSN-L)
- 1759-5061
- 1759-507X
- PMC
- PMC5898797
- OpenAlex
- W2059849577
- Cited by
- 132
- References
- 147
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 8 · 2023: 6 · 2022: 14 · 2021: 9 · 2020: 11 · 2019: 14 · 2018: 17 · 2017: 18 · 2016: 11 · 2015: 12 · 2014: 3
- FWCI
- 2.36
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Nephrology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HHSN275201300006C, ZIAHD002400)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Psychiatry and Mental health › Neurological Complications and Syndromes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- preeclampsia, predictive biomarkers, prognostic factors, anti-angiogenic factors, angiogenic factors, first-trimester prediction, aspirin prophylaxis, maternal hypertension, seizure prevention, term birth, placental abnormalities, perinatal outcomes, risk stratification
- MeSH terms
- Female, Humans, Pre-Eclampsia, Pregnancy, Prognosis, Risk Factors, Biomarkers, Risk Assessment
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