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Cited by 334

The DOI matches its Crossref record; 72 of the 72 references it cites were found in a registry or an index.

Pathophysiology of Preeclampsia: Linking Placental Ischemia/Hypoxia with Microvascular Dysfunction

GRANGER, JOEY P., ALEXANDER, BARBARA T., LLINAS, MARIA T., BENNETT, WILLIAM A., KHALIL, RAOUF A.·2002·Microcirculation

Abstract

Studies during the past decade have provided a better understanding of the potential mechanisms responsible for the pathogenesis of preeclampsia. The initiating event in preeclampsia has been postulated to be reduced uteroplacental perfusion as a result of abnormal cytotrophoblast invasion of spiral arterioles. Placental ischemia/hypoxia is thought to lead to widespread activation/dysfunction of the maternal vascular endothelium which results in enhanced formation of endothelin, thromboxane, and superoxide, increased vascular sensitivity to angiotensin II, and decreased formation of vasodilators such as nitric oxide and prostacyclin. These endothelial abnormalities, in turn, cause hypertension by impairing renal function and increasing total peripheral resistance. While recent studies support a role for cytokines and other factors such as lipid peroxides and reactive oxygen intermediates as potential mediators of endothelial dysfunction, finding the link between placental ischemia/hypoxia and maternal endothelial and vascular abnormalities remains an important area of investigation. The quantitative importance of the various endothelial and humoral factors in mediating the vasoconstriction and elevation in arterial pressure during preeclampsia has also not been completely elucidated.

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Metadata

Authors
GRANGER, J. P., ALEXANDER, B. T., LLINAS, M. T., BENNETT, W. A., & KHALIL, R. A.
Venue
Microcirculation
Publisher
Wiley
Published
2002-06
Volume
9
Issue
3
Pages
147-160
ISSN
  • 1073-9688 (ISSN-L)
  • 1549-8719
OpenAlex
W2082059445
Cited by
334
References
72
FWCI
17.96
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Pathophysiology of Preeclampsia: Linking Placental Ischemia/Hypoxia with Microvascular Dysfunction. https://app.cochat.ai/papers/10.1038/sj.mn.7800137
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GRANGER, J. P., ALEXANDER, B. T., LLINAS, M. T., BENNETT, W. A., & KHALIL, R. A. (2002). Pathophysiology of Preeclampsia: Linking Placental Ischemia/Hypoxia with Microvascular Dysfunction. Microcirculation. https://doi.org/10.1038/sj.mn.7800137

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