Cited by 25Pregnancy and preeclampsia studiesEpigenetics and DNA MethylationBirth, Development, and Health

DNA methylation landscape in pregnancy-induced hypertension: progress and challenges

Open access
Deng, Fengying, Lei, Jiahui, Qiu, Junlan, Zhao, Chenxuan, Wang, Xietong, Li, Min, Sun, Miao, Zhang, Meihua +1 more·2024·Reproductive Biology and Endocrinology

Abstract

Gestational hypertension (PIH), especially pre-eclampsia (PE), is a common complication of pregnancy. This condition poses significant risks to the health of both the mother and the fetus. Emerging evidence suggests that epigenetic modifications, particularly DNA methylation, may play a role in initiating the earliest pathophysiology of PIH. This article describes the relationship between DNA methylation and placental trophoblast function, genes associated with the placental microenvironment, the placental vascular system, and maternal blood and vascular function, abnormalities of umbilical cord blood and vascular function in the onset and progression of PIH, as well as changes in DNA methylation in the progeny of PIH, in terms of maternal, fetal, and offspring. We also explore the latest research on DNA methylation-based early detection, diagnosis and potential therapeutic strategies for PIH. This will enable the field of DNA methylation research to continue to enhance our understanding of the epigenetic regulation of PIH genes and identify potential therapeutic targets.

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  • Human pregnancy complications such as gestational hypertension, gestational diabetes, and preeclampsia have been associated with altered DNA methylation patterns in maternal and fetal tissues, particularly in pathways related to placental function, vascular regulation, and fetal growth.

    “Human pregnancy complications such as gestational hypertension, gestational diabetes, and preeclampsia have been associated with altered DNA methylation patterns in maternal and fetal tissues, particularly in pathways related to placental function, vascular regulation, and fetal growth (51).”

    From Epigenetic changes associated with multi-generational trauma: characterization, mechanisms, and therapeutics (2026) · cites this paper as [51]

    The Introduction and Conclusion and outlook link altered DNA methylation in gestational hypertension and preeclampsia to placental function, maternal and fetal tissues, vascular function, and fetal growth. The review does not substantively address gestational diabetes as part of that finding; it appears in reference titles, but those titles do not support extending the review’s account to that condition. The supplied passages have no page numbers. (LLM, conf=0.86)

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Authors
Deng, F., Lei, J., Qiu, J., Zhao, C., Wang, X., Li, M., Sun, M., Zhang, M., & Gao, Q.
Affiliations
  • Qingdao University (CN)
  • Nanjing University (CN)
  • First Affiliated Hospital of Soochow University (CN)
Corresponding author
  • Sun, Miao
  • Zhang, Meihua
  • Gao, Qinqin
Venue
Reproductive Biology and Endocrinology
Published
2024-07-08
Volume
22
Issue
1
Pages
77-77
ISSN
1477-7827 (ISSN-L)
OpenAlex
W4400422202
Cited by
25
References
199
Citations by year
2026: 12 · 2025: 12 · 2024: 1
FWCI
2.34
Type
journal article
Language
en
Open access
Locations
  • Reproductive Biology and Endocrinology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
Jiangsu Commission of Health
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
Keywords
DNA methylation, gestational hypertension, preeclampsia, epigenetics, placental microenvironment, placental vascular dysfunction, umbilical cord blood, early diagnosis, therapeutic target
MeSH terms
Female, Humans, Placenta, Pre-Eclampsia, Pregnancy, Trophoblasts, DNA Methylation, Epigenesis, Genetic, Hypertension, Pregnancy-Induced

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