Maternal microbiome in preeclampsia pathophysiology and implications on offspring health
Open accessAbstract
Preeclampsia is a devastating hypertensive pregnancy disorder that currently affects 2%-8% of pregnancies worldwide. It is associated with maternal and fetal mortality and morbidity and adverse health outcomes both in mom and offspring beyond pregnancy. The pathophysiology is not completely understood, and there are no approved therapies to specifically treat for the disease, with only few therapies approved to manage symptoms. Recent advances suggest that aberrations in the composition of the microbiome may play a role in the pathogenesis of various diseases including preeclampsia. The maternal and uteroplacental environments greatly influence the long-term health outcomes of the offspring through developmental programming mechanisms. The current review summarizes recent developments on the role of the microbiome in adverse pregnancy outcomes with a focus on preeclampsia. It also discusses the potential role of the maternal microbiome in fetal programming; explores gut-targeted therapeutics advancement and their implications in the treatment of preeclampsia.
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Altered fetal programming in modern societies may be secondary to maternal overnutrition, sedentary behavior, obesity, emotional stress, circadian rhythm disruption, poor gut health or environmental chemical exposure.
“In contrast, altered fetal programming in modern societies may be secondary to maternal overnutrition, sedentary behavior, obesity, emotional stress, circadian rhythm disruption, poor gut health or environmental chemical exposure [35,101,112,113].”
From Polycystic Ovary Syndrome: An Evolutionary Adaptation to Lifestyle and the Environment (2022) · cites this paper as [113]
The “Maternal microbiome, fetal programming and future health outcome” section (page unavailable) links unfavorable developmental environments and the maternal microbiome to offspring health, and describes infant gut-microbiome disruption associated with maternal overweight. The copy does not substantiate sedentary behavior, emotional stress, circadian disruption, or environmental chemical exposure as causes of altered fetal programming; it also does not establish the claim specifically for modern societies. (LLM, conf=0.87)
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Recent advances in modulation of cardiovascular diseases by the gut microbiota
Masenga, S. K., Hamooya, B., Hangoma, J., Hayumbu, V., Ertuglu, L. A., Ishimwe, J., Rahman, S., Saleem, M., Laffer, C. L., Elijovich, F., et al. (2022) · Journal of Human Hypertension · doi:10.1038/s41371-022-00698-6 · Cited by 121 · see citing works
Self-citationPolycystic Ovary Syndrome: An Evolutionary Adaptation to Lifestyle and the Environment
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Polycystic Ovary Syndrome: An Evolutionary Adaptation to Lifestyle and the Environment
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“In contrast, altered fetal programming in modern societies may be secondary to maternal overnutrition, sedentary behaviour, obesity, emotional stress, circadian rhythm disruption, poor gut health or environmental chemical exposure (35,101,112,113).”
Background
- Authors
- Ishimwe, J. A.
- Affiliations
- University of Mississippi Medical Center (US)
- Corresponding author
- Ishimwe, Jeanne A.
- ORCID
- Ishimwe, Jeanne A.
- Venue
- Physiological Reports
- Publisher
- Wiley
- Published
- 2021-05
- Volume
- 9
- Issue
- 10
- Pages
- e14875-e14875
- ISSN
- 2051-817X (ISSN-L)
- PMC
- PMC8157769
- OpenAlex
- W3164286985
- Cited by
- 45
- References
- 21
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 10 · 2023: 13 · 2022: 8 · 2021: 2
- FWCI
- 1.52
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Physiological Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- American Heart Association (20PRE35120561)
- National Heart, Lung, and Blood Institute (R01HL134711)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Keywords
- preeclampsia, maternal microbiome, gut microbiota, fetal programming, developmental programming, offspring health, adverse pregnancy outcomes, hypertensive disorders of pregnancy, pathophysiology
- MeSH terms
- Animals, Female, Humans, Pre-Eclampsia, Pregnancy, Prenatal Exposure Delayed Effects, Probiotics, Fetal Development, Prebiotics, Microbiota
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