Agarwal Isha, Karumanchi S Ananth
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Pregnancy Hypertens. 2011 Jan 1;1(1):17-21. doi: 10.1016/j.preghy.2010.10.007.
Preeclampsia is a major cause of maternal and fetal morbidity and mortality worldwide, however, its etiology remains unclear. Abnormal placental angiogenesis during pregnancy resulting from high levels of anti-angiogenic factors, soluble Flt1 (sFlt1) and soluble endoglin (sEng), has been implicated in preeclampsia pathogenesis. Accumulating evidence also points to a role for these anti-angiogenic proteins as serum biomarkers for the clinical diagnosis and prediction of preeclampsia. Uncovering the mechanisms of altered angiogenic factors in preeclampsia may also provide insights into novel preventive and therapeutic options.
子痫前期是全球孕产妇和胎儿发病及死亡的主要原因,然而,其病因仍不清楚。孕期抗血管生成因子、可溶性Flt1(sFlt1)和可溶性内皮糖蛋白(sEng)水平升高导致胎盘血管生成异常,这与子痫前期的发病机制有关。越来越多的证据也表明,这些抗血管生成蛋白作为血清生物标志物在子痫前期的临床诊断和预测中发挥作用。揭示子痫前期血管生成因子改变的机制也可能为新的预防和治疗方法提供思路。