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子痫前期发病机制的新进展。

New developments in the pathogenesis of preeclampsia.

机构信息

Renal, Molecular, and Vascular Medicine Divisions, Department of Medicine, Beth Israel-Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

出版信息

Adv Chronic Kidney Dis. 2013 May;20(3):265-70. doi: 10.1053/j.ackd.2013.02.003.

DOI:10.1053/j.ackd.2013.02.003
PMID:23928392
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4107338/
Abstract

Preeclampsia affects 3% to 5% of all pregnancies and is a major cause of maternal and perinatal morbidity and mortality worldwide. This disorder is characterized by a constellation of signs and symptoms, most notably new-onset hypertension and proteinuria during the last trimester of pregnancy. In this review, the molecular mechanisms of preeclampsia with an emphasis on the role of circulating antiangiogenic proteins in the pathogenesis of preeclampsia and its complications will be discussed.

摘要

子痫前期影响所有妊娠的 3%至 5%,是全世界孕产妇和围生期发病率和死亡率的主要原因。这种疾病的特征是一系列的体征和症状,最明显的是在妊娠最后三个月出现新发生的高血压和蛋白尿。在这篇综述中,我们将重点讨论子痫前期的分子机制,特别是循环抗血管生成蛋白在子痫前期及其并发症发病机制中的作用。

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1
New developments in the pathogenesis of preeclampsia.子痫前期发病机制的新进展。
Adv Chronic Kidney Dis. 2013 May;20(3):265-70. doi: 10.1053/j.ackd.2013.02.003.
2
Preeclampsia: new insights.子痫前期:新见解
Curr Opin Nephrol Hypertens. 2007 May;16(3):213-20. doi: 10.1097/MNH.0b013e3280d942e9.
3
Balance of antiangiogenic and angiogenic factors in the context of the etiology of preeclampsia.子痫前期病因学背景下抗血管生成因子与血管生成因子的平衡
Acta Obstet Gynecol Scand. 2014 Oct;93(10):959-64. doi: 10.1111/aogs.12473. Epub 2014 Sep 17.
4
Metformin as a prevention and treatment for preeclampsia: effects on soluble fms-like tyrosine kinase 1 and soluble endoglin secretion and endothelial dysfunction.二甲双胍预防和治疗子痫前期:对可溶性 fms 样酪氨酸激酶 1 和可溶性内皮下层蛋白 1 分泌及内皮功能障碍的影响。
Am J Obstet Gynecol. 2016 Mar;214(3):356.e1-356.e15. doi: 10.1016/j.ajog.2015.12.019. Epub 2015 Dec 22.
5
Soluble endoglin contributes to the pathogenesis of preeclampsia.可溶性内皮糖蛋白参与子痫前期的发病机制。
Nat Med. 2006 Jun;12(6):642-9. doi: 10.1038/nm1429. Epub 2006 Jun 4.
6
Angiogenic and vasoactive proteins in the maternal-fetal interface in healthy pregnancies and preeclampsia.健康妊娠和子痫前期母体-胎儿界面中的血管生成和血管活性蛋白。
Am J Obstet Gynecol. 2024 Nov;231(5):550.e1-550.e22. doi: 10.1016/j.ajog.2024.03.012. Epub 2024 Mar 15.
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Expression of antiangiogenic factors in the placental structures in pre-eclampsia.子痫前期胎盘结构中抗血管生成因子的表达
Bull Exp Biol Med. 2012 Dec;154(2):287-91. doi: 10.1007/s10517-012-1932-0.
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Dysregulation of hydrogen sulfide producing enzyme cystathionine γ-lyase contributes to maternal hypertension and placental abnormalities in preeclampsia.胱硫醚 γ-裂解酶产生酶的失调导致子痫前期的母体高血压和胎盘异常。
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The role of hypoxia and hypoxia-inducible factor-1alpha in preeclampsia pathogenesis.缺氧和缺氧诱导因子-1α在子痫前期发病机制中的作用。
Biol Reprod. 2012 Dec 13;87(6):134. doi: 10.1095/biolreprod.112.102723. Print 2012 Jun.
10
Effects of Pravastatin on Human Placenta, Endothelium, and Women With Severe Preeclampsia.普伐他汀对人胎盘、内皮细胞及重度子痫前期患者的影响。
Hypertension. 2015 Sep;66(3):687-97; discussion 445. doi: 10.1161/HYPERTENSIONAHA.115.05445. Epub 2015 Jul 27.

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A Disintegrin and Metalloprotease with Thrombospondin Motif, Member 13, and Von Willebrand Factor in Relation to the Duality of Preeclampsia and HIV Infection.含血小板反应蛋白基序的解聚素和金属蛋白酶13与血管性血友病因子在子痫前期和HIV感染双重性中的关系
Int J Mol Sci. 2025 Apr 25;26(9):4103. doi: 10.3390/ijms26094103.
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Modified lipoprotein-induced sFlt1 production in human placental trophoblasts is mediated by protein kinase C.修饰脂蛋白诱导人胎盘滋养层细胞产生可溶性血管内皮生长因子受体1是由蛋白激酶C介导的。
Eur J Pharmacol. 2025 Jan 5;986:177138. doi: 10.1016/j.ejphar.2024.177138. Epub 2024 Nov 17.
3
An Examination of the Effect of Aspirin and Salicylic Acid on Soluble Fms-like Tyrosine Kinase-1 Release from Human Placental Trophoblasts.

本文引用的文献

1
Association between hypertensive disorders during pregnancy and end-stage renal disease: a population-based study.妊娠高血压疾病与终末期肾病的关系:一项基于人群的研究。
CMAJ. 2013 Feb 19;185(3):207-13. doi: 10.1503/cmaj.120230. Epub 2013 Jan 21.
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Placental growth factor for the prediction of adverse outcomes in patients with suspected preeclampsia or intrauterine growth restriction.胎盘生长因子预测疑似子痫前期或宫内生长受限患者的不良结局。
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Plasma concentrations of soluble endoglin versus standard evaluation in patients with suspected preeclampsia.
阿司匹林和水杨酸对人胎盘滋养细胞可溶性 Fms 样酪氨酸激酶-1 释放的影响研究。
Cells. 2024 Jan 6;13(2):113. doi: 10.3390/cells13020113.
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Analysis on Clinical Outcomes of Low-Molecular Weight Heparin Combined with Magnesium Sulfate in Patients with Pre-Eclampsia.低分子肝素联合硫酸镁治疗子痫前期患者的临床疗效分析
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Hypoxia-Inducible Factor 1 and Preeclampsia: A New Perspective.缺氧诱导因子 1 与子痫前期:新视角。
Curr Hypertens Rep. 2022 Dec;24(12):687-692. doi: 10.1007/s11906-022-01225-1. Epub 2022 Nov 7.
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Medawar's PostEra: Galectins Emerged as Key Players During Fetal-Maternal Glycoimmune Adaptation.梅达沃后时代:半乳糖凝集素在胎母糖免疫适应中崭露头角,成为关键角色。
Front Immunol. 2021 Dec 15;12:784473. doi: 10.3389/fimmu.2021.784473. eCollection 2021.
7
Modelling preeclampsia: a comparative analysis of the common human trophoblast cell lines.子痫前期的建模:常见人滋养层细胞系的比较分析
FASEB Bioadv. 2020 Nov 21;3(1):23-35. doi: 10.1096/fba.2020-00057. eCollection 2021 Jan.
8
Preeclampsia: Linking Placental Ischemia with Maternal Endothelial and Vascular Dysfunction.子痫前期:将胎盘缺血与母体血管内皮和血管功能障碍联系起来。
Compr Physiol. 2020 Dec 9;11(1):1315-1349. doi: 10.1002/cphy.c200008.
9
Comparative risks and predictors of preeclamptic pregnancy in the Eastern, Western and developing world.在东、西方和发展中世界,子痫前期妊娠的比较风险和预测因素。
Biochem Pharmacol. 2020 Dec;182:114247. doi: 10.1016/j.bcp.2020.114247. Epub 2020 Sep 25.
10
CD97 Is Decreased in Preeclamptic Placentas and Promotes Human Trophoblast Invasion Through PI3K/Akt/mTOR Signaling Pathway.CD97 在子痫前期胎盘组织中表达降低,并通过 PI3K/Akt/mTOR 信号通路促进人滋养层细胞侵袭。
Reprod Sci. 2020 Aug;27(8):1553-1561. doi: 10.1007/s43032-020-00183-w.
疑似子痫前期患者中可溶性内皮糖蛋白与标准评估的血浆浓度比较。
PLoS One. 2012;7(10):e48259. doi: 10.1371/journal.pone.0048259. Epub 2012 Oct 26.
4
Chronic kidney disease may be differentially diagnosed from preeclampsia by serum biomarkers.慢性肾病可以通过血清生物标志物与先兆子痫进行鉴别诊断。
Kidney Int. 2013 Jan;83(1):177-81. doi: 10.1038/ki.2012.348. Epub 2012 Sep 26.
5
Familial factors in the association between preeclampsia and later ESRD.子痫前期与晚期终末期肾病之间关联的家族因素。
Clin J Am Soc Nephrol. 2012 Nov;7(11):1819-26. doi: 10.2215/CJN.01820212. Epub 2012 Sep 6.
6
Angiogenic biomarkers for prediction of maternal and neonatal complications in suspected preeclampsia.用于预测疑似子痫前期孕产妇及新生儿并发症的血管生成生物标志物。
J Matern Fetal Neonatal Med. 2012 Dec;25(12):2651-7. doi: 10.3109/14767058.2012.713055. Epub 2012 Aug 22.
7
Low placental growth factor across pregnancy identifies a subset of women with preterm preeclampsia: type 1 versus type 2 preeclampsia?整个孕期低胎盘生长因子可识别出一部分早产子痫前期患者:1 型与 2 型子痫前期?
Hypertension. 2012 Jul;60(1):239-46. doi: 10.1161/HYPERTENSIONAHA.112.191213. Epub 2012 May 29.
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Cardiac angiogenic imbalance leads to peripartum cardiomyopathy.心脏血管生成失衡导致围产期心肌病。
Nature. 2012 May 9;485(7398):333-8. doi: 10.1038/nature11040.
9
Role of corin in trophoblast invasion and uterine spiral artery remodelling in pregnancy.Corin 在滋养细胞侵袭和妊娠子宫螺旋动脉重塑中的作用。
Nature. 2012 Mar 21;484(7393):246-50. doi: 10.1038/nature10897.
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Angiogenic factors in superimposed preeclampsia: a longitudinal study of women with chronic hypertension during pregnancy.叠加性子痫前期的血管生成因子:妊娠期慢性高血压妇女的纵向研究。
Hypertension. 2012 Mar;59(3):740-6. doi: 10.1161/HYPERTENSIONAHA.111.181735. Epub 2012 Feb 6.