Guerby P, Vidal F, Garoby-Salom S, Vayssiere C, Salvayre R, Parant O, Negre-Salvayre A
Pôle de gynécologie obstétrique, hôpital Paule-de-Viguier, CHU de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
Pôle de gynécologie obstétrique, hôpital Paule-de-Viguier, CHU de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
Gynecol Obstet Fertil. 2015 Nov;43(11):751-6. doi: 10.1016/j.gyobfe.2015.09.011. Epub 2015 Oct 21.
Preeclampsia is a leading cause of pregnancy complications and affects 3-7% of pregnant women. Pathophysiology of preeclampsia is still unclear. According to the two-stage model of preeclampsia, the abnormal and hypoperfused placenta (stage 1) releases factors to the bloodstream, which are responsible for the maternal symptoms (stage 2), characterised by a systemic inflammation and endothelial dysfunction. Oxidative stress plays an important role in the pathophysiology of the preeclampsia and could be the common denominator between the two. This review summarizes the current knowledge of a new potential etiology of the disease, with a special focus on oxidative stress. We also review the different factors that have been proposed to cause endothelial cell dysfunction in preeclampsia, and trials investigating the role of antioxidant supplementation in preeclampsia.
子痫前期是妊娠并发症的主要原因,影响3%至7%的孕妇。子痫前期的病理生理学仍不清楚。根据子痫前期的两阶段模型,异常且灌注不足的胎盘(第一阶段)向血液中释放各种因子,这些因子导致母体出现症状(第二阶段),其特征为全身炎症和内皮功能障碍。氧化应激在子痫前期的病理生理学中起重要作用,可能是两者的共同特征。本综述总结了关于该疾病新潜在病因的当前知识,特别关注氧化应激。我们还回顾了已提出的导致子痫前期内皮细胞功能障碍的不同因素,以及研究抗氧化剂补充剂在子痫前期中作用的试验。