International Institutes of Medicine, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, No. N1, Shangcheng Avenue, Yiwu, 322000, China.
Zhejiang University-University of Edinburgh Institute (ZJU-UoE Institute), Zhejiang University School of Medicine, International Campus, Zhejiang University, 718 East Haizhou Road, Haining, 314400, China.
Reprod Biol Endocrinol. 2022 Sep 6;20(1):136. doi: 10.1186/s12958-022-01003-3.
Pre-eclampsia (PE), associated with placental malperfusion, is the primary reason for maternal and perinatal mortality and morbidity that can cause vascular endothelial injury and multi-organ injury. Despite considerable research efforts, no pharmaceutical has been shown to stop disease progression. If women precisely diagnosed with PE can achieve treatment at early gestation, the maternal and fetal outcomes can be maximally optimized by expectant management. Current diagnostic approaches applying maternal characteristics or biophysical markers, including blood test, urine analysis and biophysical profile, possess limitations in the precise diagnosis of PE. Biochemical factor research associated with PE development has generated ambitious diagnostic targets based on PE pathogenesis and dissecting molecular phenotypes. This review focuses on current developments in biochemical prediction of PE and the corresponding interventions to ameliorate disease progression, aiming to provide references for clinical diagnoses and treatments.
子痫前期(PE)与胎盘灌注不良有关,是导致孕产妇和围产儿发病率和死亡率的主要原因,可引起血管内皮损伤和多器官损伤。尽管进行了大量研究,但尚无药物被证明可以阻止疾病进展。如果能在妊娠早期对患有明确子痫前期的女性进行治疗,可以通过期待治疗最大限度地优化母婴结局。目前应用于子痫前期诊断的方法是基于母体特征或生物物理标志物,包括血液检查、尿液分析和生物物理评分等,这些方法在子痫前期的准确诊断方面存在局限性。与 PE 发病机制相关的生化因子研究基于疾病发病机制和分子表型分析,提出了有前景的诊断靶标。本综述重点介绍了 PE 的生化预测的最新进展及其对应干预措施,以改善疾病进展,旨在为临床诊断和治疗提供参考。