Herrock Owen, Deer Evangeline, LaMarca Babbette
Department of Pharmacology and Toxicology, University of Mississippi Medical Center, Jackson, MS, United States.
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, MS, United States.
Front Physiol. 2023 Feb 23;14:1130116. doi: 10.3389/fphys.2023.1130116. eCollection 2023.
Preeclampsia (PE) is a leading cause of maternal and fetal mortality worldwide. The immune system plays a critical role in normal pregnancy progression; however, inappropriate inflammatory responses have been consistently linked with PE pathophysiology. This inflammatory phenotype consists of activation of the innate immune system, adaptive immune system, and increased inflammatory mediators in circulation. Moreover, recent studies have shown that the inflammatory profile seen in PE persists into the postpartum period. This manuscript aims to highlight recent advances in research relating to inflammation in PE as well as the inflammation that persists postpartum in women after a PE pregnancy. With the advent of the COVID-19 pandemic, there has been an increase in obstetric disorders associated with COVID-19 infection during pregnancy. This manuscript also aims to shed light on the relationship between COVID-19 infection during pregnancy and the increased incidence of PE in these women.
子痫前期(PE)是全球孕产妇和胎儿死亡的主要原因。免疫系统在正常妊娠进展中起关键作用;然而,不适当的炎症反应一直与PE的病理生理学相关。这种炎症表型包括先天免疫系统、适应性免疫系统的激活以及循环中炎症介质的增加。此外,最近的研究表明,PE中出现的炎症特征会持续到产后。本手稿旨在强调PE炎症相关研究的最新进展以及PE妊娠后女性产后持续存在的炎症。随着COVID-19大流行的出现,孕期与COVID-19感染相关的产科疾病有所增加。本手稿还旨在阐明孕期COVID-19感染与这些女性中PE发病率增加之间的关系。