Journal of Pregnancy (Jan 2022)

Preeclampsia, Natural History, Genes, and miRNAs Associated with the Syndrome

  • Laura Parada-Niño,
  • Luisa Fernanda Castillo-León,
  • Adrien Morel

DOI
https://doi.org/10.1155/2022/3851225
Journal volume & issue
Vol. 2022

Abstract

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Preeclampsia (PE) is a hypertensive disease that affects pregnant women after 20 weeks of gestation. This disease is associated with an important risk of maternal and fetal mortality. PE is described as a placental pathology because, after delivery, most women recover normal arterial pressure. Poor invasion of the spiral arteries is a phenomenon well described in PE; this leads to a hypoxic uterine bed and imbalance of antiangiogenic and proangiogenic factors in the uteroplacental region, which in turn triggers the disease phenotype. The causes of the pathology are unclear; nevertheless, numerous approaches, including next-generation sequencing, association, and case control and miRNA studies, have shed light on the genetic/molecular basis of PE. These studies help us better understand the disease to advance new treatment strategies.