连接点:探索先兆子痫与围产期心肌病之间的相互作用。

IF 3.2 Q1 OBSTETRICS & GYNECOLOGY Journal of Pregnancy Pub Date : 2024-06-25 eCollection Date: 2024-01-01 DOI:10.1155/2024/7713590
Khanisyah Erza Gumilar, Khairunnisa Binti Abd Rauf, Muhammad Ilham Aldika Akbar, Nareswari Cininta Imanadha, Susetyo Atmojo, Alisia Yuana Putri, Erry Gumilar Dachlan, Gus Dekker
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引用次数: 0

摘要

子痫前期(Preeclampsia)和围产期心肌病(PPCM)是妊娠期间或之后可能出现的重要产科问题。众所周知,这两种疾病都是导致孕产妇死亡和发病的原因。最近的一些研究表明,子痫前期与 PPCM 的病理生理学之间存在联系。然而,将两者联系起来的共同点尚未得到彻底和全面的阐明。在本综述中,我们探讨了子痫前期和 PPCM 的复杂动态关系。我们的分析主要集中在炎症和免疫反应、作为共同途径的内皮功能障碍以及这两种疾病的潜在遗传易感性。首先,我们将探讨过度的炎症和免疫反应如何导致这两种疾病的临床症状,强调促炎症细胞因子和免疫细胞在改变血管和组织反应中的作用。其次,我们认为内皮功能障碍是一个关键点,内皮损伤和活化通过增加血管通透性、血管功能障碍和血栓形成而导致发病。最后,我们研究了提示子痫前期和 PPCM 遗传易感性的最新信息,如参与血压管理、炎症反应和心脏结构完整性的基因的遗传变异。通过这项协同研究,我们强调需要采用跨学科的方法来理解和管理子痫前期和 PPCM 之间的联系,从而鼓励开展更多的研究和创造性的治疗方案。
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Connecting the Dots: Exploring the Interplay Between Preeclampsia and Peripartum Cardiomyopathy.

Preeclampsia and peripartum cardiomyopathy (PPCM) are significant obstetric problems that can arise during or after pregnancy. Both are known to be causes of maternal mortality and morbidity. Several recent studies have suggested a link between preeclampsia and the pathophysiology of PPCM. However, the common thread that connects the two has yet to be thoroughly and fully articulated. Here, we investigate the complex dynamics of preeclampsia and PPCM in this review. Our analysis focuses mainly on inflammatory and immunological responses, endothelial dysfunction as a shared pathway, and potential genetic predisposition to both diseases. To begin, we will look at how excessive inflammatory and immunological responses can lead to clinical symptoms of both illnesses, emphasizing the role of proinflammatory cytokines and immune cells in modifying vascular and tissue responses. Second, we consider endothelial dysfunction to be a crucial point at which endothelial damage and activation contribute to pathogenesis through increased vascular permeability, vascular dysfunction, and thrombus formation. Finally, we examine recent information suggesting genetic predispositions to preeclampsia and PPCM, such as genetic variants in genes involved in the management of blood pressure, the inflammatory response, and heart structural integrity. With this synergistic study, we seek to encourage more research and creative therapy solutions by emphasizing the need for an interdisciplinary approach to understanding and managing the connection between preeclampsia and PPCM.

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来源期刊
Journal of Pregnancy
Journal of Pregnancy OBSTETRICS & GYNECOLOGY-
CiteScore
6.10
自引率
0.00%
发文量
15
审稿时长
14 weeks
期刊介绍: Journal of Pregnancy is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to all aspects of pregnancy and childbirth. The journal welcomes submissions on breastfeeding, labor, maternal health and the biomedical aspects of pregnancy.
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