Pregnancy-induced hypertension--a particular pathogenic model. Similarities with other forms of arterial hypertension.

作者: Cristina Gluhovschi , Gh Gluhovschi , A Gluhovschi , Silvia Velciov , Ligia Petrica

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摘要: Hypertension is in 85 to 90% of cases unknown etiology, spite efforts undertaken by modern medicine elucidate it. Numerous experimental studies were conducted order explain the pathogeny this disease. Recent observations revealed that during therapy with anti-VEGF medication,used treating different forms cancer, hypertension and proteinuria occur, at kidney level endothelial injuries appear similar pregnancy-related hypertension. Antiangiogenic factors, such as sFlt-1, are produced pregnancy-induced hypertension, especially preeclampsia. They block circulating VEGF. Consequently, proteinuria, sometimes oedema occur together Renal glomerular endotheliosis type. It appreciated one can draw a parallel between these pathologic situations, ablative treatment antiangiogenic medication (anti-VEGF) preeclampsia, respectively. Since angiogenic factors have an important role, we analyse their implication other types myocardial infarction, dysfunction course CKD. The main pathogenic mechanism causes disease placental ischaemia. This followed release pressor substances involved both generalised characterizes disease, prototype caused renal ischaemia artery stenosis. Both stenosis factor pathogeny, organ production consecutive substances. ischaemic intervene its characterisation becomes importance present. Thus, pregnancy represent real model reflected non-pregnancy paper presents particularities well parallelism determined or produce ablation factors.

参考文章(22)
Aleah D. Hazan, Samantha D. Smith, Rebecca L. Jones, Wendy Whittle, Stephen J. Lye, Caroline E. Dunk, Vascular-leukocyte interactions: mechanisms of human decidual spiral artery remodeling in vitro. American Journal of Pathology. ,vol. 177, pp. 1017- 1030 ,(2010) , 10.2353/AJPATH.2010.091105
Takeshi Nagamatsu, Danny J. Schust, The Contribution of Macrophages to Normal and Pathological Pregnancies American Journal of Reproductive Immunology. ,vol. 63, pp. 460- 471 ,(2010) , 10.1111/J.1600-0897.2010.00813.X
A. Steinborn, E. Schmitt, A. Kisielewicz, S. Rechenberg, N. Seissler, K. Mahnke, M. Schaier, M. Zeier, C. Sohn, Pregnancy‐associated diseases are characterized by the composition of the systemic regulatory T cell (Treg) pool with distinct subsets of Tregs Clinical and Experimental Immunology. ,vol. 167, pp. 84- 98 ,(2012) , 10.1111/J.1365-2249.2011.04493.X
Margaret G. Petroff, Antoine Perchellet, B7 Family Molecules as Regulators of the Maternal Immune System in Pregnancy American Journal of Reproductive Immunology. ,vol. 63, pp. 506- 519 ,(2010) , 10.1111/J.1600-0897.2010.00841.X
Said AbdAlla, Heinz Lother, Adel el Massiery, Ursula Quitterer, Increased AT(1) receptor heterodimers in preeclampsia mediate enhanced angiotensin II responsiveness. Nature Medicine. ,vol. 7, pp. 1003- 1009 ,(2001) , 10.1038/NM0901-1003
Sarah J. Germain, Gavin P. Sacks, Suren R. Soorana, Ian L. Sargent, Christopher W. Redman, Systemic Inflammatory Priming in Normal Pregnancy and Preeclampsia: The Role of Circulating Syncytiotrophoblast Microparticles Journal of Immunology. ,vol. 178, pp. 5949- 5956 ,(2007) , 10.4049/JIMMUNOL.178.9.5949
Sharon E. Maynard, S. Ananth Karumanchi, Angiogenic Factors and Preeclampsia Seminars in Nephrology. ,vol. 31, pp. 33- 46 ,(2011) , 10.1016/J.SEMNEPHROL.2010.10.004
Steven A. Friedman, Eyal Schiff, Jef J. Emeis, Gustaaf A. Dekker, Baha M. Sibai, Biochemical corroboration of endothelial involvement in severe preeclampsia American Journal of Obstetrics and Gynecology. ,vol. 172, pp. 202- 203 ,(1995) , 10.1016/0002-9378(95)90113-2
Ossama M. Reslan, Raouf A. Khalil, Molecular and Vascular Targets in the Pathogenesis and Management of the Hypertension Associated with Preeclampsia Cardiovascular and Hematological Agents in Medicinal Chemistry. ,vol. 8, pp. 204- 226 ,(2010) , 10.2174/187152510792481234
B Xu, C Thornton, J Tooher, R Ogle, S Lim, A Makris, A Hennessy, Effects of anti-hypertensive drugs on production of soluble fms-like tyrosine kinase 1 and soluble endoglin from human normal and pre-eclamptic placentas in vitro. Clinical and Experimental Pharmacology and Physiology. ,vol. 36, pp. 839- 842 ,(2009) , 10.1111/J.1440-1681.2009.05155.X