Trophoblast deportation and the maternal inflammatory response in pre-eclampsia

被引:180
作者
Sargent, IL [1 ]
Germain, SJ [1 ]
Sacks, GP [1 ]
Kumar, S [1 ]
Redman, CWG [1 ]
机构
[1] John Radcliffe Hosp, Nuffield Dept Obstet & Gynaecol, Oxford OX3 9DU, England
关键词
pre-eclampsia; inflammatory response; trophoblast deportation;
D O I
10.1016/S0165-0378(03)00044-5
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We have proposed that the maternal syndrome of pre-eclampsia is caused by a systemic inflammatory response involving both leucocytes and endothelium. This inflammatory response is present also in normal pregnancy, but in a milder form. The inflammatory stimulus is most likely to come from the placenta. Syncytiotrophoblast apoptotic debris, which is shed into the maternal circulation in normal pregnancy and in increased amounts in pre-eclampsia, may be the stimulus for this response. It may also contribute to the suppression of Th1 responses seen in pregnancy. (C) 2003 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:153 / 160
页数:8
相关论文
共 30 条
  • [11] Kumar S, 2000, J SOC GYNECOL INVE S, V7, pS181a
  • [12] Increased placental apoptosis in pregnancies complicated by preeclampsia
    Leung, DN
    Smith, SC
    To, KF
    Sahota, DS
    Baker, PN
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2001, 184 (06) : 1249 - 1250
  • [13] Lo YMD, 1999, CLIN CHEM, V45, P184
  • [14] Characterization of type 1 and type 2 cytokine production profile in physiologic and pathologic human pregnancy
    Marzi, M
    Vigano, A
    Trabattoni, D
    Villa, ML
    Salvaggio, A
    Clerici, E
    Clerici, M
    [J]. CLINICAL AND EXPERIMENTAL IMMUNOLOGY, 1996, 106 (01) : 127 - 133
  • [15] Serum inhibin A and activin A are elevated prior to the onset of pre-eclampsia
    Muttukrishna, S
    North, RA
    Morris, J
    Schellenberg, JC
    Taylor, RS
    Asselin, J
    Ledger, W
    Groome, N
    Redman, CWG
    [J]. HUMAN REPRODUCTION, 2000, 15 (07) : 1640 - 1645
  • [16] CORTICOTROPIN-RELEASING HORMONE AND CORTICOTROPIN-RELEASING HORMONE-BINDING PROTEIN IN NORMAL AND PREECLAMPTIC HUMAN PREGNANCIES
    PERKINS, AV
    LINTON, EA
    EBEN, F
    SIMPSON, J
    WOLFE, CDA
    REDMAN, CWG
    [J]. BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1995, 102 (02): : 118 - 122
  • [17] PREECLAMPSIA RELATED TO A FUNCTIONING EXTRAUTERINE PLACENTA - REPORT OF A CASE AND 25-YEAR FOLLOW-UP
    PIERING, WF
    GARANCIS, JG
    BECKER, CG
    BERES, JA
    LEMANN, J
    [J]. AMERICAN JOURNAL OF KIDNEY DISEASES, 1993, 21 (03) : 310 - 313
  • [18] Redman C W, 2001, Gynecol Obstet Fertil, V29, P518, DOI 10.1016/S1297-9589(01)00180-1
  • [19] Placental debris, oxidative stress and pre-eclampsia
    Redman, CWG
    Sargent, IL
    [J]. PLACENTA, 2000, 21 (07) : 597 - 602
  • [20] Preeclampsia: An excessive maternal inflammatory response to pregnancy
    Redman, CWG
    Sacks, GP
    Sargent, IL
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1999, 180 (02) : 499 - 506