Preeclampsia and Glomerulonephritis: A Bidirectional Association.

Abstract:

PURPOSE OF REVIEW:We focus on the current understanding of preeclampsia (PE) in order to examine how it mediates glomerular injury and affects the course of glomerulonephritis (GNs). In addition, this review discusses the role of GNs on the development of PE. RECENT FINDINGS:In PE, the dysfunctional utero-placental perfusion causes the release into the mother's circulation of anti-angiogenic substances, leading to systemic endotheliosis. In preeclamptic patients, the imbalance between pro- and anti-angiogenic factors is responsible for the kidney injury, and PE may reveal a silent pre-existent GN or may induce the development of the disease. Moreover, in women with chronic kidney disease (CKD), it could accelerate the disease progression. In any case, GNs compromise renal function, making the kidney less responsive to physiological changes that occur during pregnancy and, at the same time, cause maternal vascular inflammation, representing a risk factor for PE development. Although a bidirectional correlation between GNs and PE has been demonstrated, the data are limited, and further large studies are warranted. Close collaboration between a multidisciplinary team of obstetricians and nephrologists is essential to establish the correct diagnosis and safely manage these vulnerable women and their fetuses.

journal_name

Curr Hypertens Rep

authors

Di Leo V,Capaccio F,Gesualdo L

doi

10.1007/s11906-020-1033-9

subject

Has Abstract

pub_date

2020-03-21 00:00:00

pages

36

issue

5

eissn

1522-6417

issn

1534-3111

pii

10.1007/s11906-020-1033-9

journal_volume

22

pub_type

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