The role of haemostasis in placenta-mediated complications.

Abstract:

:Normal pregnancy is associated with an increasing state of activation of the haemostatic system. This activation state is excessive in women with placenta-mediated pregnancy complications (PMPCs), including preeclampsia (PE). Platelet activation plays a crucial pathophysiological role in PE. The very early activation of coagulation in the intervillous space is mandatory for placental growth and morphogenesis but its excesses and/or inadequate control may participate to the emergence of the trophoblastic phenotype of PE. Extracellular vesicles, of endothelial but also of trophoblastic origin, can favour key cellular reactions of preeclampsia, acting as proactive cofactors. The understanding of this intricate relationship between haemostasis activation and PMPCs may provide interesting keys for new pathophysiological therapeutic developments.

journal_name

Thromb Res

journal_title

Thrombosis research

authors

Gris JC,Bouvier S,Cochery-Nouvellon É,Mercier É,Mousty È,Pérez-Martin A

doi

10.1016/S0049-3848(19)30359-7

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

S10-S14

eissn

0049-3848

issn

1879-2472

pii

S0049-3848(19)30359-7

journal_volume

181 Suppl 1

pub_type

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