What is precise pathophysiology in development of hypertension in pregnancy? Precision medicine requires precise physiology and pathophysiology.

Abstract:

:It is widely accepted that placental ischemia is central in the evolution of hypertension in pregnancy. Many studies and reviews have targeted placental ischemia to explain mechanisms for initiating pregnancy hypertension. The placenta is rich in blood vessels, which are the basis for developing placental ischemia. However, is the physiology of placental vessels the same as that of nonplacental vessels? What is the pathophysiology of placental vessels in development of pregnancy hypertension? This review aims to provide a comprehensive summary of special features of placental vascular regulations and the pathophysiological changes linked to preeclamptic conditions. Interestingly, some popular theories or accepted concepts could be based on our limited knowledge and evidence regarding placental vascular physiology, pharmacology and pathophysiology. New views raised could offer interesting ideas for future investigation of mechanisms as well as targets for pregnancy hypertension.

journal_name

Drug Discov Today

journal_title

Drug discovery today

authors

Gao Q,Tang J,Li N,Liu B,Zhang M,Sun M,Xu Z

doi

10.1016/j.drudis.2017.10.021

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

286-299

issue

2

eissn

1359-6446

issn

1878-5832

pii

S1359-6446(17)30335-5

journal_volume

23

pub_type

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