Recent Advances in Preeclampsia and Fetal Growth Restriction

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Obstetrics and Gynecology".

Deadline for manuscript submissions: closed (31 December 2023) | Viewed by 3046

Special Issue Editors


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Guest Editor
Department of Obstetrics and Gynecology, Department of Life Sciences- Pathophysyology, Western University Vasile Goldis of Arad, Arad, Romania
Interests: obstetrics; operative gynecology; contraception; HPV; maternal–fetal medicine; reproductive health

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Guest Editor
Department of Obstetrics and Gynecology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
Interests: endometriosis; maternal–fetal medicine; reproductive health

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Guest Editor
Department of Obstetrics and Gynecology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
Interests: obstetrics; maternal–fetal medicine; infectious disease; prediction
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Special Issue Information

Dear Colleagues,

Around the world, fetal growth restriction (FGR) is a common pregnancy complication and a major contributor to stillbirths, neonatal deaths, and both short- and long-term neonatal morbidity. It has been suggested that FGR should be broadly divided into early-onset (<32 weeks) and late-onset (>32 weeks) FGR based on gestational age at diagnosis. Late-onset FGR is the most common form of FGR, with a prevalence of 5–10%. Unlike early-onset FGR, it is usually milder, is less likely to be associated with pre-eclampsia, and is usually associated with normal umbilical artery Doppler. In comparison to late-onset FGR, early-onset FGR has a prevalence of 0.5–1%, and is typically more severe. Early-onset FGR has a strong correlation with pre-eclampsia, likely due to the underlying placental pathology (maternal vascular malperfusion), which is frequently similar to that seen in early-onset pre-eclampsia. Since the umbilical artery and ductus venosus' Doppler changes typically follow a predictable pattern, early-onset FGR is typically easier to identify. The underlying mechanisms of the prevention, therapeutic intervention, and diagnosis of FGR and pre-eclampsia are ongoing priorities for researchers and practitioners in this field.

This Special Issue aims to attract original research as well as review articles describing all aspects of pre-eclampsia and fetal growth restriction, including but not limited to pathogenesis, diagnosis and prognosis, treatment strategies, and short- and long-term consequences.

Topics will include, but are not limited to, the following:

  • Pathogenesis and underlying mechanisms;
  • Prevention;
  • Diagnosis and prognosis;
  • New approaches of managing pre-eclampsia and fetal growth restriction;
  • Short/long-term consequences.

Dr. Cristian Furau
Dr. Izabella Petre
Dr. Cosmin Citu
Guest Editors

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Keywords

  • preeclampsia
  • fetal growth restriction
  • ultrasonography
  • newborn complications
  • prevention
  • diagnosis of FGR
  • management
  • pathophysiology

Published Papers (2 papers)

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Research

13 pages, 3398 KiB  
Article
Investigation of CD56, ADAM17 and FGF21 Expressions in the Placentas of Preeclampsia Cases
by Irem Darka Aslan, Gorker Sel, Figen Barut, Rabia Baser Acikgoz, Sibel Balci, Ulku Ozmen, Aykut Barut, Muge Harma and Mehmet Ibrahim Harma
Medicina 2023, 59(6), 1145; https://doi.org/10.3390/medicina59061145 - 14 Jun 2023
Cited by 1 | Viewed by 1326
Abstract
Objective: In the present study, we investigated the expression of CD56, ADAM17 and FGF21 antibodies (Ab), which we think have an effect on the pathophysiology of preeclampsia (PE), in pregnant patients with healthy placentas and placentas with PE. The expression of these antibodies [...] Read more.
Objective: In the present study, we investigated the expression of CD56, ADAM17 and FGF21 antibodies (Ab), which we think have an effect on the pathophysiology of preeclampsia (PE), in pregnant patients with healthy placentas and placentas with PE. The expression of these antibodies has been investigated in a limited amount of former research, but their role in PE has not yet been clarified. With this study, we aimed to contribute to the elucidation of the pathophysiology of PE and the detection of new target molecules for treatment. Materials and Methods: Parturients with singleton pregnancy at 32 weeks or above without any maternal or fetal pathology who were admitted to the Department of Obstetrics and Gynecology, Zonguldak Bülent Ecevit University Practice and Research Hospital between 11 January 2020 and 7 January 2022 were included in the present study. Pregnant women with coexisting disease or a pathology related to the placenta (ablation placenta, vasa previa, hemangioma, etc.) were excluded. CD56, ADAM17 and FGF21 antibodies were histopathologically and immunohistochemically detected in 60 placentas with PE (study group) and 43 healthy placentas (control group). Results: CD56, ADAM17 and FGF21 proteins were all more intensely expressed in preeclamptic placentas and a statistically significant difference was found between the two groups for all three antibodies (p < 0.001). Deciduitis, perivillous fibrin deposition, intervillous fibrin, intervillous hemorrhage, infarct, calcification, laminar necrosis and syncytial node were found to be significantly more common in the study group (p < 0.001). Conclusions: We observed that CD56, ADAM17 and FGF21 expressions increased in preeclamptic placentas. These Ab may be responsible for the pathogenesis of PE, which can be illuminated with further studies. Full article
(This article belongs to the Special Issue Recent Advances in Preeclampsia and Fetal Growth Restriction)
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8 pages, 301 KiB  
Article
Assessment of CA-125 First-Trimester Values as a Potential Screening Marker for Pre-Eclampsia
by Oana Balint, Cristina Secosan and Laurentiu Pirtea
Medicina 2023, 59(5), 891; https://doi.org/10.3390/medicina59050891 - 6 May 2023
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Abstract
Background: Pre-eclampsia is a major public health issue. Current screening methods are based on maternal characteristics and medical history, but complex predictive models combining different clinical and biochemical markers have been proposed. However, although their accuracy is high, the implementation of these [...] Read more.
Background: Pre-eclampsia is a major public health issue. Current screening methods are based on maternal characteristics and medical history, but complex predictive models combining different clinical and biochemical markers have been proposed. However, although their accuracy is high, the implementation of these models in clinical practice is not always feasible, especially in low- and middle-resource settings. CA-125 is a tumoral marker, accessible and cheap, with proven potential as a severity marker in the third trimester of pregnancy in pre-eclamptic women. Assessment of its use as a first-trimester marker is necessary. Methods: This observational study involved fifty pregnant women between 11 and 14 weeks of pregnancy. Clinical and biochemical markers (PAPP-A), known for their value in pre-eclampsia screening, were recorded for every patient as well as first-trimester value of CA-125 and third-trimester data regarding blood pressure and pregnancy outcome. Results: No statistical correlation between CA-125 and first-trimester markers was observed except with PAPP-A, with which it exhibited a positive correlation. Additionally, no correlation was made between it and third-trimester blood pressure or pregnancy outcomes. Conclusions: CA-125 first-trimester values do not represent a valuable marker for pre-eclampsia screening. Further research on identifying an accessible and cheap marker to improve pre-eclampsia screening in low- and middle-income settings is needed. Full article
(This article belongs to the Special Issue Recent Advances in Preeclampsia and Fetal Growth Restriction)
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