2017
DOI: 10.1210/er.2016-1065
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From Pregnancy to Preeclampsia: A Key Role for Estrogens

Abstract: Preeclampsia (PE) results in placental dysfunction and is one of the primary causes of maternal and fetal mortality and morbidity. During pregnancy, estrogen is produced primarily in the placenta by conversion of androgen precursors originating from maternal and fetal adrenal glands. These processes lead to increased plasma estrogen concentrations compared with levels in nonpregnant women. Aberrant production of estrogens could play a key role in PE symptoms because they are exclusively produced by the placent… Show more

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Cited by 167 publications
(133 citation statements)
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“…The first is that oestrogens promote placental angiogenesis by enhancing VEGF gene expression and uterine artery vasodilation by increasing nitric oxide (NO) production, key events ensuring a healthy pregnancy outcome [23]. A further primary line of evidence was provided by the detection of reduced catechol-O -methyltransferase (COMT) enzyme activity in PE placentae, and that mice lacking this enzyme exhibit PE-like symptoms [23].…”
Section: Could a Hormone Imbalance Contribute To The Development Of Pmentioning
confidence: 99%
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“…The first is that oestrogens promote placental angiogenesis by enhancing VEGF gene expression and uterine artery vasodilation by increasing nitric oxide (NO) production, key events ensuring a healthy pregnancy outcome [23]. A further primary line of evidence was provided by the detection of reduced catechol-O -methyltransferase (COMT) enzyme activity in PE placentae, and that mice lacking this enzyme exhibit PE-like symptoms [23].…”
Section: Could a Hormone Imbalance Contribute To The Development Of Pmentioning
confidence: 99%
“…Oestrogen exists in a number of forms, including oestrone (E1), 17-β2-oestradiol (E2), oestriol (E3) and oestetriol (E4) [20][21][22][23]. Akin to E3, the concentrations of P4 increase from the beginning of the second trimester, peaking immediately prior to parturition [20][21][22][23]. E4 is unique by being produced by the fetal liver.…”
Section: Hormone Regulation Of the Reproductive Cycle -Introducing Thmentioning
confidence: 99%
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