“…Successful placental and foetal development during the progression of pregnancy require adequate invasion of extravillous trophoblast cells into the uterine, and impaired trophoblastic invasion and spiral artery remodelling are widely considered as hallmarks of PE 3,4 . According to the literature, reduced trophoblastic invasion and spiral artery remodelling may be due to abnormal trophoblast differentiation, migration, angiogenesis and apoptosis, which may cause reduced uteroplacental perfusion and trigger hypoxia and inflammatory responses in the placenta, and may finally result in the occurrence of PE 5–10 . Besides, a variety of other potential molecular mechanisms have been suggested, including oxidative stress, endoplasmic stress, altered NK cell signalling and others 11 .…”