HISTOCHEMICAL FEATURES OF THE PLACENTA IN THE PREDICTION OF PRE-ECLAMPSIA AND ITS LONG-TERM EFFECTS.
DOI:
https://doi.org/10.11603/24116-4944.2016.2.6850Keywords:
preeclampsia, placenta, histochemistry, spiral arteries, atherosis.Abstract
The objective of the work was to study the histochemical features of the placenta in pregnancy complicated by preeclampsia varying severity with an emphasis on the study of atherosis and prediction of the potential cardiovascular risks in the future. Histochemical study of the placenta of women whose pregnancy was complicated by preeclampsia (PE). Accordingly,the first group consisted of placentas from 12 women with mild PE; group II – 9 placentas from women with moderate and severe PE; III group (control) consisted of 15 placentas from women without obstetric and somatic pathology and signs of PE with vaginal deliveries on time. In the placenta of women mainly from the moderate and severe PE we identified the phenomen of atherosis of the different degrees of severity which correlate with indicators of the lipid profile in blood serum investigated in II trimester of pregnancy, and indicate about the deep disturbances of lipid metabolism in this category of patients. Atherosis in the spiral arteries of the placenta and decidual shell is one of the predictors of the possible development of metabolic disorders and cardiovascular disease in the future among women which pregnancy is complicated by the development of PE.References
Kaufmann P. Endovascular trophoblast invasion: Implications for the pathogenesis of intrauterine drowth retardations and preeclampsia / P. Kaufmann, S. Black, B. Huppertz // Biol. Reprod. – 2003. – Vol. 69. – P. 1–7.
Sychynava L. H. Ulʹtrazvukovoe yssledovanye v pervom trymestre beremennosty: sovremennoe sostoyanye voprosa / L. H. Sychynava, O. B. Panyna // Voprosy hynekolohyy, aku sherstva y perynatolohyy. – 2004. – T. Z, № 5. – S. 89–93.
Kornyenko H. A. Profylaktyka y lechenye perynatalʹnykh oslozhnenyy u beremennykh s hypertonycheskoy boleznʹyu y hestozom : avtoref. dyss. na soys. uch. step. kand. med. nauk / H. A. Kornyenko. – M., 2008.
Eleftheriades M. Fetal growth restriction and postnatal development / M. Eleftheriades, G. Creatsas, K. Nicolaides // Ann. NY Acad Sci. – 2006. – Vol. 1092. – P. 319–330.
American College of Obstetricians and Gynecologists. Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologistsʺ Task Force on Hypertension in Pregnancy // Obstet. Gynecol. – 2013. – Vol. 122 (5). – P. 1122–1131.
Cardiovascular disease risk in women eith pre-eclampsia: systematic review and meta-analysis / M. C. Brown, K. E. Best, M. S. Pearce [et al.] // Eur. J. Epidemiol. – 2013. – Vol. 28 (1). – P. 1–19.
Evaluation Of Serum Calcium And Lipid Profile In Women With Pre-Eclampsia, Eclampsia And Normal Pregnancy / Biswajit Das, Dr.Ayaz.K.Mallick, Mr. Sumeru Samanta, Dr. Arun Ghosh // National Journal of Integrated Research in Medicine. – 2013. – Vol. 4 (4). – P. 85–91.
Joo-Yeon Kim. Acute Atherosis of the Uterine Spiral Arteries: Clinicopathologic Implications / Joo-Yeon Kim, Yeon Mee Kim // J. Pathol. Transl. Med. – 2015. – Vol. 49 (6). – P. 462–471.
Brosens I. Defective spiral artery remodeling. In: R. Pijnenborg, I. Brosens, R. Romero, editors. Placental bed disorders / I. Brosens, T. Y. Khong. – Cambridge : Cambridge University Press, 2010. – P. 11.
Staff A. C. Learning from the placenta: acute atherosis and vascular remodeling in preeclampsia-novel aspects for ath rosclerosis and future cardiovascular health / A. C. Staff, R. Dechend, R. Pijnenborg // Hypertension. – 2010. – Vol. 56. – P. 1026–1034. [PubMed]
Decidual vasculopathy in preeclampsia: lesion characteristics relate to disease severity and perinatal outcome / D. U. Stevens, S. Al-Nasiry, J. Bulten, M. E. Spaanderman // Placenta. – 2013. – Vol. 34. – P. 805–809 [PubMed]
Staff A. C. Review: preeclampsia, acute atherosis of the spiral arteries and future cardiovascular disease: two new hypotheses / A. C. Staff, R. Dechend, C. W. Redman // Placenta. – 2013. – Vol. 34 (Suppl). – P. 73–78. [PubMed]
Preeclampsia and uteroplacental acute atherosis: immune and inflammatory factors / A. C. Staff, G. M. Johnsen, R. Dechend, C. W. Redman // J. Reprod. Immunol. – 2014. – P. 101–102; 120–126. [PubMed]
Staff A. C. IFPA Award in Placentology Lecture: preeclampsia, the decidual battleground and future maternal cardiovascular disease / A. C. Staff, C. W. Redman // Placenta. – 2014. – Vol. 35 (Suppl). – P. 26–31. [PubMed]
Immunohistochemical detection of lipoprotein(a) in the wall of placental bed spiral arteries in normal and severe preeclamptic pregnancies / J. W. Meekins, R. Pijnenborg, M. Hanssens [et al.] // Placenta. – 1994. – Vol. 15. – P. 511–524 [PubMed]
The frequency of acute atherosis in normal pregnancy and preterm labor, preeclampsia, small-for-gestational age, fetal death and midtrimester spontaneous abortion / Y. M. Kim, P. Chaemsaithong, R. Romero [et al.] // J. Matern. Fetal. Neonatal. Med. – 2015. – Vol. 28. – P. 2001–2009. [PMC free article] [PubMed]
The «Great Obstetrical Syndromes» are associated with disorders of deep placentation / I. Brosens, R. Pijnenborg, L. Vercruysse, R. Romero // Am. J. Obstet. Gynecol. – 2011. Vol. 204. – P. 193–201. [PMC free article] [PubMed]
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).