Growth Restriction in Preeclampsia: Lessons from Animal Models

Curr Opin Physiol. 2023 Apr:32:100647. doi: 10.1016/j.cophys.2023.100647. Epub 2023 Feb 13.

Abstract

Preeclampsia remains a major health concern for mother and child. Yet, treatment options remain limited to early delivery. Placental dysfunction in preeclampsia occurs in response to an increase in oxidative stress and inflammatory cytokines with vasoactive and anti-angiogenic factors contributing to impaired maternal and fetal health. Moreover, recent studies indicate a potential role for epigenetic mediators in the pathophysiology of placental ischemia. Numerous animal models are utilized to explore the pathogenesis of preeclampsia and fetal growth restriction. This review provides a brief overview of recent progress in preclinical studies regarding potential therapeutic targets for the treatment and prevention of preeclampsia with an emphasis on fetal growth restriction and the fetal programming of increased cardiovascular risk.

Keywords: fetal growth restriction; placental factors; preeclampsia; therapeutic targets.