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Abstract
Despite recent research progress, the biology of
preeclampsia is still poorly
understood and effective prediction or causal therapy have
not yet emerged.
Nevertheless, recent studies have documented new and
exciting pathophysiological
mechanisms for the origin and development of preeclampsia.
They provide a more
differentiated view on alterations of particular peptide
systems with strong impact on
angiogenesis and cardiovascular regulation in this
pregnancy disorder. With the
identification of the anti-angiogenic factor soluble FLT1
(soluble fms-like tyrosine
kinase 1) and the agonistic autoantibody to the
angiotensin II type 1 receptor
(AGTR1-AA), two factors have been described with a clear
linkage to the
development of the disease. This review focuses on the
most recent and relevant
insights into the biology of preeclampsia and develops
hypotheses regarding
possible links between the reported aspects of preeclampsia.
Key words:
Pregnancy
Placenta
Signal transduction
Trophoblast
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