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BOR - Papers in Press, published online ahead of print January 18, 2006.
Biol Reprod 2006, 10.1095/biolreprod.105.045997
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Submitted July 30, 2005
Returned for revision August 23, 2005
Accepted January 17, 2006

Minireview


New Insights into the Biology of Preeclampsia

Holger Stepan *, Renaldo Faber , Nadja Dornhöfer , Berthold Huppertz , Andrea Robitzki , and Thomas Walther

* To whom correspondence should be addressed. E-mail: holger.stepan{at}medizin.uni-leipzig.de.

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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