Pentoxifylline Lifts the Burden of Preeclampsia

Arsalan Azimi
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Abstract

Worldwide, Preeclampsia is the leading cause of maternal morbidity and perinatal mortality and it initiates as inappropriate immune response to trophoblastic invasion impairs placentation and placental circulation followed by generation of superoxide anions as well as anti-angiogenic factors and this series of events result in impairment of maternal/placental endothelial function, maternal hypertension, kidney injury, proteinuria and thromboembolic events. Renal loss of anti-coagulant proteins and subsequent hyper-coagulable state along with endothelial dysfunction accelerates progression of the disease toward eclampsia. Pentoxifylline, could hypothetically modify pathophysiological mechanisms of preeclampsia including impaired immune response, placentation, endothelial function and coagulation, so it could explore new horizons in treatment of preeclampsia.
己酮茶碱减轻先兆子痫的负担
在世界范围内,先兆子痫是孕产妇发病和围产期死亡的主要原因,它起源于对滋养细胞侵袭的不适当免疫反应损害胎盘和胎盘循环,随后产生超氧阴离子和抗血管生成因子,这一系列事件导致母体/胎盘内皮功能损害、母体高血压、肾损伤、蛋白尿和血栓栓塞事件。肾脏抗凝蛋白的丧失和随后的高凝状态以及内皮功能障碍加速了疾病向子痫的进展。己酮茶碱可能改变子痫前期的病理生理机制,包括免疫反应、胎盘、内皮功能和凝血功能受损,因此可以为子痫前期的治疗开辟新的领域。
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