Genomic Insights at the Maternal-Fetal Interface: Preeclampsia Subtypes and Clinical Implications.

IF 7.4 1区 医学 Q1 HEMATOLOGY
Ido Solt, Omri Dominsky, Chen Ben David, Inbal Admati, Sarah M Cohen, Simcha Yagel
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引用次数: 0

Abstract

Recent advances in single-cell transcriptomics have provided significant insights into the pathophysiology of preeclampsia, uncovering cell-type-specific gene expression changes at the maternal-fetal interface. Key discoveries include dysregulated angiogenic factors, such as elevated sFlt-1 (soluble fms-like tyrosine kinase-1) and reduced PlGF (placental growth factor), predominantly in syncytiotrophoblasts, alongside inflammatory and stress-related signatures in stromal and immune cells. These findings reinforce the clinically observed concept of 2 distinct preeclampsia subtypes: a placenta-dominant form and a maternal cardiovascular-dominant form, each characterized by unique etiologies, clinical presentations, and therapeutic implications. Ongoing genomic research has the potential to identify novel biomarkers and therapeutic targets, paving the way for improved screening and management strategies for this multifaceted condition.

在母胎界面的基因组见解:先兆子痫亚型和临床意义。
单细胞转录组学的最新进展为先兆子痫的病理生理学提供了重要的见解,揭示了母胎界面细胞类型特异性基因表达的变化。主要发现包括血管生成因子失调,如sFlt-1(可溶性纤维样酪氨酸激酶-1)升高和PlGF(胎盘生长因子)减少,主要存在于合胞滋养细胞中,以及基质细胞和免疫细胞中的炎症和应激相关特征。这些发现强化了临床观察到的两种不同子痫前期亚型的概念:胎盘显性型和母体心血管显性型,每一种亚型都有独特的病因、临床表现和治疗意义。正在进行的基因组研究有可能确定新的生物标志物和治疗靶点,为改进这种多方面疾病的筛查和管理策略铺平道路。
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来源期刊
CiteScore
15.60
自引率
2.30%
发文量
337
审稿时长
2-4 weeks
期刊介绍: The journal "Arteriosclerosis, Thrombosis, and Vascular Biology" (ATVB) is a scientific publication that focuses on the fields of vascular biology, atherosclerosis, and thrombosis. It is a peer-reviewed journal that publishes original research articles, reviews, and other scholarly content related to these areas. The journal is published by the American Heart Association (AHA) and the American Stroke Association (ASA). The journal was published bi-monthly until January 1992, after which it transitioned to a monthly publication schedule. The journal is aimed at a professional audience, including academic cardiologists, vascular biologists, physiologists, pharmacologists and hematologists.
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