Systemic and uteroplacental renin—angiotensin system in normal and pre-eclamptic pregnancies

L Anton, KB Brosnihan - Therapeutic advances in …, 2008 - journals.sagepub.com
L Anton, KB Brosnihan
Therapeutic advances in cardiovascular disease, 2008journals.sagepub.com
Pregnancy is characterized by an increase in many of the different components of the
circulating renin—angiotensin system (RAS). However, the physiological mechanisms of
stimulated RAS activity during pregnancy are unknown. Even less understood is how this
system may be altered in pre-eclampsia, a hypertensive disorder of pregnancy. Additional
studies have shown the presence of a local tissue specific RAS in the uteroplacental unit of
normal and pre-eclamptic pregnancies. Differences in normal pregnant and pre-eclamptic …
Pregnancy is characterized by an increase in many of the different components of the circulating renin—angiotensin system (RAS). However, the physiological mechanisms of stimulated RAS activity during pregnancy are unknown. Even less understood is how this system may be altered in pre-eclampsia, a hypertensive disorder of pregnancy. Additional studies have shown the presence of a local tissue specific RAS in the uteroplacental unit of normal and pre-eclamptic pregnancies. Differences in normal pregnant and pre-eclamptic RAS component regulation may provide insight into the mechanisms responsible for the clinical pathological features of pre-eclampsia. Specifically, this review summarizes the key findings in the circulating and uteroplacental RAS in normal and pre-eclamptic pregnancies.
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