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

Ther Adv Cardiovasc Dis. 2008 Oct;2(5):349-62. doi: 10.1177/1753944708094529.

Abstract

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.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Female
  • Humans
  • Placenta / physiology*
  • Pre-Eclampsia / physiopathology*
  • Pregnancy
  • Renin-Angiotensin System / physiology*
  • Uterus / physiology*