A model of preeclampsia in rats: the reduced uterine perfusion pressure (RUPP) model

Am J Physiol Heart Circ Physiol. 2012 Jul;303(1):H1-8. doi: 10.1152/ajpheart.00117.2012. Epub 2012 Apr 20.

Abstract

Preeclampsia is defined as new-onset hypertension with proteinuria after 20 wk gestation and is hypothesized to be due to shallow trophoblast invasion in the spiral arteries thus resulting in progressive placental ischemia as the fetus grows. Many animal models have been developed that mimic changes in maternal circulation or immune function associated with preeclampsia. The model of reduced uterine perfusion pressure in pregnant rats closely mimics the hypertension, immune system abnormalities, systemic and renal vasoconstriction, and oxidative stress in the mother, and intrauterine growth restriction found in the offspring. The model has been successfully used in many species; however, rat and primate are the most consistent in comparison of characteristics with human preeclampsia. The model suffers, however, from lack of the ability to study the mechanisms responsible for abnormal placentation that ultimately leads to placental ischemia. Despite this limitation, the model is excellent for studying the consequences of reduced uterine blood flow as it mimics many of the salient features of preeclampsia during the last weeks of gestation in humans. This review discusses these features.

Publication types

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

MeSH terms

  • Animals
  • Blood Pressure / physiology*
  • Disease Models, Animal
  • Disease Progression
  • Female
  • Humans
  • Inflammation Mediators / physiology
  • Neovascularization, Physiologic / physiology
  • Nitric Oxide / physiology
  • Perfusion
  • Placental Circulation / physiology*
  • Pre-Eclampsia / physiopathology*
  • Pregnancy
  • Rats
  • Uterus / blood supply*
  • Uterus / physiopathology*

Substances

  • Inflammation Mediators
  • Nitric Oxide