Evidence map›Paper›PMID 23817493›Full record

ArticleHypertension (Dallas, Tex. : 1979)2013

Gestational hypoxia induces preeclampsia-like symptoms via heightened endothelin-1 signaling in pregnant rats.

Jianjun Zhou, Daliao Xiao, Yali Hu, Zhiqun Wang, Alexandra Paradis, Eugenia Mata-Greenwood, Lubo Zhang

Abstract read
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 1 pooled it
9.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 1 synthesis or guideline pooled it, 109 citations in OpenAlex.

  1. Guidelines for assessing maternal cardiovascular physiology during pregnancy and postpartum.American journal of physiology. Heart and circulatory physiology · 2024
    Guideline
  2. Review
  3. Article
  4. Article
  5. Article
  6. The uteroplacental circulation at high altitude: adaptation and maladaptation.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Review
  7. Review
  8. Placental Adaptation to Hypoxia: The Case of High-Altitude Pregnancies.International journal of environmental research and public health · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Increased CaBiochemical pharmacology · 2023
    Article
  17. CaInternational journal of molecular sciences · 2023
    Review
  18. Reliability of Rodent and Rabbit Models in Preeclampsia Research.International journal of molecular sciences · 2022
    Review
  19. Article
  20. Review

5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Jianjun ZhouDepartment of Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, China.
Daliao Xiao
Yali Hu
Zhiqun Wang
Alexandra Paradis
Eugenia Mata-Greenwood
Lubo Zhang
Nanjing Drum Tower Hospital · CN

Funding

Uterine vascular responses to pregnancy and long term hypoxemiaP01HD031226 · NICHD · LOMA LINDA UNIVERSITY · PI ZHANG, LUBO · 1995 to 2014
$21.4M
Hypoxia and Aberrant Uterine Vascular Adaptation in PregnancyR01HL110125 · NHLBI · LOMA LINDA UNIVERSITY · PI ZHANG, LUBO · 2011 to 2015
$1.8M
Steroid Hormones and Uterine Vascular Adaptation to PregnancyR01HL089012 · NHLBI · LOMA LINDA UNIVERSITY · PI ZHANG, LUBO · 2008 to 2012
$1.8M
Developmental Programming of Ischemic-Sensitive Phenotype in the HeartR01HL118861 · NHLBI · LOMA LINDA UNIVERSITY · PI ZHANG, LUBO · 2014 to 2017
$1.8M
Fetal Programming of Vascular Dysfunction by Nicotine ExposureR03DA032510 · NIDA · LOMA LINDA UNIVERSITY · PI XIAO, DALIAO · 2011 to 2012
$74k
NHLBI NIH HHS HL089012NHLBI NIH HHS HL110125NHLBI NIH HHS R01 HL089012NHLBI NIH HHS R01 HL110125NHLBI NIH HHS R01 HL118861NICHD NIH HHS HD031226NICHD NIH HHS P01 HD031226NIDA NIH HHS DA032510NIDA NIH HHS R03 DA032510
6 · The paper itself

Abstract

Preeclampsia is a life-threatening pregnancy disorder. However, its pathogenesis remains unclear. We tested the hypothesis that gestational hypoxia induces preeclampsia-like symptoms via heightened endothelin-1 (ET-1) signaling. Time-dated pregnant and nonpregnant rats were divided into normoxic and hypoxic (10.5% O2 from the gestational day 6-21) groups. Chronic hypoxia had no significant effect on blood pressure or proteinuria in nonpregnant rats but significantly increased blood pressure on day 12 (systolic blood pressure, 111.7 ± 6.1 versus 138.5 ± 3.5 mm Hg; P=0.004) and day 20 (systolic blood pressure, 103.4 ± 4.6 versus 125.1 ± 6.1 mm Hg; P=0.02) in pregnant rats and urine protein (μg/μL)/creatinine (nmol/μL) ratio on day 20 (0.10 ± 0.01 versus 0.20 ± 0.04; P=0.04), as compared with the normoxic control group. This was accompanied with asymmetrical fetal growth restriction. Hypoxia resulted in impaired trophoblast invasion and uteroplacental vascular remodeling. In addition, plasma ET-1 levels, as well as the abundance of prepro-ET-1 mRNA, ET-1 type A receptor and angiotensin II type 1 receptor protein in the kidney and placenta were significantly increased in the chronic hypoxic group, as compared with the control animals. Treatment with the ET-1 type A receptor antagonist, BQ123, during the course of hypoxia exposure significantly attenuated the hypoxia-induced hypertension and other preeclampsia-like features. The results demonstrate that chronic hypoxia during gestation induces preeclamptic symptoms in pregnant rats via heightened ET-1 and ET-1 type A receptor-mediated signaling, providing a molecular mechanism linking gestational hypoxia and increased risk of preeclampsia.

Indexed as

AnimalsBlood PressureDisease Models, AnimalEndothelin-1Endothelin A Receptor AntagonistsFemaleHypoxiaHypoxia-Inducible Factor 1, alpha SubunitKidneyPeptides, CyclicPlacentaPre-EclampsiaPregnancyProteinuriaRatsRats, Sprague-Dawleycyclo(Trp-Asp-Pro-Val-Leu)Endothelin-1Endothelin A Receptor AntagonistsHif1a protein, ratHypoxia-Inducible Factor 1, alpha SubunitPeptides, CyclicReceptor, Angiotensin, Type 1angiotensin II type I receptoranoxiaendothelin-1hypertensionpreeclampsiareceptor, endothelin A

Identifiers

PMID23817493
PMCPMC3826959
OpenAlexW2144889596

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.