Evidence map›Paper›PMID 34831277›Full record

ReviewCells2021

Vascular Dysfunction in Preeclampsia.

Megan A Opichka, Matthew W Rappelt, David D Gutterman, Justin L Grobe, Jennifer J McIntosh

Open access · goldAbstract readReview
In one paragraph

Review in Cells, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 138 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
138citing papers in PubMed, 2 pooled it
22.4field-weighted citation impact, top 1% 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

138 citing papers in PubMed, 2 syntheses or guidelines pooled it, 221 citations in OpenAlex.

  1. Pooled it
  2. Doppler parameters of ophthalmic artery in women with preeclampsia: A meta-analysis.Journal of clinical hypertension (Greenwich, Conn.) · 2023
    Pooled it
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  17. PeerJ · 2026
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  19. Cardiovascular biomarkers and preeclampsia: A narrative review.European journal of clinical investigation · 2026
    Review
  20. Article

78 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

5 authors at 1 institution in 1 country.

Megan A OpichkaDepartment of Physiology, Medical College of Wisconsin, Milwaukee, WI 53226, USA.ORCID 0000-0002-2961-8977
Matthew W RappeltCardiovascular Center, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
David D GuttermanDepartment of Physiology, Medical College of Wisconsin, Milwaukee, WI 53226, USA.ORCID 0000-0003-2814-7867
Justin L GrobeDepartment of Physiology, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Jennifer J McIntoshDepartment of Physiology, Medical College of Wisconsin, Milwaukee, WI 53226, USA.ORCID 0000-0002-0299-9589
Medical College of Wisconsin · US

Funding

Clinical and Translational Science AwardUL1TR001436 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI FREED, JULIE K · 2015 to 2025
$47.5M
INTEGRATED PHYSIOLOGY TRAINING--MOLECULE TO ORGANISMT32HL007852 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI Matthew Robert Hodges · 1996 to 2026
$6.5M
Interaction between leptin and angiotensin in the pathogenesis of obesity-hypertensionR01HL134850 · NHLBI · UNIVERSITY OF IOWA · PI Justin L Grobe · 2017 to 2026
$4.4M
Novel role for placental endothelial mitochondria in preeclampsiaK08HL150340 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI MCINTOSH, JENNIFER J · 2020 to 2024
$754k
American Heart Association 18EIA33890055American Heart Association 826132National Institute of Health HL084207National Institute of Health HL134850National Institute of Health HL135901National Institute of Health HL150340-01NCATS NIH HHS UL1 TR001436NHLBI NIH HHS K08 HL150340NHLBI NIH HHS R01 HL134850NHLBI NIH HHS T32 HL007852
6 · The paper itself

Abstract

Preeclampsia is a life-threatening pregnancy-associated cardiovascular disorder characterized by hypertension and proteinuria at 20 weeks of gestation. Though its exact underlying cause is not precisely defined and likely heterogenous, a plethora of research indicates that in some women with preeclampsia, both maternal and placental vascular dysfunction plays a role in the pathogenesis and can persist into the postpartum period. Potential abnormalities include impaired placentation, incomplete spiral artery remodeling, and endothelial damage, which are further propagated by immune factors, mitochondrial stress, and an imbalance of pro- and antiangiogenic substances. While the field has progressed, current gaps in knowledge include detailed initial molecular mechanisms and effective treatment options. Newfound evidence indicates that vasopressin is an early mediator and biomarker of the disorder, and promising future therapeutic avenues include mitigating mitochondrial dysfunction, excess oxidative stress, and the resulting inflammatory state. In this review, we provide a detailed overview of vascular defects present during preeclampsia and connect well-established notions to newer discoveries at the molecular, cellular, and whole-organism levels.

Indexed as

AnimalsBlood VesselsDNA, MitochondrialEndothelium, VascularFemaleHumansOxidative StressPre-EclampsiaPregnancyToll-Like Receptor 9DNA, MitochondrialToll-Like Receptor 9blood pressuregestationhypertensionplacentapreeclampsiapregnancytrophoblastvessel

Identifiers

PMID34831277
PMCPMC8616535
OpenAlexW3214476593

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.