Evidence map›Paper›PMID 39840434›Full record

ArticleHypertension (Dallas, Tex. : 1979)2025

Sphingosine-1-Phosphate, a Marker of Endothelial Injury and Disease Severity in Preeclampsia.

Camilla Edvinsson, Federica Piani, Frank Matthes, Lotte Vanherle, Lena Erlandsson, Anja Meissner, Stefan R Hansson

Abstract read
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Hyperadhesive von Willebrand Factor Contributes to Pathogenesis of Preeclampsia.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Response to Habibi et al. on 'Long-term blood pressure dysregulation after preeclampsia': toward integrated vascular profiling.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
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.

Camilla EdvinssonDivision of Obstetrics and Gynecology, Institute of Clinical Sciences Lund (C.E., F.P., L.E., S.R.H.), Lund University, Sweden.
Federica PianiDivision of Obstetrics and Gynecology, Institute of Clinical Sciences Lund (C.E., F.P., L.E., S.R.H.), Lund University, Sweden.ORCID 0000-0003-3338-1172
Frank MatthesDepartment of Experimental Medical Science (F.M., L.V., A.M.), Lund University, Sweden.ORCID 0000-0002-5115-8831
Lotte VanherleDepartment of Experimental Medical Science (F.M., L.V., A.M.), Lund University, Sweden.ORCID 0000-0002-4864-1347
Lena ErlandssonDivision of Obstetrics and Gynecology, Institute of Clinical Sciences Lund (C.E., F.P., L.E., S.R.H.), Lund University, Sweden.ORCID 0000-0003-4350-5909
Anja Meissner *Department of Experimental Medical Science (F.M., L.V., A.M.), Lund University, Sweden.ORCID 0000-0002-0793-7213
Stefan R Hansson *Division of Obstetrics and Gynecology, Institute of Clinical Sciences Lund (C.E., F.P., L.E., S.R.H.), Lund University, Sweden.ORCID 0000-0002-7838-9074

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreeclampsia is a hypertensive pregnancy disorder marked by endothelial damage. Healthy endothelium is covered by a protective glycocalyx layer, which, when degraded, releases detectable products into the blood. Sphingosine-1-phosphate (S1P) is a cardiovascular biomarker involved in glycocalyx preservation, linked to placentation and preeclampsia development. The study aimed to test the hypothesis that plasma S1P is altered alongside glycocalyx degradation products in severe preeclampsia compared with controls.

methodsWe included 121 females: 41 with severe preeclampsia requiring treatment in the intensive care unit, 40 with preeclampsia but no need of intensive care unit treatment, and 40 with normotensive pregnancies. Plasma levels of S1P and glycocalyx degradation products-hyaluronic acid, SDC-1 (syndecan-1), and HSPG2 (heparan sulfate proteoglycan-2)-were analyzed from blood samples taken within 27 hours postpartum.

resultsPostpartum plasma S1P was significantly lower in the intensive care unit cohort compared with both preeclampsia controls and normotensive controls (

conclusionIntensive care patients with severe preeclampsia have lower plasma S1P levels and higher concentrations of glycocalyx degradation products, indicating more pronounced endothelial damage. These findings suggest that S1P is associated with preeclampsia severity and may serve as a biomarker to assess vascular damage in this patient population. Further studies are needed to explore the potential role of S1P in long-term cardiovascular risk assessment for patients with preeclampsia.

Indexed as

Endothelium, VascularLysophospholipidsPre-EclampsiaSphingosineAdultBiomarkersFemaleGlycocalyxHeparan Sulfate ProteoglycansHumansHyaluronic AcidPregnancySeverity of Illness IndexSyndecan-1BiomarkersHeparan Sulfate ProteoglycansHyaluronic AcidLysophospholipidsSphingosinesphingosine 1-phosphateSyndecan-1biomarkersblood pressureendotheliumpreeclampsiaseveritysphingosine-1-phosphate

Identifiers

PMID39840434
PMCPMC12002043

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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.