Evidence map›Paper›PMID 41727432›Full record

ArticleFrontiers in immunology2026

Systemic immune dysregulation in hypertensive disorders of pregnancy persists years after delivery.

Maximilian Sabayev, Edward A Ganio, Ina A Stelzer, Masaki Sato, Amélie Cambriel, Thomas A Bonham, Zala N Juvan, Maïgane Diop, Purnima Iyer, Oshra Sedan and 11 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Maximilian SabayevDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Edward A GanioDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Ina A StelzerDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Masaki SatoDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Amélie CambrielDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Thomas A BonhamDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Zala N JuvanDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Maïgane DiopDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Purnima IyerDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA, United States.
Oshra SedanDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA, United States.
Nima AghaeepourDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Martin S AngstDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Gary M ShawDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA, United States.
David K StevensonDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA, United States.
Marcia L StefanickDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Heather A BoydDepartment of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.
Mads MelbyeDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA, United States.
Mark A HlatkyDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Virginia D WinnDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA, United States.
Brice GaudilliereDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Dorien FeyaertsDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hypertensive disorders of pregnancy (HDP), including preeclampsia and gestational hypertension, are associated with an increased risk of cardiovascular disease (CVD) later in life. Mechanisms that link HDP to CVD, however, remain unclear. Methods: We used a high-dimensional single-cell mass cytometry approach to profile the distribution and functional responses of maternal immune cells in three separate groups of HDP cases and normotensive controls, sampled antepartum, postpartum, and several years postpartum (midlife). We used multivariable sparse modeling to distinguish HDP cases from controls. Results: We accurately distinguished HDP cases from controls at all three study timepoints, with area under the receiver operator characteristic (AUROC) curve values of 0.814 for the antepartum group, 0.757 for the postpartum group, and 0.692 for the midlife group. Distinct immune signatures for each model underscore the dynamic dysregulation of the immune system throughout life. In addition, we identified a persistent immune dysregulation signal among HDP cases at all three timepoints, characterized by increased B cell frequency and decreased pSTAT3 response upon cytokine stimulation in classical monocytes. Conclusions: Persistent immune dysregulation among women with a history of an HDP may contribute to elevated long-term risk of CVD development.

Indexed as

Hypertension, Pregnancy-InducedAdultB-LymphocytesFemaleHumansMonocytesPostpartum PeriodPregnancyCyTOFhypertensive disorders of pregnancyimmunitymass cytometrypreeclampsiapregnancy

Identifiers

PMID41727432
PMCPMC12916653

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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.