Evidence map›Paper›PMID 41977292›Full record

ArticleInternational journal of molecular sciences2026

Esomeprazole Decreases Soluble Fms-like Tyrosine Kinase-1 in Preeclamptic Pregnancy in Rats.

Maria Luiza Santos da Silva, Cristal de Jesus Toghi, Augusto Antunes Fraga da Silva, Hellen Cristiny Cavalcanti de Souza, Beatriz Dragoneti Jorge, Helio Kushima, Flávia Bessi Constantino Colenci, Guilherme Henrique Marchi Salvador, Marcos Roberto de Mattos Fontes, Carlos Alexandre Henrique Fernandes and 1 more

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Maria Luiza Santos da SilvaDepartment of Biophysics and Pharmacology, Institute of Biosciences, Sao Paulo State University (UNESP), Botucatu 18618-689, SP, Brazil.ORCID 0000-0002-9426-0019
Cristal de Jesus ToghiDepartment of Biophysics and Pharmacology, Institute of Biosciences, Sao Paulo State University (UNESP), Botucatu 18618-689, SP, Brazil.ORCID 0000-0003-3165-1490
Augusto Antunes Fraga da SilvaDepartment of Biophysics and Pharmacology, Institute of Biosciences, Sao Paulo State University (UNESP), Botucatu 18618-689, SP, Brazil.ORCID 0009-0001-8837-4888
Hellen Cristiny Cavalcanti de SouzaDepartment of Biophysics and Pharmacology, Institute of Biosciences, Sao Paulo State University (UNESP), Botucatu 18618-689, SP, Brazil.
Beatriz Dragoneti JorgeDepartment of Biophysics and Pharmacology, Institute of Biosciences, Sao Paulo State University (UNESP), Botucatu 18618-689, SP, Brazil.
Helio KushimaDepartment of Biophysics and Pharmacology, Institute of Biosciences, Sao Paulo State University (UNESP), Botucatu 18618-689, SP, Brazil.ORCID 0000-0002-8690-4240
Flávia Bessi Constantino ColenciDepartment of Biophysics and Pharmacology, Institute of Biosciences, Sao Paulo State University (UNESP), Botucatu 18618-689, SP, Brazil.
Guilherme Henrique Marchi SalvadorDepartment of Biophysics and Pharmacology, Institute of Biosciences, Sao Paulo State University (UNESP), Botucatu 18618-689, SP, Brazil.ORCID 0000-0001-7459-7637
Marcos Roberto de Mattos FontesDepartment of Biophysics and Pharmacology, Institute of Biosciences, Sao Paulo State University (UNESP), Botucatu 18618-689, SP, Brazil.ORCID 0000-0002-4634-6221
Carlos Alexandre Henrique FernandesDepartment of Biophysics and Pharmacology, Institute of Biosciences, Sao Paulo State University (UNESP), Botucatu 18618-689, SP, Brazil.ORCID 0000-0001-6515-6872
Carlos Alan Dias-JuniorDepartment of Biophysics and Pharmacology, Institute of Biosciences, Sao Paulo State University (UNESP), Botucatu 18618-689, SP, Brazil.ORCID 0000-0002-0348-6144

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 2021/12.010-7Fundação de Amparo à Pesquisa do Estado de São Paulo 2023/06 195-0Fundação de Amparo à Pesquisa do Estado de São Paulo 2024/01.830-1Fundação de Amparo à Pesquisa do Estado de São Paulo 2024/10.859-3National Council for Scientific and Technological Development 304469/2024-6National Council for Scientific and Technological Development 406442/2022
6 · The paper itself

Abstract

Preeclampsia is a hypertensive disorder of pregnancy associated with elevated levels of soluble fms-like tyrosine kinase-1 (sFlt-1) and reduced nitric oxide (NO) bioavailability. Esomeprazole (ESO), a proton pump inhibitor (PPI) considered safe during pregnancy, has been proposed to reduce sFlt-1 levels in vitro. This study evaluated the effects of ESO in pregnant rats subjected to reduced uterine perfusion pressure (RUPP), a well-established model of preeclampsia. Pregnant rats received saline (Preg) or ESO (Preg+ESO), while RUPP-operated rats received saline (RUPP) or ESO (RUPP+ESO). At gestational day 21, maternal blood pressure was elevated in the Preg+ESO, RUPP, and RUPP+ESO groups compared with Preg, and ESO did not attenuate RUPP-induced hypertension. Fetal and placental weights were reduced in the RUPP group, whereas ESO increased placental weight in Preg+ESO and RUPP+ESO groups. Gastric pH was elevated by ESO, confirming reduced gastric acidity. Plasma sFlt-1 levels were increased in RUPP and significantly reduced by ESO in RUPP+ESO rats. NO metabolites (NOx) were decreased in RUPP but were unaffected by treatment. Endothelium-dependent relaxation was impaired in the RUPP and RUPP+ESO groups. In conclusion, ESO did not prevent hypertension or endothelial dysfunction, but reduced circulating sFlt-1, suggesting a partial modulatory effect on angiogenic imbalance in experimental preeclampsia.

Indexed as

EsomeprazolePre-EclampsiaProton Pump InhibitorsVascular Endothelial Growth Factor Receptor-1AnimalsBlood PressureDisease Models, AnimalFemaleNitric OxidePlacentaPregnancyRatsEsomeprazoleFlt1 protein, ratNitric OxideProton Pump InhibitorsVascular Endothelial Growth Factor Receptor-1endothelial dysfunctionesomeprazolenitric oxideplacental ischemiapreeclampsia

Identifiers

PMID41977292
PMCPMC13072813

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Registered trials

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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.