Vascular endothelial growth factor expression in placenta of hypertensive disorder in pregnancy

Autor: Wirda Indah Farouk, Alfian Nurwardah, Abd Fuaat Azliana, Mohamad Razi Zainul-Rashid, Geok Chin Tan, Sabrina Florence Chandramaya, Yin Ping Wong
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Vascular Endothelial Growth Factor A
0301 basic medicine
Microbiology (medical)
placenta
lcsh:QR1-502
Syncytiotrophoblasts
lcsh:Microbiology
Pathology and Forensic Medicine
Andrology
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Pregnancy
Placenta
medicine
lcsh:Pathology
Humans
Decidual cells
reproductive and urinary physiology
Retrospective Studies
Microscopy
Fetus
030219 obstetrics & reproductive medicine
syncytiotrophoblasts
vascular endothelial growth factor
business.industry
Hypertension
Pregnancy-Induced

General Medicine
medicine.disease
Trophoblasts
Vascular endothelial growth factor
Cross-Sectional Studies
030104 developmental biology
medicine.anatomical_structure
chemistry
embryonic structures
Hypertension
immunohistochemistry
Immunohistochemistry
Female
Cytotrophoblasts
business
lcsh:RB1-214
Zdroj: Indian Journal of Pathology and Microbiology, Vol 60, Iss 4, Pp 515-520 (2017)
ISSN: 0377-4929
Popis: Introduction: Hypertensive disorder in pregnancy (HDP) represents the most common medical complication in pregnancy. It is the leading cause of maternal and perinatal mortality and morbidity. Vascular endothelial growth factor (VEGF) stimulates vascular endothelial cell growth, survival, and proliferation, and they are known to be expressed in human placenta. The aim of this study was to determine the VEGF expression in the placenta of hypertensive and normotensive patients. Materials and Methods: This is a retrospective, cross-sectional study from January 1, 2015 to December 31, 2015. A total of 30 placentae comprised of 15 hypertensive and 15 normotensive cases were assessed. VEGF expression in placenta was assessed by immunohistochemistry, and the number of syncytial knots was counted. Results: Our study showed an increased syncytial knot formation in the placenta of hypertensive mothers. VEGF expression was seen in syncytiotrophoblasts of 14 of the hypertensive cases (14/15, 93.3%), while only two of the normotensive cases were positive (2/15, 13.3%). There were no statistically significant differences in VEGF expression in other placenta cells, that is, cytotrophoblasts (P = 1.0), decidual cells (0.1394), maternal endothelial cells (0.5977), and fetal endothelial cells (P = 1.0). Conclusions: This study showed an increased number of syncytial knots is a consistent histological finding in the placenta of patient with HDP. VEGF expression was significantly increased in syncytiotrophoblasts in placenta of hypertensive group, and it could be used as a biomarker for hypertension.
Databáze: OpenAIRE