Document Detail


Cellular bases for the lipid-related aspects of preeclampsia.
MedLine Citation:
PMID:  12710909     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Lipid accumulation - in hepatoytes (both subclinically and in acute fatty liver of pregnancy), in the endothelium of placental vessels ("acute atherosis"), and in the bloodstream - has been well established to be a consequence of preeclampsia. Hyperlipidemia (specifically hypertriglyceridemia) has been demonstrated to be a risk factor for the development of preeclampsia. These lipid-related aspects of preeclampsia may appear unrelated, but all are here demonstrated to provide evidence for a causative role for endothelin in the etiology of preeclampsia. Evidence for the potential of endothelin to cause lipid accumulation in hepatocytes and in endothelial cells, by means of activating G protein cascades in these cells, is presented. The capacity of typical free fatty acid constituents of triglycerides to "drive" interacellular G protein cascade-related events is also discussed - which, in this scheme, offers a plausible explanation for hypertriglyceridemia's role as a risk factor for developing preeclampsia. Additional evidence is provided which substantiates endothelin's capacity to cause most of the observed aberrations known to occur in preeclampsia.
Authors:
Charles G Coffey
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical hypotheses     Volume:  60     ISSN:  0306-9877     ISO Abbreviation:  Med. Hypotheses     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-04-24     Completed Date:  2004-01-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7505668     Medline TA:  Med Hypotheses     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  716-9     Citation Subset:  IM    
Affiliation:
Golconda, Illinois, USA.
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MeSH Terms
Descriptor/Qualifier:
Fatty Liver / complications
Female
Humans
Hyperlipidemias / complications*
Pre-Eclampsia / etiology*,  metabolism
Pregnancy
Pregnancy Complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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