Title:Research Progress on Extracellular Matrix Involved in the Development
of Preeclampsia
Volume: 25
Issue: 7
Author(s): Xin Wang, Qi Zhang, Yi Ren, Chao Liu*Huijie Gao*
Affiliation:
- College of Pharmacy, Jining Medical
University, Rizhao, Shandong, China
- College of Pharmacy, Jining Medical
University, Rizhao, Shandong, China
Keywords:
Preeclampsia, extracellular matrix, trophoblast, placenta, proteoglycans, matrix metalloproteinases.
Abstract: Preeclampsia (PE) is a serious pregnancy complication, and its primary clinical manifestations
are gestational hypertension and proteinuria. Trophoblasts are responsible for the basic
functions of the placenta during placental development; recent studies have revealed that placental
“shallow implantation” caused by the decreased invasiveness of placental trophoblasts plays a crucial
role in PE pathogenesis. The interaction between the cells and the extracellular matrix (ECM)
plays a crucial role in trophoblast proliferation, differentiation, and invasion. Abnormal ECM function
can result in insufficient migration and invasion of placental trophoblasts, thus participating
in PE. This article summarizes the recent studies on the involvement of ECM components, including
small leucine-rich proteoglycans, syndecans, glypicans, laminins, fibronectin, collagen, and
hyaluronic acid, in the development of PE. ECM plays various roles in PE development, most
notably by controlling the activities of trophoblasts. The ECM is structurally stable and can serve
as a biological diagnostic marker and therapeutic target for PE.