Adhesion molecules in the maternal-fetal interface in healthy pregnancies and preeclampsia.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Adhesion molecules in the maternal-fetal interface in healthy pregnancies and preeclampsia.
Συγγραφείς: Frisch IK; Division of Obstetrics and Gynecology, Department of Obstetrics, Oslo University Hospital Rikshospitalet, Oslo, Norway.; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway., Michelsen TM; Division of Obstetrics and Gynecology, Department of Obstetrics, Oslo University Hospital Rikshospitalet, Oslo, Norway.; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway., Lekva T; Research Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway., Roland MCP; Division of Obstetrics and Gynecology, Department of Obstetrics, Oslo University Hospital Rikshospitalet, Oslo, Norway.; Department of Medical Biochemistry, Oslo University Hospital Rikshospitalet, Oslo, Norway., Westerberg AC; Division of Obstetrics and Gynecology, Department of Obstetrics, Oslo University Hospital Rikshospitalet, Oslo, Norway.; School of Health Sciences, Kristiania University College, Oslo, Norway.
Πηγή: Acta obstetricia et gynecologica Scandinavica [Acta Obstet Gynecol Scand] 2026 Feb; Vol. 105 (2), pp. 298-308. Date of Electronic Publication: 2025 Dec 12.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Wiley Country of Publication: United States NLM ID: 0370343 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1600-0412 (Electronic) Linking ISSN: 00016349 NLM ISO Abbreviation: Acta Obstet Gynecol Scand Subsets: MEDLINE
Imprint Name(s): Publication: 2011- : Malden, MA : Wiley
Original Publication: Copenhagen : Munksgaard
Ιατρικοί όροι (MeSH): Pre-Eclampsia*/blood , Vascular Cell Adhesion Molecule-1*/blood , Intercellular Adhesion Molecule-1*/blood , E-Selectin*/blood , Placenta*/metabolism , Placenta*/blood supply , Cell Adhesion Molecules*/blood, Biomarkers/blood ; Humans ; Female ; Pregnancy ; Adult ; Case-Control Studies ; Longitudinal Studies
Περίληψη: Introduction: Adhesion molecules are markers of endothelial activation, and they are involved in placentation and inflammation. We compared levels of vascular cell adhesion molecule-1 (VCAM1), intercellular adhesion molecule-1 (ICAM1), and E-selectin (SELE) in maternal and fetal vessels of preeclampsia and healthy pregnancies. Furthermore, we investigated if the placenta releases adhesion molecules.
Material and Methods: Blood was sampled from three maternal (antecubital vein, uterine vein, and radial artery as a proxy for the uterine artery) and two fetal vessels (umbilical vein and artery) in 75 healthy pregnancies and 37 cases of preeclampsia undergoing cesarean delivery. Samples were also collected among 70 healthy pregnancies and 35 preeclampsia cases at three visits (gestational weeks 14-16, 22-24, and 30-32) in a longitudinal cohort. Proteins were relatively quantified on SomaLogic's 5000-multiplex platform. Venoarterial differences on both sides of the placenta were used to indicate placental release and uptake.
Results: Before the onset of preeclampsia, we observed elevated maternal antecubital vein levels of VCAM1 (visits 1 and 3) and ICAM1 (all three visits). At delivery, VCAM1 and SELE were elevated in maternal vessels in preeclampsia compared to healthy, except for VCAM1 in the uterine vein. On the fetal side of the placenta, adhesion molecules were lower in preeclampsia compared to healthy pregnancies. There were no venoarterial differences on the maternal side of the placenta that indicated placental protein release. On the fetal side of the placenta, healthy controls had a positive venoarterial difference of SELE, indicating placental release to the fetus. VCAM1 and SELE levels were higher in fetal circulation as compared to maternal circulation in healthy pregnancies, whereas in preeclampsia, this was only the case for VCAM1. ICAM1 was higher in maternal than fetal circulation in healthy controls and preeclampsia.
Conclusions: Alterations in maternal levels of adhesion molecules were seen before the onset of PE. In preeclampsia, adhesion molecules were elevated in the maternal and lower in the fetal circulation. There was no placental release of the adhesion molecules to the mother, indicating a general systemic endothelial dysfunction. The results highlight new insights into the pathophysiology of preeclampsia that warrant further exploration.
(© 2025 The Author(s). Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG).)
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Grant Information: 2019095 Helse Sør-Øst RHF; 2018087 Helse Sør-Øst RHF; 300669 Norges Forskningsråd; 271555/F20 Norges Forskningsråd
Contributed Indexing: Keywords: E‐selectin; adhesion molecules; early‐onset preeclampsia; intercellular cell adhesion molecule‐1; late‐onset preeclampsia; placenta; preeclampsia; vascular cell adhesion molecule‐ 1
Substance Nomenclature: 0 (Vascular Cell Adhesion Molecule-1)
126547-89-5 (Intercellular Adhesion Molecule-1)
0 (E-Selectin)
0 (Biomarkers)
0 (Cell Adhesion Molecules)
Entry Date(s): Date Created: 20251212 Date Completed: 20260130 Latest Revision: 20260501
Update Code: 20260502
PubMed Central ID: PMC12856719
DOI: 10.1111/aogs.70111
PMID: 41387088
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1600-0412
DOI:10.1111/aogs.70111