Hypertension and Maternal–Fetal Conflict during Placental Malaria
Publication Date
November 14, 2006
Journal
PLOS Medicine
Authors
Atis Muehlenbachs, Theonest K Mutabingwa, Sally Edmonds, Michal Fried, et al
Volume
3
Issue
11
Pages
e446
DOI
https://dx.plos.org/10.1371/journal.pmed.0030446
Publisher URL
http://journals.plos.org/plosmedicine/article?id=10.1371%2Fjournal.pmed.0030446
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/17105340
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1635741
Europe PMC
http://europepmc.org/abstract/MED/17105340
Web of Science
000242374800017
Scopus
33845337937
Mendeley
http://www.mendeley.com/research/hypertension-maternalfetal-conflict-during-placental-malaria
Events
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Mendeley | Further Information

{"title"=>"Hypertension and maternal-fetal conflict during placental malaria", "type"=>"generic", "authors"=>[{"first_name"=>"Atis", "last_name"=>"Muehlenbachs", "scopus_author_id"=>"6506081106"}, {"first_name"=>"Theonest K.", "last_name"=>"Mutabingwa", "scopus_author_id"=>"7003723382"}, {"first_name"=>"Sally", "last_name"=>"Edmonds", "scopus_author_id"=>"14025427900"}, {"first_name"=>"Michal", "last_name"=>"Fried", "scopus_author_id"=>"7201877014"}, {"first_name"=>"Patrick E.", "last_name"=>"Duffy", "scopus_author_id"=>"7102521587"}], "year"=>2006, "source"=>"PLoS Medicine", "identifiers"=>{"scopus"=>"2-s2.0-33845337937", "sgr"=>"33845337937", "issn"=>"15491277", "doi"=>"10.1371/journal.pmed.0030446", "pmid"=>"17105340", "isbn"=>"1549-1277", "pui"=>"44875945"}, "id"=>"98b493d3-c6eb-30e6-b119-63b3b209d9ae", "abstract"=>"BACKGROUND: Malaria and hypertension are major causes of maternal mortality in tropical countries, especially during first pregnancies, but evidence for a relationship between these syndromes is contradictory.\\n\\nMETHODS AND FINDINGS: In a cross-sectional survey of Tanzanian parturients, the rate of hypertension was similar in placental malaria (PM)-positive (11/85 = 13%) and PM-negative (73/602 = 12%) individuals. However, we found that PM was associated with hypertension in first-time mothers aged 18-20 y but not other mothers. Hypertension was also associated with histologic features of chronic malaria, which is common in first-time mothers. Levels of soluble vascular endothelial growth factor receptor 1 (sVEGFR1), a preeclampsia biomarker, were elevated in first-time mothers with either PM, hypertension, or both, but levels were not elevated in other mothers with these conditions. In first-time mothers with PM, the inflammatory mediator vascular endothelial growth factor (VEGF) was localized to maternal macrophages in the placenta, while sVEGFR1, its soluble inhibitor, was localized to the fetal trophoblast.\\n\\nCONCLUSIONS: The data suggest that maternal-fetal conflict involving the VEGF pathway occurs during PM, and that sVEGFR1 may be involved in the relationship between chronic PM and hypertension in first-time mothers. Because placental inflammation causes poor fetal outcomes, we hypothesize that fetal mechanisms that promote sVEGFR1 expression may be under selective pressure during first pregnancies in malaria-endemic areas.", "link"=>"http://www.mendeley.com/research/hypertension-maternalfetal-conflict-during-placental-malaria", "reader_count"=>70, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>3, "Researcher"=>11, "Student > Doctoral Student"=>5, "Student > Ph. D. Student"=>22, "Student > Postgraduate"=>1, "Other"=>5, "Student > Master"=>10, "Student > Bachelor"=>5, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>1, "Professor"=>4}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>3, "Researcher"=>11, "Student > Doctoral Student"=>5, "Student > Ph. D. Student"=>22, "Student > Postgraduate"=>1, "Other"=>5, "Student > Master"=>10, "Student > Bachelor"=>5, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>1, "Professor"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Engineering"=>1, "Nursing and Health Professions"=>2, "Medicine and Dentistry"=>23, "Agricultural and Biological Sciences"=>31, "Social Sciences"=>1, "Immunology and Microbiology"=>7, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>23}, "Social Sciences"=>{"Social Sciences"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>7}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>31}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Unspecified"=>{"Unspecified"=>4}}, "reader_count_by_country"=>{"Tanzania"=>1, "Brazil"=>4, "United Kingdom"=>1, "Nigeria"=>1, "France"=>1, "Kenya"=>2, "Spain"=>1}, "group_count"=>3}

CrossRef

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/955944"], "description"=>"<div><p>(A) Placental VEGF mRNA abundance (median [IQR]) in first-time mothers. Levels indicate fold-increase over trophoblast-specific cytokeratin 7 (KRT7) mRNA.</p>\n <p>(B and C) Visualization of VEGF in placental cryosections from first-time mothers with intervillous inflammation (B) by immunofluorescence with VEGF (green), trophoblast (red), and nuclear DNA (blue) labeling, 320X magnification, and (C) by immunohistochemistry using DAB and counterstained with Giemsa, 400X magnification.</p></div>", "links"=>[], "tags"=>["vegf", "localization", "first-time"], "article_id"=>626226, "categories"=>["Cell Biology", "Microbiology", "Mathematics", "Infectious Diseases", "Biotechnology", "Immunology", "Medicine"], "users"=>["Atis Muehlenbachs", "Theonest K Mutabingwa", "Sally Edmonds", "Michal Fried", "Patrick E Duffy"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0030446.g004", "stats"=>{"downloads"=>1, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Placental_VEGF_Expression_and_Localization_in_First_Time_Mothers_/626226", "title"=>"Placental VEGF Expression and Localization in First-Time Mothers", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 13:09:29"}
  • {"files"=>["https://ndownloader.figshare.com/files/955672"], "description"=>"<div><p>(A) Peripheral plasma sVEGFR1 levels (median [IQR]). Levels are indicated for mothers stratified by parity, PM, and hypertension (HT).</p>\n <p>(B and C) Placental sVEGFR1 mRNA abundance (median [IQR]) in first-time mothers. Levels indicate fold-increase over trophoblast-specific cytokeratin 7 (KRT7) mRNA. Women were stratified (B) by PM and hypertension or (C) by PM and intervillous inflammation.</p></div>", "links"=>[], "tags"=>["pm-positive", "pm-negative"], "article_id"=>625955, "categories"=>["Cell Biology", "Microbiology", "Mathematics", "Infectious Diseases", "Biotechnology", "Immunology", "Medicine"], "users"=>["Atis Muehlenbachs", "Theonest K Mutabingwa", "Sally Edmonds", "Michal Fried", "Patrick E Duffy"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0030446.g002", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_sVEGFR1_Expression_Levels_in_PM_Positive_and_PM_Negative_Women_/625955", "title"=>"sVEGFR1 Expression Levels in PM-Positive and PM-Negative Women", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 13:07:29"}
  • {"files"=>["https://ndownloader.figshare.com/files/470330"], "description"=>"<div><h3>Background</h3><p>Malaria and hypertension are major causes of maternal mortality in tropical countries, especially during first pregnancies, but evidence for a relationship between these syndromes is contradictory.</p> <h3>Methods and Findings</h3><p>In a cross-sectional survey of Tanzanian parturients, the rate of hypertension was similar in placental malaria (PM)-positive (11/85 = 13%) and PM-negative (73/602 = 12%) individuals. However, we found that PM was associated with hypertension in first-time mothers aged 18–20 y but not other mothers. Hypertension was also associated with histologic features of chronic malaria, which is common in first-time mothers. Levels of soluble vascular endothelial growth factor receptor 1 (sVEGFR1), a preeclampsia biomarker, were elevated in first-time mothers with either PM, hypertension, or both, but levels were not elevated in other mothers with these conditions. In first-time mothers with PM, the inflammatory mediator vascular endothelial growth factor (VEGF) was localized to maternal macrophages in the placenta, while sVEGFR1, its soluble inhibitor, was localized to the fetal trophoblast.</p> <h3>Conclusions</h3><p>The data suggest that maternal–fetal conflict involving the VEGF pathway occurs during PM, and that sVEGFR1 may be involved in the relationship between chronic PM and hypertension in first-time mothers. Because placental inflammation causes poor fetal outcomes, we hypothesize that fetal mechanisms that promote sVEGFR1 expression may be under selective pressure during first pregnancies in malaria-endemic areas.</p> </div>", "links"=>[], "tags"=>["hypertension", "placental", "malaria"], "article_id"=>152724, "categories"=>["Cancer", "Cell Biology", "Microbiology", "Mathematics", "Medicine", "Biotechnology", "Immunology"], "users"=>["Atis Muehlenbachs", "Theonest K Mutabingwa", "Sally Edmonds", "Michal Fried", "Patrick E Duffy"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0030446", "stats"=>{"downloads"=>4, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Hypertension_and_Maternal_Fetal_Conflict_during_Placental_Malaria/152724", "title"=>"Hypertension and Maternal–Fetal Conflict during Placental Malaria", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2006-11-14 00:45:24"}
  • {"files"=>["https://ndownloader.figshare.com/files/955822"], "description"=>"<p>All fields are 200X magnification. Cryosections from (A) PM-negative normotensive pregnancy; (B) PM-positive normotensive pregnancy with intervillous inflammation; (C) PM-positive hypertensive pregnancy.</p>", "links"=>[], "tags"=>["placental", "cryosections", "first-time", "mothers", "vegfr1", "extracellular", "trophoblast", "dna"], "article_id"=>626099, "categories"=>["Cell Biology", "Microbiology", "Mathematics", "Infectious Diseases", "Biotechnology", "Immunology", "Medicine"], "users"=>["Atis Muehlenbachs", "Theonest K Mutabingwa", "Sally Edmonds", "Michal Fried", "Patrick E Duffy"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0030446.g003", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Immunofluorescence_of_Placental_Cryosections_from_First_Time_Mothers_Showing_VEGFR1_Extracellular_Domain_Green_Trophoblast_Red_and_Nuclear_DNA_Blue_/626099", "title"=>"Immunofluorescence of Placental Cryosections from First-Time Mothers Showing VEGFR1 Extracellular Domain (Green), Trophoblast (Red), and Nuclear DNA (Blue)", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 13:08:33"}
  • {"files"=>["https://ndownloader.figshare.com/files/955596"], "description"=>"<p>Line Graph Illustrating the Prevalence of Hypertension in PM-Positive and PM-Negative Women in Different Age Strata</p>", "links"=>[], "tags"=>["graph", "illustrating", "prevalence", "hypertension", "pm-positive", "pm-negative", "women"], "article_id"=>625869, "categories"=>["Cell Biology", "Microbiology", "Mathematics", "Infectious Diseases", "Biotechnology", "Immunology", "Medicine"], "users"=>["Atis Muehlenbachs", "Theonest K Mutabingwa", "Sally Edmonds", "Michal Fried", "Patrick E Duffy"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.0030446.g001", "stats"=>{"downloads"=>1, "page_views"=>32, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Line_Graph_Illustrating_the_Prevalence_of_Hypertension_in_PM_Positive_and_PM_Negative_Women_in_Different_Age_Strata_/625869", "title"=>"Line Graph Illustrating the Prevalence of Hypertension in PM-Positive and PM-Negative Women in Different Age Strata", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 13:06:49"}

PMC Usage Stats | Further Information

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Relative Metric

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