Angiogenic factors: potential to change clinical practice in pre-eclampsia?

BJOG. 2018 Oct;125(11):1389-1395. doi: 10.1111/1471-0528.15042. Epub 2017 Dec 28.

Abstract

Pre-eclampsia is a complex disease with significant maternal and fetal morbidity and mortality. Its syndromic nature makes diagnosis and management difficult. The field is rapidly evolving with the definition of pre-eclampsia being challenged by some organisations, with proteinuria no longer being essential in the presence of other features. In the last decade, angiogenic factors, in particular soluble fms-like tyrosine kinase 1 (sFlt-1), have emerged as important molecules in the pathogenesis of pre-eclampsia. Here we review the most recent evidence regarding the potential of these factors as biomarkers and therapeutic targets for pre-eclampsia.

Tweetable abstract: A review of angiogenic factors, sFlt-1 and PlGF, in the diagnosis, prediction and management of pre-eclampsia.

Keywords: Angiogenic factors; National Institute for Clinical Excellence; fms-like tyrosine kinase 1; placental growth factor; pre-eclampsia; pregnancy.

Publication types

  • Review

MeSH terms

  • Angiogenesis Inducing Agents / blood*
  • Biomarkers / blood
  • Female
  • Humans
  • Maternal Serum Screening Tests / methods*
  • Pre-Eclampsia / blood
  • Pre-Eclampsia / diagnosis*
  • Pregnancy
  • Vascular Endothelial Growth Factor Receptor-1 / blood*

Substances

  • Angiogenesis Inducing Agents
  • Biomarkers
  • FLT1 protein, human
  • Vascular Endothelial Growth Factor Receptor-1