The goal of this project is to investigate mechanisms that will cause vascular dysfunction during pregnancy which pertain to the cardiovascular pathology of preeclampsia. Women with pre-eclampsia have increased vascular reactivity and impaired relaxation capacity in resistance arteries. Women with preeclampsia also exhibit elevated VLDL-triglycerides (VLDL-TG) and evidence of increased oxidative stress including peroxidative damage to lipids and proteins. This latter profile is associated with impaired vascular function in several diseases. This Program Project poses the hypotheses that alterations in the oxidative status of the mother, and/or substances produced from a hypoxic placenta can result in the vascular pathology of preeclampsia. This project will use resistance arteries from several rat models as well as human vessels to determine whether or not these proposed mechanisms can impair the normal cardiovascular adaptation to pregnancy. The general hypothesis to be tested is that the normal cardiovascular adaptation to pregnancy is impaired by processes that increase oxidative stress either in the maternal compartment or within the uteroplacental unit. We will demonstrate that an increase in oxidative stress through increased substrate availability will impair two specific regulators of vasomotor tone: the nitric oxide (NO) synthase and PGH synthase (cyclooxygenase) pathways. The interaction between NO synthase and PGH synthase products and their effect on resistance artery relaxation responses will be examined using an in-vitro myograph system and analyses of vascular tissue for eicosanoid production as well as NO and PGH synthase activity.
(Aim 1) The effect of increased oxidative stress from a decrease in antioxidant defenses in combination with an increase in substrate availability will be determined by measuring the same variables in rats subjected to a mild vitamin-E deprivation or glutathione depletion with elevated VLDL-TG.
(Aim 2) Adverse vascular function in-vitro will be verified in-vivo (Aim 3). We will determine in the effects of factors produced by placental tissue grown in hypoxic conditions or from preeclamptic pregnancies (Project 0004) on the relaxation capacity, reactivity and vasomotor behavior of resistance arteries.
(Aim 4) Finally, we will study arteries from the rats exposed to candidate molecules (e.g. TNFalpha) identified in Project 0004 and 0005 and studied in-vivo in Project 0005. At the conclusion of these studies, in combination with Projects 0004 0005 0002 and 0003 we will have gained important information concerning the mechanisms by which change in the maternal constitution or products from the placental can influence major pathways that modulate the endothelial regulation of vasomotor function during pregnancy.
| Global Pregnancy Collaboration:; Schalekamp-Timmermans, Sarah; Arends, Lidia R et al. (2017) Fetal sex-specific differences in gestational age at delivery in pre-eclampsia: a meta-analysis. Int J Epidemiol 46:632-642 |
| Hux, Vanessa J; Roberts, James M; Okun, Michele L (2017) Allostatic load in early pregnancy is associated with poor sleep quality. Sleep Med 33:85-90 |
| Countouris, Malamo E; Schwarz, Eleanor B; Rossiter, Brianna C et al. (2016) Effects of lactation on postpartum blood pressure among women with gestational hypertension and preeclampsia. Am J Obstet Gynecol 215:241.e1-8 |
| Gandley, Robin E; Althouse, Andrew; Jeyabalan, Arundhathi et al. (2016) Low Soluble Syndecan-1 Precedes Preeclampsia. PLoS One 11:e0157608 |
| Schmella, Mandy J; Clifton, Rebecca G; Althouse, Andrew D et al. (2015) Uric Acid Determination in Gestational Hypertension: Is it as Effective a Delineator of Risk as Proteinuria in High-Risk Women? Reprod Sci 22:1212-9 |
| Luiza, John W; Gallaher, Marcia J; Powers, Robert W (2015) Urinary cortisol and depression in early pregnancy: role of adiposity and race. BMC Pregnancy Childbirth 15:30 |
| Hux, Vanessa J; Roberts, James M (2015) A potential role for allostatic load in preeclampsia. Matern Child Health J 19:591-7 |
| Hassis, Maria E; Niles, Richard K; Braten, Miles N et al. (2015) Evaluating the effects of preanalytical variables on the stability of the human plasma proteome. Anal Biochem 478:14-22 |
| Catov, Janet M; Abatemarco, Diane; Althouse, Andrew et al. (2015) Patterns of gestational weight gain related to fetal growth among women with overweight and obesity. Obesity (Silver Spring) 23:1071-8 |
| Founds, Sandra A; Ren, Dianxu; Roberts, James M et al. (2015) Follistatin-like 3 across gestation in preeclampsia and uncomplicated pregnancies among lean and obese women. Reprod Sci 22:402-9 |
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