Evidence map›Paper›PMID 33960392›Full record

ReviewClinical science (London, England : 1979)2021

Maternal microvascular dysfunction during preeclamptic pregnancy.

Anna E Stanhewicz, Virginia R Nuckols, Gary L Pierce

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Clinical science (London, England : 1979), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07229261 (MitoQ), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07229261 narecruitingnot on this mapstarted 2026, after this paper: background citation

MitoQ (Mitoquinol Mesylate) to Ameliorate Vascular Function in Preeclampsia: a Novel Approach

TypeinterventionalSponsorMedical College of WisconsinRan2026 to 2027Enrolled80ConditionsPreeclampsia, PregnancyArmsMitoquinol Mesylate, Placebo
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Biomarkers of endothelial glycocalyx dysfunction in pregnancy: a systematic review of clinical relevance and detection techniques.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Anna E StanhewiczDepartment of Health and Human Physiology, University of Iowa, IA, U.S.A.
Virginia R NuckolsDepartment of Health and Human Physiology, University of Iowa, IA, U.S.A.
Gary L PierceDepartment of Health and Human Physiology, University of Iowa, IA, U.S.A.
University of Iowa · US

Funding

Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 1990 to 2026
$40.5M
Sympathetic Regulation of Large Artery Stiffness in Humans with Age-Related Isolated Systolic HypertensionR01AG063790 · NIA · UNIVERSITY OF IOWA · PI PIERCE, GARY L. · 2020 to 2024
$1.7M
Role of Angiotensin II and Chronic Inflammation in Persistent Microvascular Dysfunction Following Preeclamptic PregnancyR00HL138133 · NHLBI · UNIVERSITY OF IOWA · PI STANHEWICZ, ANNA · 2019 to 2021
$747k
NHLBI NIH HHS R00 HL138133NIA NIH HHS R01 AG063790NIEHS NIH HHS P30 ES005605
6 · The paper itself

Abstract

Preeclampsia is a hypertensive disorder of pregnancy effecting ∼5-8% of pregnancies in the United States, and ∼8 million pregnancies worldwide. Preeclampsia is clinically diagnosed after the 20th week of gestation and is characterized by new onset hypertension accompanied by proteinuria and/or thrombocytopenia, renal insufficiency, impaired liver function, pulmonary edema, or cerebral or visual symptoms. This broad definition emphasizes the heterogeneity of the clinical presentation of preeclampsia, but also underscores the role of the microvascular beds, specifically the renal, cerebral, and hepatic circulations, in the pathophysiology of the disease. While the diagnostic criteria for preeclampsia relies on the development of de novo hypertension and accompanying clinical symptoms after 20-week gestation, it is likely that subclinical dysfunction of the maternal microvascular beds occurs in parallel and may even precede the development of overt cardiovascular symptoms in these women. However, little is known about the physiology of the non-reproductive maternal microvascular beds during preeclampsia, and the mechanism(s) mediating microvascular dysfunction during preeclamptic pregnancy are largely unexplored in humans despite their integral role in the pathophysiology of the disease. Therefore, the purpose of this review is to provide a summary of the existing literature on maternal microvascular dysfunction during preeclamptic pregnancy by reviewing the functional evidence in humans, highlighting potential mechanisms, and providing recommendations for future work in this area.

Indexed as

Cerebrovascular CirculationEndothelium, VascularFemaleGlycocalyxHumansMicrocirculationMicrovesselsPre-EclampsiaPregnancyRenal Circulationcardiovascular physiologymicrovascularpreeclampsiapregnancy

Identifiers

PMID33960392
PMCPMC8214810
OpenAlexW3158691545

What Socratic holds

Textmetadata
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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.