Preeclampsia and Glomerulonephritis: A Bidirectional Association

Purpose of Review We focus on the current understanding of preeclampsia (PE) in order to examine how it mediates glomerular injury and affects the course of glomerulonephritis (GNs). In addition, this review discusses the role of GNs on the development of PE. Recent Findings In PE, the dysfunctional...

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Bibliographic Details
Published in:Current hypertension reports 2020-05, Vol.22 (5), p.36-36, Article 36
Main Authors: Di Leo, Vincenzo, Capaccio, Flavia, Gesualdo, Loreto
Format: Article
Language:English
Subjects:
Cardiology
Diabetic nephropathy
Family Medicine
General Practice
Hypertension
Internal Medicine
Medicine
Medicine & Public Health
Metabolic Diseases
Nephrology
Preeclampsia
Preeclampsia (V Garovic
Primary Care Medicine
Section Editor
Topical Collection on Preeclampsia
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Summary:Purpose of Review We focus on the current understanding of preeclampsia (PE) in order to examine how it mediates glomerular injury and affects the course of glomerulonephritis (GNs). In addition, this review discusses the role of GNs on the development of PE. Recent Findings In PE, the dysfunctional utero-placental perfusion causes the release into the mother’s circulation of anti-angiogenic substances, leading to systemic endotheliosis. In preeclamptic patients, the imbalance between pro- and anti-angiogenic factors is responsible for the kidney injury, and PE may reveal a silent pre-existent GN or may induce the development of the disease. Moreover, in women with chronic kidney disease (CKD), it could accelerate the disease progression. In any case, GNs compromise renal function, making the kidney less responsive to physiological changes that occur during pregnancy and, at the same time, cause maternal vascular inflammation, representing a risk factor for PE development. Summary Although a bidirectional correlation between GNs and PE has been demonstrated, the data are limited, and further large studies are warranted. Close collaboration between a multidisciplinary team of obstetricians and nephrologists is essential to establish the correct diagnosis and safely manage these vulnerable women and their fetuses.
ISSN:1522-6417
1534-3111
DOI:10.1007/s11906-020-1033-9