Preeclampsia Associated Vascular Aging

  • STATUS
    Recruiting
  • participants needed
    120
  • sponsor
    Jena University Hospital
Updated on 19 February 2024
eclampsia
toxemia of pregnancy
petn

Summary

To evaluate cardiovascular health, especially endothelial health, of women after pre-eclampsia compared to women without pre-eclampsia, and to compare women who had taken PETN during pregnancy with women who had not attempted treatment

Description

The clinical observation that women with pre-eclampsia have a high risk of early onset cardiovascular disease with increased disease-associated mortality has led to the hypothesis that the endothelial status of these women is characterized by early onset of aging. We want to investigate the relationship between endothelial aging and pregnancy disorders such as pre-eclampsia, which are dominated by endothelial dysfunction. Do endothelial changes precede pregnancy and cause pre-eclampsia and later accelerated cardiovascular aging, or does pre-eclampsia trigger premature endothelial aging in affected individuals for the first time? The aim of this study is to investigate the cardiovascular health of women 10 to 20 years after pre-eclampsia and to compare it with that of women with uneventful pregnancies. In addition, the potential long-term endothelial protective effect of the NO-donor pentaerytrithyltetranitrate (PETN) is investigated.

This in vivo study will be extended in vitro by the analysis of senescence induction in endothelial cells after pre-eclampsia associated stress. Additionally, the potential protective effect of PETN on stress-induced senescence will be evaluated.

The ultimate goal is to establish a prospective long-term study on the effect of PETN on vascular health in women with pre-eclampsia to assess whether treatment of en-dothelial dysfunction during pregnancy could reduce endothelial aging and thus premature cardiovascular morbidity and mortality in millions of women.

Details
Condition Pre-Eclampsia
Age 18-100 years
Treatment Primary data collection
Clinical Study IdentifierNCT04484766
SponsorJena University Hospital
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Participants of the PETN pilot study from 2002-2008
controls: uneventful pregnancies from 2002-2008
Patients with pre-eclampsia with PETN treatment 10-20 years ago
Controls: patients with pre-eclampsia without PETN treatment 10-20 years ago
Written Informed Consent
Singleton pregnancy

Exclusion Criteria

Patients who refuse to participate in the study
Impossibility of the outpatient presentation
Clear my responses

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