Preeclampsia: From Cellular Wellness to Inappropriate Cell Death, and the Roles of Nutrition

Preeclampsia is one of the most common obstetrical complications worldwide. The pathomechanism of this disease begins with abnormal placentation in early pregnancy, which is associated with inappropriate decidualization, vasculogenesis, angiogenesis, and spiral artery remodeling, leading to endothel...

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Autores principales: Angga Wiratama Lokeswara, Rabbania Hiksas, Rima Irwinda, Noroyono Wibowo
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/ad9ef47e79ab4335b602a62ed5a913b0
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spelling oai:doaj.org-article:ad9ef47e79ab4335b602a62ed5a913b02021-11-05T13:22:01ZPreeclampsia: From Cellular Wellness to Inappropriate Cell Death, and the Roles of Nutrition2296-634X10.3389/fcell.2021.726513https://doaj.org/article/ad9ef47e79ab4335b602a62ed5a913b02021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcell.2021.726513/fullhttps://doaj.org/toc/2296-634XPreeclampsia is one of the most common obstetrical complications worldwide. The pathomechanism of this disease begins with abnormal placentation in early pregnancy, which is associated with inappropriate decidualization, vasculogenesis, angiogenesis, and spiral artery remodeling, leading to endothelial dysfunction. In these processes, appropriate cellular deaths have been proposed to play a pivotal role, including apoptosis and autophagy. The proper functioning of these physiological cell deaths for placentation depends on the wellbeing of the trophoblasts, affected by the structural and functional integrity of each cellular component including the cell membrane, mitochondria, endoplasmic reticulum, genetics, and epigenetics. This cellular wellness, which includes optimal cellular integrity and function, is heavily influenced by nutritional adequacy. In contrast, nutritional deficiencies may result in the alteration of plasma membrane, mitochondrial dysfunction, endoplasmic reticulum stress, and changes in gene expression, DNA methylation, and miRNA expression, as well as weakened defense against environmental contaminants, hence inducing a series of inappropriate cellular deaths such as abnormal apoptosis and necrosis, and autophagy dysfunction and resulting in abnormal trophoblast invasion. Despite their inherent connection, the currently available studies examined the functions of each organelle, the cellular death mechanisms and the nutrition involved, both physiologically in the placenta and in preeclampsia, separately. Therefore, this review aims to comprehensively discuss the relationship between each organelle in maintaining the physiological cell death mechanisms and the nutrition involved, and the interconnection between the disruptions in the cellular organelles and inappropriate cell death mechanisms, resulting in poor trophoblast invasion and differentiation, as seen in preeclampsia.Angga Wiratama LokeswaraRabbania HiksasRima IrwindaNoroyono WibowoFrontiers Media S.A.articlecellular wellnesscell deathapoptosisautophagypreeclampsianutritionBiology (General)QH301-705.5ENFrontiers in Cell and Developmental Biology, Vol 9 (2021)
institution DOAJ
collection DOAJ
language EN
topic cellular wellness
cell death
apoptosis
autophagy
preeclampsia
nutrition
Biology (General)
QH301-705.5
spellingShingle cellular wellness
cell death
apoptosis
autophagy
preeclampsia
nutrition
Biology (General)
QH301-705.5
Angga Wiratama Lokeswara
Rabbania Hiksas
Rima Irwinda
Noroyono Wibowo
Preeclampsia: From Cellular Wellness to Inappropriate Cell Death, and the Roles of Nutrition
description Preeclampsia is one of the most common obstetrical complications worldwide. The pathomechanism of this disease begins with abnormal placentation in early pregnancy, which is associated with inappropriate decidualization, vasculogenesis, angiogenesis, and spiral artery remodeling, leading to endothelial dysfunction. In these processes, appropriate cellular deaths have been proposed to play a pivotal role, including apoptosis and autophagy. The proper functioning of these physiological cell deaths for placentation depends on the wellbeing of the trophoblasts, affected by the structural and functional integrity of each cellular component including the cell membrane, mitochondria, endoplasmic reticulum, genetics, and epigenetics. This cellular wellness, which includes optimal cellular integrity and function, is heavily influenced by nutritional adequacy. In contrast, nutritional deficiencies may result in the alteration of plasma membrane, mitochondrial dysfunction, endoplasmic reticulum stress, and changes in gene expression, DNA methylation, and miRNA expression, as well as weakened defense against environmental contaminants, hence inducing a series of inappropriate cellular deaths such as abnormal apoptosis and necrosis, and autophagy dysfunction and resulting in abnormal trophoblast invasion. Despite their inherent connection, the currently available studies examined the functions of each organelle, the cellular death mechanisms and the nutrition involved, both physiologically in the placenta and in preeclampsia, separately. Therefore, this review aims to comprehensively discuss the relationship between each organelle in maintaining the physiological cell death mechanisms and the nutrition involved, and the interconnection between the disruptions in the cellular organelles and inappropriate cell death mechanisms, resulting in poor trophoblast invasion and differentiation, as seen in preeclampsia.
format article
author Angga Wiratama Lokeswara
Rabbania Hiksas
Rima Irwinda
Noroyono Wibowo
author_facet Angga Wiratama Lokeswara
Rabbania Hiksas
Rima Irwinda
Noroyono Wibowo
author_sort Angga Wiratama Lokeswara
title Preeclampsia: From Cellular Wellness to Inappropriate Cell Death, and the Roles of Nutrition
title_short Preeclampsia: From Cellular Wellness to Inappropriate Cell Death, and the Roles of Nutrition
title_full Preeclampsia: From Cellular Wellness to Inappropriate Cell Death, and the Roles of Nutrition
title_fullStr Preeclampsia: From Cellular Wellness to Inappropriate Cell Death, and the Roles of Nutrition
title_full_unstemmed Preeclampsia: From Cellular Wellness to Inappropriate Cell Death, and the Roles of Nutrition
title_sort preeclampsia: from cellular wellness to inappropriate cell death, and the roles of nutrition
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/ad9ef47e79ab4335b602a62ed5a913b0
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