In normal pregnancy, 2-ME may play a role in regulating hypoxia-inducible factor (HIF)-1α in diverse ways. In preeclampsia, low COMT/2-ME may induce accumulation of HIF-1α, vascular defect, placental hypoxia and inflammatory responses in the placenta. Such response may induce placental defects and result in suppression of placental-derived estradiol and further reduction in 2-ME levels. CYP450, cytochrome 450.