Table 5.
Overview of pharmaceutical interventions and their possible mechanism improving preeclampsia.
Study | Study design | Drug | Possible mechanism improving preeclampsia |
---|---|---|---|
Bujold et al. (46) Roberge et al. (47) |
Meta-analysis | Aspirin | Improves trophoblastic invasion of the uterine spiral arteries. Down-regulates the placental expression of C3 and of complement factor B. |
Rodger et al. (48) Roberge et al. (49) Wang et al. (50) |
Meta-analysis | Heparin | Improves maternal vasculature, endothelial function, increases placental growth factor and inhibits of C5a. |
Seo et al. (51) | Retrospective cohort | Hydroxy-chloroquine | Diverse molecular pathways, incl. antioxidant, anti-inflammatory, immunomodulatory and antithrombotic. Impair complement-dependent antigen-antibody reactions. |
Lefkou et al. (6) | Case-control | Pravastatin | Diminishes inflammation, increases placental blood flow, and reverses angiogenic and redox imbalances. Inhibits complement activation by induction of DAF expression. |
Sones et al. (52) Reijnders et al. (53) |
Case-control (mice) | Celecoxib | Increases uterine vascular permeability and angiogenesis. Does not significantly decrease complement (C3, complement factor B) expression in mice. |
Burwick et al. (54) | Case-report | Eculizumab | Inhibits C5, reduces C5a, and C5b-9 generation. |