Relationship between Androgens and Vascular and Placental Function during Pre-eclampsia

Hypertensive disorders of pregnancy (HDP) represent a substantial risk to maternal and fetal health. Emerging evidence suggests an association between testosterone and pre-eclampsia (PE), potentially mediated through androgen receptors (AR). Nevertheless, the mechanism driving this association is ye...

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Main Authors: Lara M. Fernandes, Margarida Lorigo, Elisa Cairrao
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Current Issues in Molecular Biology
Subjects:
Online Access:https://www.mdpi.com/1467-3045/46/3/108
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author Lara M. Fernandes
Margarida Lorigo
Elisa Cairrao
author_facet Lara M. Fernandes
Margarida Lorigo
Elisa Cairrao
author_sort Lara M. Fernandes
collection DOAJ
description Hypertensive disorders of pregnancy (HDP) represent a substantial risk to maternal and fetal health. Emerging evidence suggests an association between testosterone and pre-eclampsia (PE), potentially mediated through androgen receptors (AR). Nevertheless, the mechanism driving this association is yet to be elucidated. On the other hand, reports of transgender men’s pregnancies offer a limited and insightful opportunity to understand the role of high androgen levels in the development of HDP. In this sense, a literature review was performed from a little over 2 decades (1998–2022) to address the association of testosterone levels with the development of HDP. Furthermore, this review addresses the case of transgender men for the first time. The main in vitro outcomes reveal placenta samples with greater AR mRNA expression. Moreover, ex vivo studies show that testosterone-induced vasorelaxation impairment promotes hypertension. Epidemiological data point to greater testosterone levels in blood samples during PE. Studies with transgender men allow us to infer that exogenous testosterone administration can be considered a risk factor for PE and that the administration of testosterone does not affect fetal development. Overall, all studies analyzed suggested that high testosterone levels are associated with PE.
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spelling doaj.art-518e0f1535834a46a36980d3c4ef22b72024-03-27T13:31:19ZengMDPI AGCurrent Issues in Molecular Biology1467-30371467-30452024-02-014631668169310.3390/cimb46030108Relationship between Androgens and Vascular and Placental Function during Pre-eclampsiaLara M. Fernandes0Margarida Lorigo1Elisa Cairrao2CICS-UBI, Health Sciences Research Centre, University of Beira Interior, 6200-506 Covilhã, PortugalCICS-UBI, Health Sciences Research Centre, University of Beira Interior, 6200-506 Covilhã, PortugalCICS-UBI, Health Sciences Research Centre, University of Beira Interior, 6200-506 Covilhã, PortugalHypertensive disorders of pregnancy (HDP) represent a substantial risk to maternal and fetal health. Emerging evidence suggests an association between testosterone and pre-eclampsia (PE), potentially mediated through androgen receptors (AR). Nevertheless, the mechanism driving this association is yet to be elucidated. On the other hand, reports of transgender men’s pregnancies offer a limited and insightful opportunity to understand the role of high androgen levels in the development of HDP. In this sense, a literature review was performed from a little over 2 decades (1998–2022) to address the association of testosterone levels with the development of HDP. Furthermore, this review addresses the case of transgender men for the first time. The main in vitro outcomes reveal placenta samples with greater AR mRNA expression. Moreover, ex vivo studies show that testosterone-induced vasorelaxation impairment promotes hypertension. Epidemiological data point to greater testosterone levels in blood samples during PE. Studies with transgender men allow us to infer that exogenous testosterone administration can be considered a risk factor for PE and that the administration of testosterone does not affect fetal development. Overall, all studies analyzed suggested that high testosterone levels are associated with PE.https://www.mdpi.com/1467-3045/46/3/108testosteroneandrogenshypertensive disorders of pregnancypre-eclampsiahyperandrogenismtransgender men
spellingShingle Lara M. Fernandes
Margarida Lorigo
Elisa Cairrao
Relationship between Androgens and Vascular and Placental Function during Pre-eclampsia
Current Issues in Molecular Biology
testosterone
androgens
hypertensive disorders of pregnancy
pre-eclampsia
hyperandrogenism
transgender men
title Relationship between Androgens and Vascular and Placental Function during Pre-eclampsia
title_full Relationship between Androgens and Vascular and Placental Function during Pre-eclampsia
title_fullStr Relationship between Androgens and Vascular and Placental Function during Pre-eclampsia
title_full_unstemmed Relationship between Androgens and Vascular and Placental Function during Pre-eclampsia
title_short Relationship between Androgens and Vascular and Placental Function during Pre-eclampsia
title_sort relationship between androgens and vascular and placental function during pre eclampsia
topic testosterone
androgens
hypertensive disorders of pregnancy
pre-eclampsia
hyperandrogenism
transgender men
url https://www.mdpi.com/1467-3045/46/3/108
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