Melatonin for the Management of Preeclampsia: A Review

Preeclampsia is a disease specific to pregnancy characterised by new-onset hypertension with maternal organ dysfunction and/or fetal growth restriction. It remains a major cause of maternal and perinatal morbidity and mortality. For sixty years, antihypertensives have been the mainstay of treating p...

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Main Authors: Annie Langston-Cox, Sarah A. Marshall, Daisy Lu, Kirsten R. Palmer, Euan M. Wallace
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/10/3/376
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author Annie Langston-Cox
Sarah A. Marshall
Daisy Lu
Kirsten R. Palmer
Euan M. Wallace
author_facet Annie Langston-Cox
Sarah A. Marshall
Daisy Lu
Kirsten R. Palmer
Euan M. Wallace
author_sort Annie Langston-Cox
collection DOAJ
description Preeclampsia is a disease specific to pregnancy characterised by new-onset hypertension with maternal organ dysfunction and/or fetal growth restriction. It remains a major cause of maternal and perinatal morbidity and mortality. For sixty years, antihypertensives have been the mainstay of treating preeclampsia and only recently have insights into the pathogenesis of the disease opened new avenues for novel therapies. Melatonin is one such option, an endogenous and safe antioxidant, that may improve the maternal condition in preeclampsia while protecting the fetus from a hostile intrauterine environment. Here we review the evidence for melatonin as a possible adjuvant therapy for preeclampsia, including in vitro evidence supporting a role for melatonin in protecting the human placenta, preclinical models, vascular studies, and clinical studies in hypertension and pregnancy.
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spelling doaj.art-d1693b21e08a4ddd974c05d4ff677d612023-12-03T12:22:39ZengMDPI AGAntioxidants2076-39212021-03-0110337610.3390/antiox10030376Melatonin for the Management of Preeclampsia: A ReviewAnnie Langston-Cox0Sarah A. Marshall1Daisy Lu2Kirsten R. Palmer3Euan M. Wallace4The Ritchie Centre, Department of Obstetrics and Gynecology, School of Clinical Sciences, Monash University, 246 Clayton Road, Clayton, VIC 3168, AustraliaThe Ritchie Centre, Department of Obstetrics and Gynecology, School of Clinical Sciences, Monash University, 246 Clayton Road, Clayton, VIC 3168, AustraliaThe Ritchie Centre, Department of Obstetrics and Gynecology, School of Clinical Sciences, Monash University, 246 Clayton Road, Clayton, VIC 3168, AustraliaThe Ritchie Centre, Department of Obstetrics and Gynecology, School of Clinical Sciences, Monash University, 246 Clayton Road, Clayton, VIC 3168, AustraliaThe Ritchie Centre, Department of Obstetrics and Gynecology, School of Clinical Sciences, Monash University, 246 Clayton Road, Clayton, VIC 3168, AustraliaPreeclampsia is a disease specific to pregnancy characterised by new-onset hypertension with maternal organ dysfunction and/or fetal growth restriction. It remains a major cause of maternal and perinatal morbidity and mortality. For sixty years, antihypertensives have been the mainstay of treating preeclampsia and only recently have insights into the pathogenesis of the disease opened new avenues for novel therapies. Melatonin is one such option, an endogenous and safe antioxidant, that may improve the maternal condition in preeclampsia while protecting the fetus from a hostile intrauterine environment. Here we review the evidence for melatonin as a possible adjuvant therapy for preeclampsia, including in vitro evidence supporting a role for melatonin in protecting the human placenta, preclinical models, vascular studies, and clinical studies in hypertension and pregnancy.https://www.mdpi.com/2076-3921/10/3/376preeclampsiamelatoninantioxidantplacental biologymitochondrial function
spellingShingle Annie Langston-Cox
Sarah A. Marshall
Daisy Lu
Kirsten R. Palmer
Euan M. Wallace
Melatonin for the Management of Preeclampsia: A Review
Antioxidants
preeclampsia
melatonin
antioxidant
placental biology
mitochondrial function
title Melatonin for the Management of Preeclampsia: A Review
title_full Melatonin for the Management of Preeclampsia: A Review
title_fullStr Melatonin for the Management of Preeclampsia: A Review
title_full_unstemmed Melatonin for the Management of Preeclampsia: A Review
title_short Melatonin for the Management of Preeclampsia: A Review
title_sort melatonin for the management of preeclampsia a review
topic preeclampsia
melatonin
antioxidant
placental biology
mitochondrial function
url https://www.mdpi.com/2076-3921/10/3/376
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AT kirstenrpalmer melatoninforthemanagementofpreeclampsiaareview
AT euanmwallace melatoninforthemanagementofpreeclampsiaareview