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Prediction and prevention of preeclampsia

Research Project

Project/Area Number 23592417
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Obstetrics and gynecology
Research InstitutionShowa University

Principal Investigator

SEKIZAWA Akihiko  昭和大学, 医学部, 教授 (10245839)

Co-Investigator(Kenkyū-buntansha) YOTSUMOTO Jyunko  昭和大学, 医学部, 特別研究生 (30553648)
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2012: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2011: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords妊娠高血圧症候群 / 胎盤 / 妊娠初期絨毛 / 妊娠高血圧腎症 / 血管増殖因子 / 母体血漿RNA / 胎盤形成期 / 抗血管増殖因子 / FLT-1 / 初期絨毛 / 母体血RNA / 抗酸化剤 / エンドグリン
Research Abstract

We investigated the influence of maternal smoking on the early placental expression of genes related to angiogenesis and oxidative stress. As a result, we revealed that VEGFA placental expression was higher in smoking women at 10-11 weeks of gestation. Increased VEGFA expression in the early stages of pregnancy in smoking women might contribute to the decreased risk of developing preeclampsia.
Next, we investigated the benefit of antioxidant supplementation in a cohort of women with low antioxidant status.Pregnant women who had low antioxidant status treated with either antioxidants or control diets daily from 8-12 weeks. 110 women were enrolled, randomly assigned to the supplementation (n = 52) and control group (n = 58). There were significant differences (P=0.034) between the supplementation and control group in the incidence of pre-eclampsia (2.0% and 14.5%, respectively). We revealed supplementation of antioxidants during early gestation might reduce the risk of pre-eclampsia.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (30 results)

All 2014 2013 2012 2011

All Journal Article (19 results) (of which Peer Reviewed: 9 results) Presentation (11 results) (of which Invited: 1 results)

  • [Journal Article] Maternal Smoking and Placental Expression of a Panel of Genes Related to Angiogenesis and Oxidative Stress in Early Pregnancy2014

    • Author(s)
      Shinjo A, Ventura W, Koide K, Hori K, Yotsumoto J, Matsuoka R, Ichizuka K, Sekizawa A
    • Journal Title

      Fetal Diagn Ther

      Volume: (PMID:24642658)

    • Related Report
      2013 Final Research Report
  • [Journal Article] Maternal Smoking and Placental Expression of a Panel of Genes Related to Angiogenesis and Oxidative Stress in Early Pregnancy.2014

    • Author(s)
      Shinjo A, Ventura W, Koide K, Hori K, Yotsumoto J, Matsuoka R, Ichizuka K, Sekizawa A.
    • Journal Title

      Fetal Diagn Ther

      Volume: in press

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Increased Levels of Cell-Free Human Placental Lactogen mRNA at 28-32 Gestational Weeks in Plasma of Pregnant Women With Placenta Previa and Invasive Placenta2013

    • Author(s)
      Kawashima A, Sekizawa A, Ventura W, Koide K, Hori K, Okai T, Masashi Y, Furuya K, Mizumoto Y
    • Journal Title

      Reproductive Sciences

      Volume: 21(2) Pages: 215-220

    • Related Report
      2013 Final Research Report
  • [Journal Article] Increased Levels of Cell-Free Human Placental Lactogen mRNA at 28-32 Gestational Weeks in Plasma of Pregnant Women With Placenta Previa and Invasive Placenta2013

    • Author(s)
      Kawashima A, Sekizawa A, Ventura W, Koide K, Hori K, Okai T, Masashi Y, Furuya K, Mizumoto Y.
    • Journal Title

      Reproductive Sciences

      Volume: 21 Issue: 2 Pages: 215-220

    • DOI

      10.1177/1933719113492209

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Physiological Changes in the Pattern of Placental Gene Expression Early in the First Trimester2013

    • Author(s)
      Miyagami S, Koide K, Sekizawa A, Ventura W, Yotsumoto J, Oishi S, Okai T.
    • Journal Title

      Reprod Sci

      Volume: in press

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Physiological changes in the pattern of placental gene expression early in the first trimester2012

    • Author(s)
      Miyagami S, Koide K, Sekizawa A, Ventura W, Yotsumoto J, Oishi S, Okai T.
    • Journal Title

      Reproductive Sciences

      Volume: 20(6) Pages: 710-714

    • Related Report
      2013 Final Research Report
  • [Journal Article] Maternal cell-free messenger RNA in twin pregnancies : the effects of chorionicity and severe twin to twin transfusion syndrome (TTTS)2012

    • Author(s)
      Fox CE, Sekizawa A, Pretlove SJ, Chan BC, Okai T, Kilby MD
    • Journal Title

      Acta Obstet Gynecol Scand

      Volume: 91(10) Pages: 1206-11

    • Related Report
      2013 Final Research Report
  • [Journal Article] Antioxidant supplementation in pregnant women with low antioxidant status2012

    • Author(s)
      Wibowo N, Purwosunu Y, Sekizawa A, Farina A, Idriansyah L, Fitriana I
    • Journal Title

      J Obstet Gynaecol Res

      Volume: 38(9) Pages: 1152-61

    • Related Report
      2013 Final Research Report
  • [Journal Article] Vitamin B6 supplementation in pregnant women with nausea and vomiting2012

    • Author(s)
      Wibowo N, Purwosunu Y, Sekizawa A, Farina A, Tambunan V, Bardosono S
    • Journal Title

      Int J Gynaecol Obstet

      Volume: 116(3) Pages: 206-10

    • Related Report
      2013 Final Research Report
  • [Journal Article] Maternal cell-free messenger RNA in twin pregnancies: the effects of chorionicity and severe twin to twin transfusion syndrome (TTTS)2012

    • Author(s)
      Fox CE, Sekizawa A, Pretlove SJ, Chan BC, Okai T, Kilby MD
    • Journal Title

      Acta Obstet Gynecol Scand

      Volume: 91 Pages: 1206-1211

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Antioxidant supplementation in pregnant women with low antioxidant status2012

    • Author(s)
      Wibowo N, Purwosunu Y, Sekizawa A, Farina A, Idriansyah L, Fitriana I.
    • Journal Title

      J Obstet Gynaecol Res

      Volume: 38 Pages: 1152-61

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Role of epigenetics in the placenta : Alterations in DNA promoter methylation and imprinted genes2011

    • Author(s)
      Koide K, Sekizawa A, Yotsumoto J, Miyagami S, Ichizuka K, Matsuoka R, Okai T.
    • Journal Title

      J Mamm Ova Res

      Volume: 28 Pages: 103-109

    • Related Report
      2013 Final Research Report
  • [Journal Article] Quantitative RT-PCR gene expression analysis of a laser microdissected placenta : an approach to study preeclampsia2011

    • Author(s)
      Purwosunu Y, Sekizawa A, Okai T, Tachikawa T
    • Journal Title

      Methods Mol Biol

      Volume: 755 Pages: 477-89

    • Related Report
      2013 Final Research Report
  • [Journal Article] Higher circulating mRNA levels of placental specific genes in a patient with placenta accreta2011

    • Author(s)
      Simonazzi G, Farina A, Curti A, Pilu G, Santini D, Zucchini C, Sekizawa A, Rizzo N.
    • Journal Title

      Prenat Diagn

      Volume: 31(8) Pages: 827-9

    • Related Report
      2013 Final Research Report
  • [Journal Article] Gene expression in chorionic villous samples at 11 weeks of gestation in women who develop pre-eclampsia later in pregnancy : implications for screening2011

    • Author(s)
      Farina A, Zucchini C, De Sanctis P, Morano D, Sekizawa A, Purwosunu Y, Okai T, Rizzo N
    • Journal Title

      Prenat Diagn

      Volume: 31(2) Pages: 181-5

    • Related Report
      2013 Final Research Report
  • [Journal Article] Gene expression in chorionic villous samples at 11 weeks of gestation in women who develop pre-eclampsia later in pregnancy: implications for screening.2011

    • Author(s)
      Farina A, Zucchini C, De Sanctis P, Morano D, Sekizawa A, Purwosunu Y, Okai T, Rizzo N.
    • Journal Title

      Prenat Diagn.

      Volume: 31 Issue: 2 Pages: 181-185

    • DOI

      10.1002/pd.2675

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Role of epigenetics in the placenta: Alterations in DNA promoter methylation and imprinted genes.2011

    • Author(s)
      Koide K, Sekizawa A, Yotsumoto J, Miyagami S, Ichizuka K, Matsuoka R, Okai T.
    • Journal Title

      J Mamm Ova Res

      Volume: 28 Pages: 103-109

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Quantitative RT-PCR gene expression analysis of a laser microdissected placenta: an approach to study preeclampsia2011

    • Author(s)
      Purwosunu Y, Sekizawa A, Okai T, Tachikawa T.
    • Journal Title

      Methods Mol Biol

      Volume: 755 Pages: 477-489

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Higher circulating mPNA levels of placental specific genes in a patient with placenta accreta2011

    • Author(s)
      Simonazzi G, Farina A, Curti A, Pilu G, Santini D, Zucchini C, Sekizawa A, Rizzo N
    • Journal Title

      Prenat Diagn

      Volume: 31 Issue: 8 Pages: 827-829

    • DOI

      10.1002/pd.2761

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Presentation] 妊娠高血圧症候群と胎盤のDNA methylationに関する研究2012

    • Author(s)
      小出馨子,関沢明彦,宮上哲,四元淳子,仲村将光,大石親護,岡井崇
    • Organizer
      第64回日本産科婦人科学会学術講演会
    • Place of Presentation
      神戸
    • Related Report
      2013 Final Research Report
  • [Presentation] 母体血を用いた妊娠合併症の発症予知2012

    • Author(s)
      関沢明彦、小出馨子、仲村將光、松岡隆、市塚清健、岡井崇
    • Organizer
      第22回日本産婦人科・新生児血液学会 学術集会
    • Place of Presentation
      津市
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] シンポジウム「血管増殖因子と胎盤」妊娠高血圧症候群を発症する妊娠初期絨毛の病態評価とその発症予知への応用2011

    • Author(s)
      関沢明彦、小出馨子、仲村将光、宮上哲、福田麻美、岡井崇
    • Organizer
      第19回日本胎盤学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2011-09-30
    • Related Report
      2013 Final Research Report
  • [Presentation] PHYSIOLOGICAL ALTERATIONS OF GENE EXPRESSIONS IN VILLOUS SAMPLES AT FIRST TRIMESTER2011

    • Author(s)
      Satoshi Miyagami, Akihiko Sekizawa, Keiko Koide, Masamitu Nakamura, Takashi Okai
    • Organizer
      22^<nd> Asian and Oceanic Congress of Obsterics and Gynecology
    • Place of Presentation
      Taipei, Taiwan
    • Year and Date
      2011-09-27
    • Related Report
      2013 Final Research Report
  • [Presentation] DNA methylation patterns which are related to placentation2011

    • Author(s)
      Keiko Koide, Akihiko Sekizawa, Satoshi Miyagami, Masamitu Nakamura, Takashi Okai
    • Organizer
      22^<nd> Asian and Oceanic Congress of Obsterics and Gynecology
    • Place of Presentation
      Taipei, Taiwan
    • Year and Date
      2011-09-27
    • Related Report
      2013 Final Research Report
  • [Presentation] (Symposium) Prediction of preeclampsia by an analysis of placenta-derived cellular mRNA in the blood of pregnant women2011

    • Author(s)
      Sekizawa A, Purwosunu Y, Farina A, Nakamura M, Koide K, Okai T
    • Organizer
      22^<nd> Asian and Oceanic Congress of Obsterics and Gynecology
    • Place of Presentation
      Taipei, Taiwan
    • Year and Date
      2011-09-25
    • Related Report
      2013 Final Research Report
  • [Presentation] 妊娠高血圧症候群における妊娠初期絨毛の病態評価とその発症予知への応用2011

    • Author(s)
      関沢明彦、小出馨子,仲村将光,清水華子,新城梓,岡井崇
    • Organizer
      第63回日本産科婦人科学会学術講演会
    • Place of Presentation
      大阪
    • Year and Date
      2011-08-31
    • Related Report
      2013 Final Research Report
  • [Presentation] 妊娠初期絨毛における遺伝子発現量の妊娠週数に伴う変化2011

    • Author(s)
      宮上哲、関沢明彦、小出馨子、仲村将光、四元淳子、岡井崇
    • Organizer
      第47回日本周産期・新生児医学会学術集会
    • Place of Presentation
      札幌
    • Related Report
      2013 Final Research Report
  • [Presentation] 札幌胎盤形成期における絨毛のDNA methylationに関する研究2011

    • Author(s)
      小出馨子、関沢明彦、宮上哲、仲村将光、四元淳子、岡井崇
    • Organizer
      第47回日本周産期・新生児医学会学術集会
    • Place of Presentation
      札幌
    • Related Report
      2013 Final Research Report
  • [Presentation] Prediction of preeclampsia by an analysis of placenta-derived cellular mRNA in the blood of pregnant women.2011

    • Author(s)
      Sekizawa A, Purwosunu Y, Farina A, Nakamura M, Koide K, Okai T
    • Organizer
      22nd Asian and Oceanic Congress of Obsterics and Gynecology(招待講演)
    • Place of Presentation
      Taipei
    • Related Report
      2011 Research-status Report
  • [Presentation] PHYSIOLOGICAL ALTERATIONS OF GENE EXPRESSIONS IN VILLOUS SAMPLES AT FIRST TRIMESTER2011

    • Author(s)
      Satoshi Miyagami, Akihiko Sekizawa, Keiko Koide, Masamitu Nakamura, Takashi Okai
    • Organizer
      22nd Asian and Oceanic Congress of Obsterics and Gynecology
    • Place of Presentation
      Taipei
    • Related Report
      2011 Research-status Report

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Published: 2011-08-05   Modified: 2019-07-29  

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