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- W2092331431 abstract "This review will consider whether adrenomedullin (AM) plays a role in the different aspects of perinatal medicine: contributing to maternal systemic vasodilatation during pregnancy, regulating uterine and placental blood flow, being involved in the process of implantation and participating in uterine quiescence prior to parturition. In addition, this will also consider whether a modification of AM secretion contributes to some pathological conditions in pregnancy such as preeclampsia and impairment of fetal growth. The biosynthesis of AM increases in gravid rats and in pregnant women, and the placenta represents an important site of AM production during pregnancy. Both the peptide and its receptors have been found in the uterus, placenta, fetal membranes and cord vessels, and fetal membranes and placental tissues in culture secrete AM. AM contributes to maternal systemic vasodilatation, the placental vessels are relaxed by AM in a dose-dependent manner and AM is expressed in the fetoplacental and umbilical vascular endothelium where basal production of AM contributes to low fetoplacental vascular resistances. Controversy exists over the status of circulating and placental AM in preeclampsia and of the relative contribution of AM to impaired fetoplacental circulation and fetal growth. Moreover, the uterus expresses AM mRNA and exogenous AM relaxes the myometrium in a dose-dependent manner; however, clinical studies have shown that AM does not decrease before the onset of parturition. Rather, AM secretion increases during spontaneous labor and in preterm delivery." @default.
- W2092331431 created "2016-06-24" @default.
- W2092331431 creator A5000845490 @default.
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- W2092331431 date "2003-04-01" @default.
- W2092331431 modified "2023-09-27" @default.
- W2092331431 title "Adrenomedullin in perinatal medicine" @default.
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- W2092331431 doi "https://doi.org/10.1016/s0167-0115(03)00028-4" @default.
- W2092331431 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/12667631" @default.
- W2092331431 hasPublicationYear "2003" @default.
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