Hyperhomocysteinemia is not sufficient to cause preeclampsia in an animal model: the importance of folate intake.

Am J Obstet Gynecol

Research Centre, Centre Hospitalier de l'Université de Montréal (CHUM) -Technopôle Angus, Montreal, QC, Canada; Department of Biomedical Sciences, Université de Montréal, Montreal, QC, Canada.

Published: February 2009

Objective: The objective of our study was to determine whether methylenetetrahydrofolate reductase (Mthfr)-deficient mice develop preeclampsia (PE).

Study Design: Mice were placed on a normal or low-folate/high-methionine (LF/HM) diet to assess the impact of mild and severe homocysteinemia. Blood pressure and proteinuria were measured throughout gestation in Mthfr-deficient and control mice on both diets, by radiotelemetry and by determining the urinary albumin/creatinine ratio by enzyme-linked immunosorbent assay, respectively.

Results: Although Mthfr-deficient mice have endothelial dysfunction, they do not develop hypertension or proteinuria during gestation. The LF/HM diet induced proteinuria, growth restriction, and a decrease in the number of pups per litter in all mice without any effect on the placenta.

Conclusion: Our study clearly demonstrates that hyperhomocysteinemia is not sufficient to cause PE in this animal model. Furthermore, it confirms the importance of folate intake on pregnancy outcomes.

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http://dx.doi.org/10.1016/j.ajog.2008.10.003DOI Listing

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