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Publications

Journal Article Review Epublish

PubMed: 39769397 DOI: 10.3390/ijms252413634

Epigenetic Biomarkers in Thrombophilia-Related Pregnancy Complications: Mechanisms, Diagnostic Potential, and Therapeutic Implications: A Narrative Review.

Int J Mol Sci 25(24)

Authors: Claudia Ramona Bardan, Ioana Ioniță, Maria Iordache, Despina Călămar-Popovici, Violeta Todorescu, Roxana Popescu, Brenda Cristiana Bernad, Răzvan Bardan, Elena Silvia Bernad

Affiliations

  • Doctoral School, Faculty of Medicine, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timisoara, Romania. Clinic of Hematology, Municipal Clinical Emergency Hospital, 300254 Timisoara, Romania.
  • Clinic of Hematology, Municipal Clinical Emergency Hospital, 300254 Timisoara, Romania.
  • Department of Hematology, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
  • Clinic of Hematology, Municipal Clinical Emergency Hospital, 300254 Timisoara, Romania. Department of Hematology, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
  • Division of Cell and Molecular Biology, Department of Microscopic Morphology, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
  • Doctoral School, Faculty of Medicine, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
  • Center for Neuropsychology and Behavioral Medicine, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
  • Department of Urology, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
  • Clinic of Urology, "Pius Brînzeu" County Clinical Emergency Hospital, 300723 Timisoara, Romania.
  • Department of Obstetrics and Gynecology, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
  • Clinic of Obstetrics and Gynecology, "Pius Brînzeu" County Clinical Emergency Hospital, 300723 Timisoara, Romania.
  • Center for Laparoscopy, Laparoscopic Surgery and In Vitro Fertilization, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timisoara, Romania.

Abstract

Pregnancy complications associated with thrombophilia represent significant risks for maternal and fetal health, leading to adverse outcomes such as pre-eclampsia, recurrent pregnancy loss, and intra-uterine growth restriction (IUGR). They are caused by disruptions in key physiological processes, including the coagulation cascade, trophoblast invasion, angiogenesis, and immune control. Recent advancements in epigenetics have revealed that non-coding RNAs, especially microRNAs (miRNAs), long non-coding RNAs (lncRNAs), and extracellular vesicles (EVs) carrying these RNAs, play crucial roles in the regulation of these biological processes. This review aims to identify the epigenetic biomarkers that are the best candidates for evaluating thrombophilia-related pregnancy complications and for assessing the efficacy of anticoagulant and antiaggregant therapies. We emphasize their potential integration into personalized treatment plans, aiming to improve the risk assessment and therapy strategies for thrombophilic pregnancies. Future research should focus on validating these epigenetic biomarkers and establishing standardized protocols to enable their integration into clinical practice, paving the way for a precision medicine approach in obstetric care.

MeSH

Extracellular Vesicles, Pregnancy, Micrornas, Biomarkers, Thrombophilia, Pregnancy Complications, Therapeutics

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