Abstract
Background: Preeclampsia is a disorder of hypertension and proteinuria accompanied by abnormal inflammatory responses. Both aspirin and quercetin possess anti-inflammatory and anti-hypertensive properties. A low dose of aspirin is recommended for the prevention of preeclampsia in patients with preeclampsia history. Whether quercetin can enhance the effect of aspirin on preeclampsia remains elusive.
Methods: Female Sprague-Dawley pregnant rats were treated with daily administration of aspirin, quercetin, or a combination of aspirin and quercetin and subsequently received lipopolysaccharides (LPS) injection to induce preeclampsia-like symptoms. The systolic blood pressure and proteinuria from all groups of rats were assessed.
Results: Our results demonstrated that the combination of quercetin and aspirin exerted significantly stronger effects than aspirin alone on decreasing systolic blood pressure and proteinuria, reducing pro-inflammatory cytokine production, and inhibiting M1-type decidual macrophages polarization in an LPS-induced rat model of preeclampsia.
Conclusion: This study suggested that quercetin may serve as an excellent supplement to aspirin in preventing or treating patients with preeclampsia.
Keywords: Preeclampsia, aspirin, quercetin, lipopolysaccharides, macrophages, pathogenesis.
[http://dx.doi.org/10.1161/CIRCRESAHA.118.313276] [PMID: 30920918]
[http://dx.doi.org/10.1016/j.jacc.2020.08.014] [PMID: 33004135]
[http://dx.doi.org/10.37175/stemedicine.v2i7.91]
[PMID: 21822394]
[http://dx.doi.org/10.1007/s40265-017-0823-0] [PMID: 29039130]
[http://dx.doi.org/10.1155/2018/7421489] [PMID: 30622610]
[http://dx.doi.org/10.1016/S0002-9378(12)90917-5] [PMID: 8420330]
[http://dx.doi.org/10.1016/j.fitote.2015.09.018] [PMID: 26393898]
[http://dx.doi.org/10.1016/j.bcp.2017.03.021] [PMID: 28377278]
[http://dx.doi.org/10.1093/nutrit/nuv048] [PMID: 26491142]
[http://dx.doi.org/10.2174/156652411798062395] [PMID: 21999148]
[http://dx.doi.org/10.1016/j.biopha.2019.108969] [PMID: 31103824]
[http://dx.doi.org/10.1177/1933719118756746] [PMID: 29439623]
[http://dx.doi.org/10.1139/cjpp-2018-0087] [PMID: 29969574]
[http://dx.doi.org/10.1093/nar/gkr730] [PMID: 21917858]
[http://dx.doi.org/10.1093/jmcb/mjs049] [PMID: 22935141]
[http://dx.doi.org/10.1038/sigtrans.2017.23] [PMID: 29158945]
[http://dx.doi.org/10.1189/jlb.1A0815-351R] [PMID: 26819320]
[http://dx.doi.org/10.1016/j.placenta.2006.11.008]
[http://dx.doi.org/10.1111/aji.12816] [PMID: 29369434]
[http://dx.doi.org/10.1056/NEJM200206063462309] [PMID: 12050341]
[http://dx.doi.org/10.3389/fimmu.2017.00261] [PMID: 28360907]
[http://dx.doi.org/10.1161/JAHA.115.002713] [PMID: 27405810]
[http://dx.doi.org/10.1007/s00394-016-1185-1] [PMID: 26924303]
[http://dx.doi.org/10.1016/j.tox.2011.10.017] [PMID: 22064046]
[http://dx.doi.org/10.1016/j.placenta.2008.06.010] [PMID: 18675455]
[http://dx.doi.org/10.3390/ijerph14060592] [PMID: 28574437]
[http://dx.doi.org/10.1016/j.abb.2018.03.041] [PMID: 29621523]
[http://dx.doi.org/10.1039/c2fo10268d] [PMID: 22441211]
[http://dx.doi.org/10.1055/s-2004-818945] [PMID: 15095149]
[http://dx.doi.org/10.1016/j.biopha.2020.110122] [PMID: 32305698]
[http://dx.doi.org/10.1177/0192623313482205] [PMID: 23531796]
[PMID: 3284818]
[http://dx.doi.org/10.1387/ijdb.082763jb] [PMID: 19876837]
[http://dx.doi.org/10.4049/jimmunol.1100130] [PMID: 21890660]
[http://dx.doi.org/10.1016/j.jri.2012.03.488] [PMID: 22542910]
[http://dx.doi.org/10.3389/fimmu.2019.00792] [PMID: 31037072]