Role of vitamin D in the pathogenesis of early-onset preeclampsia: a narrative review

Early-onset Preeclampsia (EOPE) is a severe pregnancy complication that poses significant risks to both maternal and fetal health, often leading to fetal growth restriction and maternal morbidity. Despite extensive research, the etiology of EOPE remains unclear, though emerging evidence suggests tha...

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Main Authors: Shu Zheng, Shuai Dong, Huimin Shen, Peng Xu, Chang Shu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1598691/full
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author Shu Zheng
Shuai Dong
Huimin Shen
Peng Xu
Chang Shu
author_facet Shu Zheng
Shuai Dong
Huimin Shen
Peng Xu
Chang Shu
author_sort Shu Zheng
collection DOAJ
description Early-onset Preeclampsia (EOPE) is a severe pregnancy complication that poses significant risks to both maternal and fetal health, often leading to fetal growth restriction and maternal morbidity. Despite extensive research, the etiology of EOPE remains unclear, though emerging evidence suggests that vitamin D (VD) may play an important role in placental development and function. Recent studies associate VD deficiency with adverse pregnancy outcomes, including EOPE, through mechanisms such as impaired trophoblast invasion and immune dysregulation at the maternal-fetal interface. This review aimed to synthesize current literature on the role of VD in the pathogenesis of EOPE. We reviewed in vitro, in vivo, and clinical studies to evaluate the impact of VD on immune modulation, angiogenesis, oxidative stress, and trophoblast migration and invasion in the placenta. This comprehensive review aims to provide insights into how VD deficiency exacerbates placental dysfunction, contributing to the development of EOPE. These insights support the rationale for VD supplementation as a potential preventive strategy and highlight the need for further clinical investigation.
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spelling doaj-art-bf644148ecdd45bcbce7f2bd87ea4fa12025-08-20T03:21:51ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-06-011210.3389/fnut.2025.15986911598691Role of vitamin D in the pathogenesis of early-onset preeclampsia: a narrative reviewShu ZhengShuai DongHuimin ShenPeng XuChang ShuEarly-onset Preeclampsia (EOPE) is a severe pregnancy complication that poses significant risks to both maternal and fetal health, often leading to fetal growth restriction and maternal morbidity. Despite extensive research, the etiology of EOPE remains unclear, though emerging evidence suggests that vitamin D (VD) may play an important role in placental development and function. Recent studies associate VD deficiency with adverse pregnancy outcomes, including EOPE, through mechanisms such as impaired trophoblast invasion and immune dysregulation at the maternal-fetal interface. This review aimed to synthesize current literature on the role of VD in the pathogenesis of EOPE. We reviewed in vitro, in vivo, and clinical studies to evaluate the impact of VD on immune modulation, angiogenesis, oxidative stress, and trophoblast migration and invasion in the placenta. This comprehensive review aims to provide insights into how VD deficiency exacerbates placental dysfunction, contributing to the development of EOPE. These insights support the rationale for VD supplementation as a potential preventive strategy and highlight the need for further clinical investigation.https://www.frontiersin.org/articles/10.3389/fnut.2025.1598691/fullvitamin Dearly-onset preeclampsiaplacental angiogenesisoxidative stressimmune modulation
spellingShingle Shu Zheng
Shuai Dong
Huimin Shen
Peng Xu
Chang Shu
Role of vitamin D in the pathogenesis of early-onset preeclampsia: a narrative review
Frontiers in Nutrition
vitamin D
early-onset preeclampsia
placental angiogenesis
oxidative stress
immune modulation
title Role of vitamin D in the pathogenesis of early-onset preeclampsia: a narrative review
title_full Role of vitamin D in the pathogenesis of early-onset preeclampsia: a narrative review
title_fullStr Role of vitamin D in the pathogenesis of early-onset preeclampsia: a narrative review
title_full_unstemmed Role of vitamin D in the pathogenesis of early-onset preeclampsia: a narrative review
title_short Role of vitamin D in the pathogenesis of early-onset preeclampsia: a narrative review
title_sort role of vitamin d in the pathogenesis of early onset preeclampsia a narrative review
topic vitamin D
early-onset preeclampsia
placental angiogenesis
oxidative stress
immune modulation
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1598691/full
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AT huiminshen roleofvitamindinthepathogenesisofearlyonsetpreeclampsiaanarrativereview
AT pengxu roleofvitamindinthepathogenesisofearlyonsetpreeclampsiaanarrativereview
AT changshu roleofvitamindinthepathogenesisofearlyonsetpreeclampsiaanarrativereview