Entre el 3 y el 5% de los embarazos se complican debido a la preeclampsia (PE). La PE es un desorden multisistémico mediado por una disfunción endotelial caracterizado por hipertensión, proteinuria y daño renal. A pesar de una considerable investigación, su etiología y su patología todavía no están claras. Diferentes teorías que implican diferentes vías incluyendo la trombofilia, los cambios inmunológicos, los factores angiogénicos/antiangiogénicos circulantes y un incremento en el estrés oxidativo, se han relacionado con su patogénesis. El papel de los anticuerpos anti-fosfolípido (aFL) es motivo de discusión en la PE. La evidencia de la disfunción endotelial relacionada con la PE/FGR se ha mostrado mediante marcadores plasmáticos modificados, incluyendo la fibronectina, el factor von Willebrand y la ICAM-1 de una manera similar a lo que ocurre en las complicaciones obstétricas mediadas por aFL. Actualmente estamos tratando de encontrar el papel que pueden jugar diferentes aFL y anticuerpos dirigidos contra ciertos cofactores, así como su relación con factores angiogénicos/antiangiogénicos y el número de micropartículas en la PE severa.

The late clinical manifestations that arise when bioimplants are applied seem to have an immunologic basis. We are studying both the histological characteristics and the lesional mechanisms of the most frequently used implants. We try to analyze the role that bacteria may have in the induction and/or maintenance of these reactions and the possible correlation between particular HLA haplotypes and the adverse effects.

Cellular microparticles (CMP) are released depending on the activation and/or the presence of cell apoptosis. They are capable of activating both inflammatory and coagulation pathways. It seems that levels of CMP are higher in healthy pregnant women. A working hypothesis establishes that an increase of CMP levels may be found in recurrent pregnancy loses and preeclampsia. It is thought that their thrombophilic capacity may be higher in those patients with anti-phospholipid antibodies, especially among those with lupus anticoagulant. We want to determine MPC levels in non-pregnant healthy women, pregnant women without previous abnormal obstetric events, women with recurrent pregnancy loses, and women with severe preeclampsia. We are also evaluating whether there are differences related to the presence or absence of antiphospholipid antibodies. Finally, we will also characterize the exact type of CMP (endothelial, platelet-like, leuco-monocyte, and throphoblastic).

Identification at the molecular level of pathways and proteins associated with the senescence of endothelial cells linked to aging and inflamatory responses. New candidate targets for therapeutic intervention at the clinical level and as new molecular moieties for nanomedicine approaches to improve aging related pathologies caused by endothelial inflamatory based senescence.