Review Article

Dopamine in the Pathophysiology of Preeclampsia and Gestational Hypertension: Monoamine Oxidase (MAO) and Catechol-O-methyl Transferase (COMT) as Possible Mechanisms

Table 2

A comprehensive list of studies in this review examining the role of catechol-O-methyl transferase (COMT) in the pathophysiology of hypertensive disorders of pregnancy.

AuthorCountryDesignCohort sizeMain findings

[32]United StatesCohort270 normal women
284 women with hypertension
COMT activity is low in patients with hypertension.
[86]United StatesReviewPreeclamptic womenDeficiency in catechol-O-methyl transferase and 2-methoxyoestradiol is associated with preeclampsia.
[87]AustraliaCohort14 healthy term pregnant women
8 preterm normotensive pregnancy
22 severe preeclamptic women
Severe preeclampsia may not be associated with a decrease in placental COMT expression.
[18]ChinaCohort15 normal pregnant women
15 term pregnant patients with preeclampsia
COMT may play a role in the pathogenesis of term preeclampsia.
[90]SpainCohortPregnant Sprague–Dawley ratsCOMT is associated with reduced NO bioavailability which results to endothelial dysfunction in GH.