Journal of International Reproductive Health/Family Planning ›› 2025, Vol. 44 ›› Issue (2): 155-160.doi: 10.12280/gjszjk.20240532

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Research Progress on 5-Hydroxytryptamin and Adverse Pregnancy Outcomes

LIU Yue, GAO Jing-shu, WANG Yu, FENG Jia-xing, GE Hang, WU Xiao-ke()   

  1. Heilongjiang University of Chinese Medicine, Harbin 150040, China (LIU Yue, GE Hang); Department of Gynecology, The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin 150040, China (GAO Jing-shu, WANG Yu, FENG Jia-xing, WU Xiao-ke)
  • Received:2024-11-05 Published:2025-03-15 Online:2025-03-10
  • Contact: WU Xiao-ke, E-mail: xiaokewu2002@vip.sina.com

Abstract:

5-hydroxytryptamin (5-HT) as a neurotransmitter participates in the regulation of mood, appetite and blood circulation by the interaction with its receptors. 5-HT also plays a significant role in maintaining placental function, oocyte maturation, and early embryonic development. Studies have shown that the abnormal level of 5-HT during pregnancy is closely associated with the adverse pregnancy outcomes such as hyperemesis gravidarum, pregnancy-induced hypertension, and gestational diabetes. The elevated level of the 5-HT3 receptor during pregnancy can increase the risk of nausea and vomiting of pregnancy or hyperemesis gravidarum. The abnormal levels of 5-HT1, 5-HT2, and 5-HT7 receptors during pregnancy can raise the risk of pregnancy-induced hypertension and gestational diabetes. This article aims to elucidate the specific mechanisms that 5-HT affects the adverse pregnancy outcomes, and to provide new potential insights for the future clinical prevention and treatment of adverse pregnancy outcomes.

Key words: Serotonin, Receptors, serotonin, Hyperemesis gravidarum, Hypertension, pregnancy-induced, Diabetes, gestational