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Ascending <jats:italic>C. trachomatis<\/jats:italic> can cause pelvic inflammatory disease (PID), potentially leading to subsequent infertility, ectopic pregnancy, and adverse pregnancy outcomes. There is growing evidence implicating infections (e.g., COVID\u201019, cytomegalovirus) in preeclampsia etiology, a maternal hypertensive disorder and leading cause of maternal morbidity and mortality. However, few studies have investigated the impact of STIs on preeclampsia risk. In this review, we provide an overview of the potential association between <jats:italic>C. trachomatis<\/jats:italic> and preeclampsia and identify future research needs through a critical evaluation of epidemiologic, in vitro, and in vivo studies. Unfortunately, current methodological limitations such as lower\u2010quality study designs, selection bias, confounding bias, and variations in chlamydia diagnostic methods inhibit our understanding of the impact of <jats:italic>C. trachomatis<\/jats:italic> on preeclampsia. In addition, bench\u2010side approaches such as animal models and in vitro studies have not elucidated the mechanisms linking <jats:italic>C. trachomatis<\/jats:italic> to preeclampsia. Understanding the biological pathways that could be disrupted by chlamydia is important as it may ultimately guide the development and use of novel therapeutics to augment standard antibiotic therapy to reduce pathology.<\/jats:p>","DOI":"10.1111\/aji.70080","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T11:08:38Z","timestamp":1745924918000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Current Evidence of Maternal Infection With <i>Chlamydia trachomatis<\/i> and Preeclampsia Risk"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8234-1815","authenticated-orcid":false,"given":"Brandie DePaoli","family":"Taylor","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Basic Science and Translational Research University of Texas Medical Branch  Galveston Texas USA"},{"name":"Academic Research, Advocate Aurora Research Institute  Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine L.","family":"Haggerty","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3924-5270","authenticated-orcid":false,"given":"Emmanuel","family":"Amabebe","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Basic Science and Translational Research University of Texas Medical Branch  Galveston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8392-2833","authenticated-orcid":false,"given":"Lauren S.","family":"Richardson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Basic Science and Translational Research University of Texas Medical Branch  Galveston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000001372"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2017-053367"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000001261"},{"key":"e_1_2_10_5_1","volume-title":"Sexually Transmitted Disease Surveillance 2023","author":"(CDC) CfDC","year":"2023"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000162361.69041.a5"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-199207000-00001"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiab031"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1086\/652395"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1128\/CVI.00203-17"},{"issue":"5","key":"e_1_2_10_11_1","first-page":"553","article-title":"Sexually Transmitted Infections: Updated Guideline from the CDC","volume":"105","author":"Klein D. 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