• RNA-seq identified 218 differentially expressed genes in preeclamptic placentas, with significant enrichment in autophagy-related pathways (PI3K-Akt, AMPK, mTOR).
• Autophagy is increased in preeclamptic placentas and hypoxic trophoblasts, suggesting a role in PE pathogenesis.
• 3-methyladenine (3-MA), an autophagy inhibitor, alleviates PE-like symptoms in a rat model of reduced uterine perfusion pressure (RUPP).
• Inhibiting autophagy may represent a promising therapeutic strategy for preeclampsia.
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