Metabolomic Profiling of Pregnancies With Polycystic Ovary Syndrome Identifies a Unique Metabolic Signature and Potential Predictive Biomarkers of Low Birth Weight

<h3>Background</h3><p dir="ltr">Polycystic ovary syndrome (PCOS) is a complex syndrome with clinical features of an endocrine/metabolic disorder. Various metabolites show significant association with PCOS; however, studies comparing the metabolic profile of pregnant women...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Ilhame Diboun (3522413) (author)
مؤلفون آخرون: Manjunath Ramanjaneya (519259) (author), Lina Ahmed (3342308) (author), Mohammed Bashir (5593550) (author), Alexandra E. Butler (6189536) (author), Omar Albagha (8977856) (author), Abdul Badi Abou-Samra (9417977) (author), Stephen L. Atkin (6684368) (author), Nayef A. Mazloum (7355087) (author), Mohamed A. Elrayess (7956179) (author)
منشور في: 2021
الموضوعات:
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_version_ 1864513516670550016
author Ilhame Diboun (3522413)
author2 Manjunath Ramanjaneya (519259)
Lina Ahmed (3342308)
Mohammed Bashir (5593550)
Alexandra E. Butler (6189536)
Omar Albagha (8977856)
Abdul Badi Abou-Samra (9417977)
Stephen L. Atkin (6684368)
Nayef A. Mazloum (7355087)
Mohamed A. Elrayess (7956179)
author2_role author
author
author
author
author
author
author
author
author
author_facet Ilhame Diboun (3522413)
Manjunath Ramanjaneya (519259)
Lina Ahmed (3342308)
Mohammed Bashir (5593550)
Alexandra E. Butler (6189536)
Omar Albagha (8977856)
Abdul Badi Abou-Samra (9417977)
Stephen L. Atkin (6684368)
Nayef A. Mazloum (7355087)
Mohamed A. Elrayess (7956179)
author_role author
dc.creator.none.fl_str_mv Ilhame Diboun (3522413)
Manjunath Ramanjaneya (519259)
Lina Ahmed (3342308)
Mohammed Bashir (5593550)
Alexandra E. Butler (6189536)
Omar Albagha (8977856)
Abdul Badi Abou-Samra (9417977)
Stephen L. Atkin (6684368)
Nayef A. Mazloum (7355087)
Mohamed A. Elrayess (7956179)
dc.date.none.fl_str_mv 2021-06-15T03:00:00Z
dc.identifier.none.fl_str_mv 10.3389/fendo.2021.638727
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Metabolomic_Profiling_of_Pregnancies_With_Polycystic_Ovary_Syndrome_Identifies_a_Unique_Metabolic_Signature_and_Potential_Predictive_Biomarkers_of_Low_Birth_Weight/25771536
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Reproductive medicine
metabolomics
pregnancy
polycystic ovary syndrome (PCOS)
birth weight
arachidonic acid
linoleic acid
palmitic acid
dc.title.none.fl_str_mv Metabolomic Profiling of Pregnancies With Polycystic Ovary Syndrome Identifies a Unique Metabolic Signature and Potential Predictive Biomarkers of Low Birth Weight
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">Polycystic ovary syndrome (PCOS) is a complex syndrome with clinical features of an endocrine/metabolic disorder. Various metabolites show significant association with PCOS; however, studies comparing the metabolic profile of pregnant women with and without PCOS are lacking. In this study, metabolomics analysis of blood samples collected from PCOS women and age and BMI matched controls in the second trimester of pregnancy was performed to identify metabolic differences between the two groups and determine their association with pregnancy outcome.</p><h3>Methods</h3><p dir="ltr">Sixteen PCOS and fifty-two healthy women in their second trimester underwent targeted metabolomics of plasma samples using tandem mass spectrometry with the Biocrates MxP® Quant 500 Kit. Linear regression models were used to identify the metabolic alterations associated with PCOS, followed by enrichment and Receiver Operating Characteristic (ROC) analyses to determine the best indicators of pregnancy outcomes.</p><h3>Results</h3><p dir="ltr">PCOS women had lower birth weight babies compared to healthy controls. As a group, systolic blood pressure (SBP) at both second trimester and at delivery negatively correlated with birth weight. Regression models indicated significant increases in the triglycerides C20:4_C34:3 and C18:2_C38:6 in the PCOS group [false discovery rate (FDR) <0.05]. Enrichment analysis revealed significant elevations in triglycerides containing arachidonic acid, linoleic acid and palmitic acid in the PCOS group. A number of indicators of baby birth weight were identified including SBP at delivery, hexosylceramide (d18:2/24:0), ceramide (d18.0/24.1) and serine, with an AUC for all predictors combined for low birth weight (≤2500grams) of 0.88 (95%CI: 0.75-1.005, p<0.001).</p><h3>Conclusions</h3><p dir="ltr">PCOS pregnancies resulted in babies with a lower birth weight, marked by a unique metabolic signature that was enriched with specific triglycerides and unsaturated fatty acids. The functional significance of these associations needs further investigation.</p><h2>Other Information</h2><p dir="ltr">Published in: Frontiers in Endocrinology<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3389/fendo.2021.638727" target="_blank">https://dx.doi.org/10.3389/fendo.2021.638727</a></p>
eu_rights_str_mv openAccess
id Manara2_cb86a7649fee4551f4b5820d10697c8b
identifier_str_mv 10.3389/fendo.2021.638727
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/25771536
publishDate 2021
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spelling Metabolomic Profiling of Pregnancies With Polycystic Ovary Syndrome Identifies a Unique Metabolic Signature and Potential Predictive Biomarkers of Low Birth WeightIlhame Diboun (3522413)Manjunath Ramanjaneya (519259)Lina Ahmed (3342308)Mohammed Bashir (5593550)Alexandra E. Butler (6189536)Omar Albagha (8977856)Abdul Badi Abou-Samra (9417977)Stephen L. Atkin (6684368)Nayef A. Mazloum (7355087)Mohamed A. Elrayess (7956179)Biomedical and clinical sciencesClinical sciencesReproductive medicinemetabolomicspregnancypolycystic ovary syndrome (PCOS)birth weightarachidonic acidlinoleic acidpalmitic acid<h3>Background</h3><p dir="ltr">Polycystic ovary syndrome (PCOS) is a complex syndrome with clinical features of an endocrine/metabolic disorder. Various metabolites show significant association with PCOS; however, studies comparing the metabolic profile of pregnant women with and without PCOS are lacking. In this study, metabolomics analysis of blood samples collected from PCOS women and age and BMI matched controls in the second trimester of pregnancy was performed to identify metabolic differences between the two groups and determine their association with pregnancy outcome.</p><h3>Methods</h3><p dir="ltr">Sixteen PCOS and fifty-two healthy women in their second trimester underwent targeted metabolomics of plasma samples using tandem mass spectrometry with the Biocrates MxP® Quant 500 Kit. Linear regression models were used to identify the metabolic alterations associated with PCOS, followed by enrichment and Receiver Operating Characteristic (ROC) analyses to determine the best indicators of pregnancy outcomes.</p><h3>Results</h3><p dir="ltr">PCOS women had lower birth weight babies compared to healthy controls. As a group, systolic blood pressure (SBP) at both second trimester and at delivery negatively correlated with birth weight. Regression models indicated significant increases in the triglycerides C20:4_C34:3 and C18:2_C38:6 in the PCOS group [false discovery rate (FDR) <0.05]. Enrichment analysis revealed significant elevations in triglycerides containing arachidonic acid, linoleic acid and palmitic acid in the PCOS group. A number of indicators of baby birth weight were identified including SBP at delivery, hexosylceramide (d18:2/24:0), ceramide (d18.0/24.1) and serine, with an AUC for all predictors combined for low birth weight (≤2500grams) of 0.88 (95%CI: 0.75-1.005, p<0.001).</p><h3>Conclusions</h3><p dir="ltr">PCOS pregnancies resulted in babies with a lower birth weight, marked by a unique metabolic signature that was enriched with specific triglycerides and unsaturated fatty acids. The functional significance of these associations needs further investigation.</p><h2>Other Information</h2><p dir="ltr">Published in: Frontiers in Endocrinology<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3389/fendo.2021.638727" target="_blank">https://dx.doi.org/10.3389/fendo.2021.638727</a></p>2021-06-15T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.3389/fendo.2021.638727https://figshare.com/articles/journal_contribution/Metabolomic_Profiling_of_Pregnancies_With_Polycystic_Ovary_Syndrome_Identifies_a_Unique_Metabolic_Signature_and_Potential_Predictive_Biomarkers_of_Low_Birth_Weight/25771536CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/257715362021-06-15T03:00:00Z
spellingShingle Metabolomic Profiling of Pregnancies With Polycystic Ovary Syndrome Identifies a Unique Metabolic Signature and Potential Predictive Biomarkers of Low Birth Weight
Ilhame Diboun (3522413)
Biomedical and clinical sciences
Clinical sciences
Reproductive medicine
metabolomics
pregnancy
polycystic ovary syndrome (PCOS)
birth weight
arachidonic acid
linoleic acid
palmitic acid
status_str publishedVersion
title Metabolomic Profiling of Pregnancies With Polycystic Ovary Syndrome Identifies a Unique Metabolic Signature and Potential Predictive Biomarkers of Low Birth Weight
title_full Metabolomic Profiling of Pregnancies With Polycystic Ovary Syndrome Identifies a Unique Metabolic Signature and Potential Predictive Biomarkers of Low Birth Weight
title_fullStr Metabolomic Profiling of Pregnancies With Polycystic Ovary Syndrome Identifies a Unique Metabolic Signature and Potential Predictive Biomarkers of Low Birth Weight
title_full_unstemmed Metabolomic Profiling of Pregnancies With Polycystic Ovary Syndrome Identifies a Unique Metabolic Signature and Potential Predictive Biomarkers of Low Birth Weight
title_short Metabolomic Profiling of Pregnancies With Polycystic Ovary Syndrome Identifies a Unique Metabolic Signature and Potential Predictive Biomarkers of Low Birth Weight
title_sort Metabolomic Profiling of Pregnancies With Polycystic Ovary Syndrome Identifies a Unique Metabolic Signature and Potential Predictive Biomarkers of Low Birth Weight
topic Biomedical and clinical sciences
Clinical sciences
Reproductive medicine
metabolomics
pregnancy
polycystic ovary syndrome (PCOS)
birth weight
arachidonic acid
linoleic acid
palmitic acid