Study on the Potential Biomarkers of Maternal Urine Metabolomics for Fetus with Congenital Heart Diseases Based on Modified Gas Chromatograph-Mass Spectrometer.

Background. There has been significant research on the genetic and environmental factors of congenital heart defects (CHDs), but few causes of teratogenicity, especially teratogenic mechanisms, can be clearly identified. Metabolomics has a potential advantage in researching the relationship between...

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Publicado en:BioMed Research International pp. 1 - 11
Autores principales: Xie, Donghua, Luo, Yingchun, Xiong, Xiyue, Lou, Mingxing, Liu, Zhiyu, Wang, Aihua, Xiong, Lili, Kong, Fanjuan, Wang, Yichao, Wang, Hua
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 5/6/2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 5/6/2019
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2019/1905416
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        atl: Study on the Potential Biomarkers of Maternal Urine Metabolomics for Fetus with Congenital Heart Diseases Based on Modified Gas Chromatograph-Mass Spectrometer.
      aug:
        au:
          Xie, Donghua
          Luo, Yingchun
          Xiong, Xiyue
          Lou, Mingxing
          Liu, Zhiyu
          Wang, Aihua
          Xiong, Lili
          Kong, Fanjuan
          Wang, Yichao
          Wang, Hua
        affil: Department of Information Management, Maternal and Child Health Hospital of Hunan Province, 58 Xiangchun Road, Changsha, Hunan 410078, China
      sug:
        subj:
          Biological Markers Urine
          Metabolomics
          Heart Defects, Congenital Risk Factors
          Heart Defects, Congenital Therapy
          Heart Defects, Congenital Prevention and Control
          Fetal Abnormalities
          Risk Assessment
          Human
          Pregnancy Trimester, Second
          Pregnancy Trimester, Third
          Pregnancy
          Female
          Fetus
          Early Intervention
          Case Control Studies
          Factor Analysis
          Data Analysis Software
          Multiple Logistic Regression
          Discriminant Analysis
          Wilcoxon Rank Sum Test
          Mann-Whitney U Test
          Acids, Carbocyclic Urine
          Acids, Acyclic Urine
          Uric Acid Urine
          Odds Ratio
          Confidence Intervals
          Gas Chromatography-Mass Spectrometry Methods
          Heart Defects, Congenital Diagnosis
          Fetus, conception to birth
          Female
      ab: Background. There has been significant research on the genetic and environmental factors of congenital heart defects (CHDs), but few causes of teratogenicity, especially teratogenic mechanisms, can be clearly identified. Metabolomics has a potential advantage in researching the relationship between external factors and CHD. Objective. To find and identify the urinary potential biomarkers of pregnancy (including in the second and third trimesters) for fetuses with CHD based on modified gas chromatograph-mass spectrometer (GC-MS), which could reveal the possibility of high-risk factors for CHD and lay the foundation for early intervention, treatment, and prevention. Methods. Using a case-control design, we measured the urinary potential biomarkers of maternal urine metabolomics based on GC-MS in a population-based sample of women whose infants were diagnosed with CHD (70 case subjects) or were healthy (70 control subjects). SIMCA-P 13.0 software, principal component analysis (PCA), orthogonal partial least squares-discriminant analysis (OPLS-DA), Wilcoxon-Mann-Whitney test, and logistics regression were used to find significant potential biomarkers. Result. The 3D score graph of the OPLS-DA showed that the CHD and control groups were fully separated. The fitting parameters were R2x=0.78 and R2y=0.69, and the forecast rate was Q2=0.61, indicating a high forecast ability. According to the ranking of VIPs from the OPLS-DA models, we found 34 potential metabolic markers with a VIP > 1, and after two pairwise rank sum tests, we found 20 significant potential biomarkers, which were further used in multifactor logistic regressions. Significant substances, including 4-hydroxybenzeneacetic acid (OR=4.74, 95% CI: 1.06-21.06), 5-trimethylsilyloxy-n-valeric acid (OR=15.78, 95% CI: 2.33-106.67), propanedioic acid (OR=5.37, 95% CI: 1.87-15.45), hydracrylic acid (OR=6.23, 95% CI: 1.07-36.21), and uric acid (OR=5.23, 95% CI: 1.23-22.32), were associated with CHD. Conclusion. The major potential biomarkers in maternal urine associated with CHD were 4-hydroxybenzeneacetic acid, 5-trimethylsilyloxy-n-valeric acid, propanedioic acid, hydracrylic acid, and uric acid, respectively. These results indicated that the short chain fatty acids (SCFAs) and aromatic amino acid metabolism may be relevant with CHD.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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