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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Screening for Preterm Birth: Potential for a Metabolomics Biomarker Panel
Elizabeth C Considine1, Ali S Khashan2,3, Louise C Kenny4
1The Irish Centre for Fetal and Neonatal Translational Research (INFANT), Department of Obstetrics and Gynaecology, University College Cork, Cork T12 YE02, Ireland. lizconsidine@gmail.com.
This study identified maternal serum biomarkers for spontaneous preterm birth (SPTB) prediction. A panel of four metabolites at 20 weeks gestation showed significant predictive accuracy in asymptomatic women.
Area of Science:
- Biochemistry
- Metabolomics
- Reproductive Medicine
Background:
- Spontaneous preterm birth (SPTB) is a leading cause of neonatal morbidity and mortality.
- Early prediction of SPTB in asymptomatic women remains a clinical challenge.
- Maternal serum metabolomics offers a promising avenue for identifying predictive biomarkers.
Purpose of the Study:
- To investigate maternal serum metabolomic profiles for predicting SPTB.
- To identify candidate biomarkers at 15 and 20 weeks of gestation.
- To develop a predictive biomarker panel for SPTB.
Main Methods:
- Analysis of serum metabolomics LC-MS datasets from a cohort of pregnant women.
- Comparison of cases (SPTB) and controls (full-term birth).
- Multivariate and univariate statistical analyses to identify candidate biomarkers, followed by panel development and cross-validation.
Main Results:
- High concordance (85%) between multivariate and univariate analyses at 20 weeks gestation.
- A four-feature biomarker panel demonstrated significant predictive capability for SPTB (pAUC=12.2, sensitivity=87.8%, specificity=57.7%, p=0.0013).
- The panel included metabolites from Bile Acids, Prostaglandins, Vitamin D, and Fatty Acids groups.
Conclusions:
- Maternal serum metabolomics can identify potential biomarkers for SPTB prediction.
- A panel of four metabolites shows promise for early SPTB risk assessment in asymptomatic pregnancies.
- Further validation is warranted to confirm the clinical utility of this biomarker panel.
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