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在怀孕早期的甲状腺自身免疫患者的血清代谢物概况
Zhaoying Chen1, Zhenyu Lin2, Yiyang Gao1
1Department of Endocrinology and Metabolism, The First Hospital of China Medical University, Shenyang, Liaoning, China.
PeerJ
|November 25, 2024
概括
这项研究在患有甲状腺自身免疫 (TAI) 的孕妇中确定了92种不同血清代谢物,将特定的代谢物与较低的出生体重和贫血等不良妊娠结果联系起来. 这些发现支持在TAI患者中早期查代谢异常.
科学领域:
- 内分泌学 在内分泌学.
- 代谢学 代谢学 代谢学
- 生殖医学 生殖医学
背景情况:
- 有限的研究存在于甲状腺自身免疫 (TAI) 的孕妇的血清代谢物概况.
- 在TAI中了解怀孕期间的代谢变化对于孕产妇和胎儿的健康至关重要.
- 怀孕早期的代谢变化可能会影响怀孕的结果.
研究的目的:
- 与健康对照人群相比,在患有TAI的孕妇中识别不同血清代谢物.
- 评估已识别的代谢物与怀孕结果之间的关系.
- 探索潜在的生物标志物来预测TAI怀孕中的不良结果.
主要方法:
- 使用液态染色体质谱法 (LC-MS) 对血清代谢物概况进行比较分析.
- 包括26名TAI和30名健康对照 (HC) 的孕妇.
- 统计分析包括最小绝对收缩和选择操作员 (LASSO) 回归和相关性分析.
主要成果:
- 确定了92种不同的代谢物 (50种上调,42种下调) 和四种丰富的KEGG通路.
- 在TAI患者的新生儿中观察到较低的出生体重 (P = 0.007).
- 与贫血,尿酸,禁食血糖和出生体重相关的特定代谢物;与甲状腺自身抗体相关的14种代谢物.
结论:
- 血清代谢物分析可以揭示TAI怀孕的显著差异.
- 某些代谢产物在TAI中显示出潜在的预测性生物标志物,用于预测妊娠不良结果.
- 早期查血清代谢物可能有助于在怀孕期间管理TAI.
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