Metabolic Dynamics and Prediction of Gestational Age and Time to Delivery in Pregnant Women

Liang Liang, Marie Louise Hee Rasmussen, Brian Piening, Xiaotao Shen, Songjie Chen, Hannes Röst, John K. Snyder, Robert Tibshirani, Line Skotte, Norman CY Lee, Kévin Contrepois, Bjarke Feenstra, Hanyah Zackriah, Michael Snyder*, Mads Melbye

*Corresponding author af dette arbejde

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206 Citationer (Scopus)
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Abstract

Metabolism during pregnancy is a dynamic and precisely programmed process, the failure of which can bring devastating consequences to the mother and fetus. To define a high-resolution temporal profile of metabolites during healthy pregnancy, we analyzed the untargeted metabolome of 784 weekly blood samples from 30 pregnant women. Broad changes and a highly choreographed profile were revealed: 4,995 metabolic features (of 9,651 total), 460 annotated compounds (of 687 total), and 34 human metabolic pathways (of 48 total) were significantly changed during pregnancy. Using linear models, we built a metabolic clock with five metabolites that time gestational age in high accordance with ultrasound (R = 0.92). Furthermore, two to three metabolites can identify when labor occurs (time to delivery within two, four, and eight weeks, AUROC ≥ 0.85). Our study represents a weekly characterization of the human pregnancy metabolome, providing a high-resolution landscape for understanding pregnancy with potential clinical utilities.

OriginalsprogEngelsk
TidsskriftCell
Vol/bind181
Udgave nummer7
Sider (fra-til)1680-1692.e15
Antal sider29
ISSN0092-8674
DOI
StatusUdgivet - 2020

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