Zhang Lizi, Bi Shilei, Liang Yingyu, Huang Lijun, Li Yulian, Huang Minshan, Huang Baoying, Deng Weinan, Liang Jingying, Gu Shifeng, Chen Jingsi, Du Lili, Chen Dunjin, Wang Zhijian
Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Department of Obstetrics and Gynecology, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Front Physiol. 2022 Feb 4;13:807583. doi: 10.3389/fphys.2022.807583. eCollection 2022.
Preeclampsia is one of the most common severe pregnancy complications in obstetrics, which is considered a placental source disease. However, the mechanisms underlying preeclampsia remain largely unknown. In this study, UPLC-MS/MS-based metabolomic and lipidomic analysis was used to explore the characteristic placental metabolites in preeclampsia. The results revealed that there were significant changes in metabolites between preeclampsia and normotensive placentas. Weighted correlation network analysis (WGCNA) identified the correlation network module of metabolites highly related to preeclampsia and the clinical traits reflecting disease severity. The metabolic perturbations were primarily associated with glycerophospholipid and glutathione metabolism, which might influent membrane structures of organisms and mitochondria function. Using linear models, three metabolites had an area under receiver operating characteristic curves (AUROC) ≥ 0.80 and three lipids had an AUROC ≥ 0.90. Therefore, metabolomics and lipidomics may offer a novel insight for a better understanding of preeclampsia and provide a useful molecular mechanism underlying preeclampsia.
子痫前期是产科最常见的严重妊娠并发症之一,被认为是一种胎盘源性疾病。然而,子痫前期的潜在机制在很大程度上仍不清楚。在本研究中,基于超高效液相色谱-串联质谱的代谢组学和脂质组学分析被用于探索子痫前期胎盘的特征性代谢物。结果显示,子痫前期胎盘与血压正常的胎盘之间的代谢物存在显著变化。加权基因共表达网络分析(WGCNA)确定了与子痫前期高度相关的代谢物相关网络模块以及反映疾病严重程度的临床特征。代谢紊乱主要与甘油磷脂和谷胱甘肽代谢有关,这可能影响生物体的膜结构和线粒体功能。使用线性模型,三种代谢物的受试者工作特征曲线下面积(AUROC)≥0.80,三种脂质的AUROC≥0.90。因此,代谢组学和脂质组学可能为更好地理解子痫前期提供新的见解,并为子痫前期提供有用的分子机制。