Hussein Hanan Khudhair, Aubead Nassrin Malik, Kzar Hamzah H, Karim Yasir Salam, Amin Ali H, Al-Gazally Moaed E, Ahmed Tousief Irshad, Jawad Mohammed Abed, Hammid Ali Thaeer, Jalil Abduladheem Turki, Mustafa Yasser Fakri, Saleh Marwan Mahmood, Heydari Hafez
College of Medicine, University of Babylon, Babil, Iraq.
Department of Obstetrics and Gynecology, Hammurabi College of Medicine, University of Babylon, Babil, Iraq.
Diabetol Metab Syndr. 2022 May 18;14(1):74. doi: 10.1186/s13098-022-00844-7.
Elevated lipids in umbilical cord blood affect fetal programming, leading to a higher risk of developing cardiovascular disease in later life. However, the causes of changes in the lipid profile of umbilical cord blood are not clear yet. This study aimed for the first time to determine the association of asprosin concentration with TAG, TC, HDL-C, LDL-C concentrations and TAG/HDL-C, TC/HDL-C, LDL-C/HDL-C and non-HDL-C/HDL-C ratio in umbilical cord blood as well as newborn anthropometric indices. This cross-sectional study was based on 450 mother- newborn pairs of a birth cohort study in Sabzevar, Iran. Multiple linear regression was used to estimate the association of lipid concentration and lipid ratios as well as birth weight (BW), birth length (BL), head circumference (HC) and chest circumference (CC) with asprosin in cord blood samples controlled for the relevant covariates.
In fully adjusted models, each 1 ng/mL increase in asprosin was associated with 0.19 (95% CI 0.06, 0.31, P < 0.01), 0.19 (95% CI 0.10, 0.29, P < 0.01), 0.17 (95% CI 0.09, 0.25, P < 0.01), 0.17 (95% CI 0.09, 0.25, P < 0.01), 0.01 (95% CI 0.00, 0.013, P < 0.01), 0.01 (95% CI 0.01, 0.01, P < 0.01), 0.01 (95% CI 0.01, 0.01, P < 0.01) and 0.01 (95% CI 0.01, 0.01, P < 0.01) increase in TAG, TC, LDL-C, TAG/HDL-C, TC/HDL-C, LDL-C/HDL-C and non-HDL-C/HDL-C ratio respectively. Moreover, higher asprosin levels was positively associated with newborn BW, BL, HC and CC; however, these associations were not statistically significant.
Overall, our findings support the positive association between cord asprosin concentration and the development of atherogenic lipid profile in newborns. Further studies are needed to confirm the findings of this study in other populations.
脐带血中脂质升高会影响胎儿编程,导致日后患心血管疾病的风险更高。然而,脐带血脂质谱变化的原因尚不清楚。本研究首次旨在确定脐带血中阿朴脂蛋白浓度与甘油三酯(TAG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)浓度以及TAG/HDL-C、TC/HDL-C、LDL-C/HDL-C和非HDL-C/HDL-C比值之间的关联,以及与新生儿人体测量指标的关系。这项横断面研究基于伊朗萨卜泽瓦尔一项出生队列研究中的450对母婴。在控制了相关协变量的脐带血样本中,采用多元线性回归来估计脂质浓度、脂质比值以及出生体重(BW)、出生身长(BL)、头围(HC)和胸围(CC)与阿朴脂蛋白之间的关联。
在完全调整的模型中,阿朴脂蛋白每增加1 ng/mL,分别与TAG、TC、LDL-C、TAG/HDL-C、TC/HDL-C、LDL-C/HDL-C和非HDL-C/HDL-C比值增加0.19(95%置信区间0.06,0.31,P < 0.01)、0.19(95%置信区间0.10,0.29,P < 0.01)、0.17(95%置信区间0.09,0.25,P < 0.01)、0.17(95%置信区间0.09,0.25,P < 0.01)、0.01(95%置信区间0.00,0.013,P < 0.01)、0.01(95%置信区间0.01,0.01,P < 0.01)、0.01(95%置信区间0.01,0.01,P < 0.01)和0.01(95%置信区间0.01,0.01,P < 0.01)相关。此外,较高的阿朴脂蛋白水平与新生儿BW、BL、HC和CC呈正相关;然而,这些关联无统计学意义。
总体而言,我们的研究结果支持脐带血阿朴脂蛋白浓度与新生儿动脉粥样硬化脂质谱发展之间的正相关。需要进一步研究以在其他人群中证实本研究的结果。