1. Changes in Lipid Profiles with the Progression of Pregnancy in Black Women.
- Author
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Saadat, Nadia, Aguate, Fernando, Nowak, Alexandra L., Hyer, Suzanne, Lin, Anna B., Decot, Hannah, Koch, Hannah, Walker, Deborah S., Lydic, Todd, Padmanabhan, Vasantha, Campos, Gustavo de los, Misra, Dawn, and Giurgescu, Carmen
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BLACK women ,ALPHA-linolenic acid ,LIPID metabolism ,LIPIDS ,EICOSAPENTAENOIC acid - Abstract
Background/Objectives: Lipid metabolism plays an important role in maternal health and fetal development. There is a gap in the knowledge of how lipid metabolism changes during pregnancy for Black women who are at a higher risk of adverse outcomes. We hypothesized that the comprehensive lipidome profiles would show variation across pregnancy indicative of requirements during gestation and fetal development. Methods: Black women were recruited at prenatal clinics. Plasma samples were collected at 8–18 weeks (T
1 ), 22–29 weeks (T2 ), and 30–36 weeks (T3 ) of pregnancy. Samples from 64 women who had term births (≥37 weeks gestation) were subjected to "shotgun" Orbitrap mass spectrometry. Mixed-effects models were used to quantify systematic changes and dimensionality reduction models were used to visualize patterns and identify reliable lipid signatures. Results: Total lipids and major lipid classes showed significant increases with the progression of pregnancy. Phospholipids and glycerolipids exhibited a gradual increase from T1 to T2 to T3 , while sphingolipids and total sterol lipids displayed a more pronounced increase from T2 to T3 . Acylcarnitines, hydroxy acylcarnitines, and Lyso phospholipid levels significantly decreased from T1 to T3 . A deviation was that non-esterified fatty acids decreased from T1 to T2 and increased again from T2 to T3 , suggestive of a potential role for these lipids during the later stages of pregnancy. The fatty acids showing this trend included key fatty acids—non-esterified Linoleic acid, Arachidonic acid, Alpha-linolenic acid, Eicosapentaenoic acid, Docosapentaenoic acid, and Docosahexaenoic acid. Conclusions: Mapping lipid patterns and identifying lipid signatures would help develop intervention strategies to reduce perinatal health disparities among pregnant Black women. [ABSTRACT FROM AUTHOR]- Published
- 2024
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