Metabolomic profile in pregnant women with fetal growth restriction

Kan N.E., Khachatryan Z.V., Amiraslanov E.Yu., Chagovets V.V., Tyutyunnik V.L., Lomova N.A., Starodubtseva N.L., Kitsilovskaya N.A., Baranov I.I., Frankevich V.E.

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow
Objective. To search for biomarkers of fetal growth restriction (FGR) based on a study of the metabolic profile of pregnant women. Subjects and methods. Plasma samples from 38 pregnant women were investigated during the study. The pregnant women were divided into two groups: 1) 17 pregnant women with FGR; 2) 21 women with physiological pregnancy. The samples were analyzed using liquid chromatography with mass spectrometric detection. Control of the analysis of experimental results and their processing were done applying Agilent MassHunter software. Results. The investigators identified 18 metabolites min with statistically significantly different levels. Correlation analysis established a significant relationship between the identified metabolites and clinical and anamnestic data. There was a moderate correlation of FGR with 3 amino acids: beta-alanine (rs = 0.413, p = 0.003), cysteine (rs = 0.588, p <0.001), and ornithine (rs = 0.427, p = 0.002). Conclusion. The findings substantiate the prospects of investigating beta-alanine, cysteine, and ornithine as diagnostic markers of FGR. The high correlation of these metabolites with Doppler readings determines the possibility of their inclusion in the integrated diagnosis of FGR.

Keywords

fetal growth restriction
metabolomics
amino acids

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Received 01.10.2019

Accepted 04.10.2019

About the Authors

Natalia E. Kan, PhD, MD, professor of the National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov of Ministry of Healthcare of Russian Federation (117997, Moscow, Ac. Oparina, 4 str.). Tel.: +7(926)2208655. E-mail: kan-med@mail.ru
Zarine V. Khachatryan, PhD student of the National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov of Ministry of Healthcare of Russian Federation (117997, Moscow, Ac. Oparina, 4 str.). Tel.: +7(909)6562456. E-mail: z.v.khachatryan@gmail.com
Elrad Yu. Amiraslanov, PhD, the head of the obstetric department of National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov of Ministry of Healthcare of Russian Federation (117997, Moscow, Ac. Oparina, 4 str.). Tel.:+7(916)549-20-94. E-mail: e_amiraslanov@oparina4.ru
Vitaliy V. Chagovets, PhD, Senior Researcher of Laboratory of Proteomics and Metabolomics of Human Reproduction of the National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation (117997, Moscow, Ac. Oparina, 4 str.).
Tel.: +7(916)9191466. E-mail: vvchagovets@gmail.com
Victor L. Tyutyunnik, PhD, MD, professor of the National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov of Ministry of Healthcare of Russian Federation (117997, Moscow, Ac. Oparina, 4 str.). Tel.: +7(903)9695041. E-mail: tioutiounnik@mail.ru.
Natalia A. Lomova, PhD, Researcher of the Institute of Obstetrics of the National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation (117997, Moscow, Ac. Oparina, 4 str.). Tel.: +7(916)1442162. E-mail: natasha-lomova@yandex.ru
Nataliia L. Starodubtseva, PhD, Head of Laboratory of Proteomics of Human Reproduction, National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation (117997, Moscow, Ac. Oparina, 4 str.). Tel.: +7(916)4639867. e-mail: n_starodubtseva@oparina4.ru
Natalia A. Kitsilovskaya, specialist of the Laboratory of Proteomics and Metabolomics in Human Reproduction, Department of Systems Biology in Reproduction of the National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation (117997, Moscow, Ac. Oparina, 4 str.). Tel. +7(903)5657139 E-mail: kitsilovskyana@gmail.com
Igor I. Baranov, MD, professor, head of the Organizational and Methodological Department of the of the National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation (117997, Moscow, Ac. Oparina, 4 str.). Tel.: +7(495)4389492. E-mail: i_baranov@oparina4.ru
Vladimir E. Frankevich, PhD, Head of Department of Systems Biology in Reproduction of the National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation (117997, Moscow, Ac. Oparina, 4 str.). Tel.: +7(495)4380788, ext. 2198.
E-mail: v_frankevich@oparina4.ru.

For citation: Kan N.E., Khachatryan Z.V., Amiraslanov E.Yu., Chagovets V.V., Tyutyunnik V.L., Lomova N.A., Starodubtseva N.L., Kitsilovskaya N.A., Baranov I.I., Frankevich V.E. Metabolomic profile in pregnant women with fetal growth restriction.
Akusherstvo i Ginekologiya /Obstetrics and Gynecology. 2019; (12):59-65.(in Russian)
http://dx.doi.org/10.18565/aig.2019.12.59-65

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