No association in maternal serum levels of TMAO and its precursors in pre-eclampsia and in non-complicated pregnancies

Tiina Jääskeläinen, Olli Kärkkäinen, Seppo Heinonen, Kati Hanhineva, Hannele Laivuori

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    Abstract

    Only a few studies have explored the role of microbiota-dependent metabolite trimethylamine N-oxide (TMAO) in non-complicated pregnancy and in pre-eclampsia (PE). We enrolled 139 PE and 29 healthy pregnant women in a nested case control study. We hypothesized that elevated levels of circulating TMAO and its precursors choline and glycine betaine in the late second or in third trimester might contribute to the PE and are associated with the onset of the disease and clinical features such as elevated blood pressure. The association with a few available lifestyle factors (use of fish and physical activity) was also evaluated. In contrast with the previous findings, there was no difference in TMAO concentration between PE and healthy women. In addition, TMAO concentration was not associated with any of the PE related clinical features, angiogenic or inflammatory markers. In future, it is crucial to obtain longitudinal data on TMAO in both non-complicated and in PE pregnancies before we could have more detailed understanding of TMAO.

    Original languageEnglish
    Pages (from-to)74-80
    Number of pages7
    JournalPREGNANCY HYPERTENSION
    Volume28
    DOIs
    Publication statusPublished - Jun 2022
    Publication typeA1 Journal article-refereed

    Funding

    Funding was received from the Competitive State Research Financing of the Expert Responsibility are of Helsinki University Hospital (TYH2018305 and TYH2021308), Juho Vainio Foundation, Jane and Aatos Erkko Foundation, Päivikki and Sakari Sohlberg Foundation, Academy of Finland (grants no 121196, 134957, 278941, 277986, 321716), Research Funds of the University of Helsinki, Finnish Medical Foundation, Finska Läkaresällskapet, Emil Aaltonen Foundation, Sigrid Jusélius Foundation and ERA-NET NEURON Grant no 334814. We appreciate the expert technical assistance of Eija Kortelainen and late Susanna Meht?l? and contribution of the members and assisting personnel of the FINNPEC Study Group. Swedish Metabolomics Centre, Ume?, Sweden (www.swedishmetabolomicscentre.se) is acknowledged for the measurement of TMAO panels by LC?MS.

    Keywords

    • LC–MS
    • Preeclampsia
    • Pregnancy
    • TMAO

    Publication forum classification

    • Publication forum level 1

    ASJC Scopus subject areas

    • Internal Medicine
    • Obstetrics and Gynaecology

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