Abstract
African American (AA) women experience higher rates of maternal morbidity and mortality compared to US women of other racial/ ethnic groups. Cardiometabolic complications of pregnancy (including gestational diabetes, gestational hypertension, and preeclampsia) are leading contributors to maternal morbidity and mortality. Marked changes in circulating lipids are known to accompany cardiometabolic complications of pregnancy. Serum concentrations of docosahexaenoic acid (DHA) have been shown to be inversely correlated with risk for preeclampsia. DHA is a biosynthetic precursor of a class of specialized pro-resolving mediators (SPMs), resolvins, that have anti-inflammatory properties and are also associated with hypertensive disorders of pregnancy. We employed targeted lipidomics to characterize the distribution of DHA-containing phospholipids and SPMs in maternal serum collected in early and late pregnancy (8–14 weeks and 24–30 weeks gestation, respectively) to identify key lipids that are dysregulated during pregnancy in AA women who develop cardiometabolic complications. We identified a lipid signature in early pregnancy serum samples of AA women that is predictive of cardiometabolic complications of pregnancy with 74% accuracy. These are Resolvin D1, Resolvin E1, 2-AG, PGE2-glyerol ester, and 36:6 PC. These findings suggest that there are blood-based markers detectable in early pregnancy that can potentially identify persons at risk and tailor clinical interventions.
Funder
National Institutes of Health National Institutes of Nursing Research
National Institute of Environmental Health Sciences
the Office of Research on Women’s Health
Subject
Food Science,Nutrition and Dietetics
Reference63 articles.
1. Lauritzen, L., Brambilla, P., Mazzocchi, A., Harsløf, L.B.S., Ciappolino, V., and Agostoni, C. (2016). DHA Effects in Brain Development and Function. Nutrients, 8.
2. Long-chain omega-3 fatty acids and the brain: A review of the independent and shared effects of EPA, DPA and DHA;Dyall;Front. Aging Neurosci.,2015
3. Omega-3 fatty acids: Cardiovascular benefits, sources and sustainability;Lee;Nat. Rev. Cardiol.,2009
4. Long-chain n-3 PUFA supplied by the usual diet decrease plasma stearoyl-CoA desaturase index in non-hypertriglyceridemic older adults at high vascular risk;Clin. Nutr.,2018
5. Fish consumption and cardiovascular disease related biomarkers: A review of clinical trials;Petsini;Crit. Rev. Food Sci. Nutr.,2018
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