产前困扰、线粒体健康和胎龄之间的关系:美国和土耳其两项妊娠研究的结果。

Qiuhan Huang, David Shire, Fiona Hollis, Sameera Abuaish, Martin Picard, Catherine Monk, Elif Aysimi Duman, Caroline Trumpff
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引用次数: 0

摘要

背景:妊娠结局受孕产妇窘迫的影响,但这些影响的潜在途径仍然未知。线粒体对压力适应和能量产生至关重要,可能将社会心理压力与其生物效应联系起来,尤其是在能量需求显著增加的孕期。本研究在美国和土耳其的两项纵向研究中探讨了两种线粒体标记物--循环细胞游离线粒体DNA(cf-mtDNA)和生长分化因子-15(GDF15)--作为潜在的线粒体健康指标,将孕产妇的窘迫与妊娠结局联系起来:我们分析了两项妊娠研究中妇女的生物、人口和心理数据:EPI(187 人,美国,平均年龄=29.6(SD=6.2))和 BABIP(198 人,土耳其,平均年龄=32.4(SD=4.0))。数据是在围产期的多个时间点收集的,包括妊娠晚期和妊娠中期,EPI 还包括妊娠早期和产后 4-14 个月的额外数据。产前孕产妇的心理困扰以感知到的压力、焦虑和抑郁症状来衡量。血浆 cf-mtDNA 和 GDF15 的水平分别通过 qPCR 和 ELISA 进行评估。统计分析包括Wilcoxon符号秩检验、Spearman相关性检验和Mann-Whitney检验:结果:在两项研究中,血浆 cf-mtDNA 水平在妊娠期间均无明显变化。在两项研究中,血浆 GDF15 水平从孕早期到孕晚期均有所上升,而在 EPI 中,血浆 GDF15 水平在产后明显下降。在两项研究中,孕晚期第 2 和第 3 个月的围产期产妇窘迫与 cf-mtDNA 或 GDF15 无关。在 EPI 中,代谢困扰(以孕前较高的体重指数衡量)在孕晚期第 2 个月与 GDF15 呈负相关,在 BABIP 中也呈现出类似的趋势。同样,在 EPI 中,孕早期后三个月较高的孕产妇心理压力与较低的 cf-mtDNA 相关,且有较低的 GDF15 的趋势。最后,孕前体重指数(BMI)较高和孕晚期孕产妇精神压力较大与 EPI 中 GDF15 从孕晚期到产后的下降幅度较小有关,这表明代谢压力、产前精神压力和孕后生理恢复之间存在相互作用:本研究发现,在两个国家的研究中,围产期血浆cf-mtDNA和GDF15水平的模式各不相同,揭示了孕产妇特征、产前窘迫和妊娠结局之间的独特关联,表明孕产妇窘迫与妊娠期能量动员之间存在相互作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Associations between prenatal distress, mitochondrial health, and gestational age: findings from two pregnancy studies in the USA and Turkey.

Objective This study examined associations between mitochondrial markers-circulating cell-free mitochondrial DNA (cf-mtDNA) and Growth Differentiation Factor-15 (GDF15)-with maternal distress and pregnancy outcomes. Method Participants were drawn from two pregnancy studies, EPI (N=187, USA) and BABIP (N=198, Turkey). Plasma cf-mtDNA and GDF15 levels were quantified using qPCR and ELISA assays. Results Plasma cf-mtDNA levels did not significantly vary across pregnancy, while plasma GDF15 levels increased from early to late pregnancy and decreased postpartum. Late 2nd trimester plasma GDF15 was negatively correlated with pre-pregnancy BMI (p=0.035) and gestational age (p=0.0048) at birth. Early 2nd trimester maternal distress was associated with lower cf-mtDNA (p<0.05) and a trend for lower GDF15. Higher pre-pregnancy BMI and late-pregnancy maternal distress were linked to smaller postpartum GDF15 declines in EPI (p<0.05). Conclusion This study reveals distinct plasma cf-mtDNA and GDF15 patterns during the perinatal period, linking mitochondrial markers to maternal distress and pregnancy outcomes.

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