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Serum Metabolic Profiling of Late-Pregnant Women With Antenatal Depressive Symptoms

Bibliographic Data

ID15528600
AuthorsQiang Mao (0000-0001-5645-2362, Dalian Medical University), Tian Tian (0000-0001-8436-7739, Affiliated Hospital of Guizhou Medical University), Jing Chen (0000-0002-7243-0806, Affiliated Hospital of Guizhou Medical University), Xunyi Guo (Chongqing Medical University), Xueli Zhang (0000-0001-5963-9261), Tao Zou (0000-0001-7030-3603, Institute of Forensic Science, corresponding author)
Year2021
Volume12
Pages679451-679451
Publication date2021-07-08
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.679451
PMID34305679
OpenAlexW3179081623
LanguageEN
References cited65

Background: Antenatal depression (AD) is a major public health issue worldwide and lacks objective laboratory-based tests to support its diagnosis. Recently, small metabolic molecules have been found to play a vital role in interpreting the pathogenesis of AD. Thus, non-target metabolomics was conducted in serum. Methods: Liquid chromatography-tandem mass spectrometry-based metabolomics platforms were used to conduct serum metabolic profiling of AD and non-antenatal depression (NAD). Orthogonal partial least squares discriminant analysis, the non-parametric Mann-Whitney U test, and Benjamini-Hochberg correction were used to identify the differential metabolites between AD and NAD groups; Spearman's correlation between the key differential metabolites and Edinburgh Postnatal Depression Scale (EPDS) and the stepwise logistic regression analysis was used to identify potential biomarkers. Results: In total, 79 significant differential metabolites between AD and NAD were identified. These metabolites mainly influence amino acid metabolism and glycerophospholipid metabolism. Then, PC (16:0/16:0) and betaine were significantly positively correlated with EPDS. The simplified biomarker panel consisting of these three metabolites [betaine, PC (16:0/16:0) and succinic acid] has excellent diagnostic performance (95% confidence interval = 0.911-1.000, specificity = 95%, sensitivity = 85%) in discriminating AD and NAD. Conclusion: The results suggested that betaine, PC (16:0/16:0), and succinic acid were potential biomarker panels, which significantly correlated with depression; and it could make for developing an objective method in future to diagnose AD

Betaine · Bioinformatics · Biology · Biomarker · Metabolomics · Birth, Development, and Health · Chemistry · Folate and B Vitamins Research · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Biochemistry · Internal Medicine

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  • Prevalence of antenatal depression in South Asia

    Rahini Mahendran, Shuby Puthussery et al.•Journal of Epidemiology and…•2019

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