Reproductive endocrinology

Metabolic Profiles of Pregnancy With Polycystic Ovary Syndrome: Insights into Maternal-Fetal Metabolic Communication

J Clin Endocrinol MetabPublished Mechanistic study

An erratum to this article was published (J Clin Endocrinol Metab, 19 May 2025 ↗)

Authors' conclusion

This study identifies the metabolomic profile and key pathways in maternal-fetal communication during PCOS pregnancies.

Study context

Population
Uncomplicated polycystic ovary syndrome (PCOS) pregnancies and normal pregnancies; placenta and umbilical cord serum analysed
Participants
45 vs 50
Comparison
PCOS pregnancies vs normal pregnancies
  • PCOSn = 45
  • Normaln = 50reference
Outcome
Metabolic characteristics at the maternal-fetal interface in PCOS pregnancies and the underlying mechanisms
Methodological detailsgas chromatography-mass spectrometry metabolomics
  • Gas chromatography-mass spectrometry metabolomics

Main finding

As reported in the abstract

Differential metabolites, PCOS vs normal pregnancies
Placental metabolites differing significantly
79
Umbilical cord serum metabolites differing significantly
25
Top 10 placental metabolites (ROC) correlating significantly with maternal serum testosterone
9
Lasso-selected placental combination (GABA, proline, glycine, isoleucine): AUC
93.24%
Umbilical cord serum metabolites differing significantly (highest AUC 76.07%)
6
Of these, correlated significantly with maternal serum testosterone
5
Differential metabolites shared between placenta and umbilical cord serum (shared pathways incl. ABC transporters, aminoacyl-tRNA biosynthesis)
9

Original publication

Metabolic Profiles of Pregnancy With Polycystic Ovary Syndrome: Insights into Maternal-Fetal Metabolic Communication. J Clin Endocrinol Metab. Published 29 January 2025. doi:10.1210/clinem/dgaf057

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