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ArticleMetabolomics : Official journal of the Metabolomic Society2025

Metabolic profiling of amniotic fluid by differential

Ya-Ju Hsieh, Yao-Lung Chang, Yi-Hsin Wu, Cheng-Yu Hung, Liang Li, Jau-Song Yu, Chih-Hsiang Chang, Wei-Ju Tu, Yi-Ting Chen

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Article in Metabolomics : Official journal of the Metabolomic Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ya-Ju HsiehMolecular and Medicine Research Center, Chang Gung University, Taoyuan, Taiwan.
Yao-Lung ChangDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taoyuan, Taiwan. j12054@cgmh.org.tw.
Yi-Hsin WuGraduate Institute of Biomedical Sciences, Chang Gung University, Taoyuan, Taiwan.
Cheng-Yu HungMolecular and Medicine Research Center, Chang Gung University, Taoyuan, Taiwan.
Liang LiDepartment of Chemistry, University of Alberta, Edmonton, AB, T6G2G2, Canada.
Jau-Song YuMolecular and Medicine Research Center, Chang Gung University, Taoyuan, Taiwan.
Chih-Hsiang ChangKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Wei-Ju TuGraduate Institute of Biomedical Sciences, Chang Gung University, Taoyuan, Taiwan.
Yi-Ting ChenMolecular and Medicine Research Center, Chang Gung University, Taoyuan, Taiwan. ytchen@mail.cgu.edu.tw.

Funding

National Science and Technology Council, R.O.C 111-2113-M-182-002
6 · The paper itself

Abstract

introductionDown syndrome, caused by the triplication of human chromosome 21 (trisomy 21 [T21]) or its distal segment, is the most prevalent chromosomal anomaly associated with intellectual disability in newborns.

objectivesTo investigate the relationship between T21 and hydrops by analyzing metabolomic alterations, identifying correlations, and exploring pathway regulation mechanisms. This study goes beyond biomarker discovery, aiming to elucidate the pathogenesis of T21 and to explore the underlying mechanism.

methodsWe developed a

resultsThis workflow enabled the classification of AF specimens, revealing 138 increased and 116 decreased out of 2351 detected metabolites in T21 AF specimens. Metabolite identities were confirmed via LC-MS/MS spectral analysis using authentic standards. Dysregulated metabolites in T21 AF included markers of oxidative regulation and glutathione metabolism as well as those linked to fetal development. Further subgroup analysis identified 31 T21-associated metabolites, including significantly elevated androsterone sulfate in T21 AF both with and without hydrops. Among 30 hydrops-associated metabolites, most were reduced in hydrops AF, while hyaluronic acid (HA) was notably elevated only in T21 hydrops cases. Correlation analyses highlighted negative associations between HA and metabolites like kynurenine and homovanillic acid, suggesting potential roles in immune modulation and neuronal development in the fetal microenvironment.

conclusionThis study identifies T21-associated metabolites that may serve as early diagnostic markers or therapeutic targets, offering insights into the metabolic landscape of Down syndrome and a foundation for exploring fetal therapeutic strategies.

Indexed as

Amniotic FluidDown SyndromeMetabolomeMetabolomicsBiomarkersCarbon IsotopesChromatography, LiquidDansyl CompoundsFemaleFetusHumansIsotope LabelingLiquid Chromatography-Mass SpectrometryPregnancyTandem Mass SpectrometryBiomarkersCarbon IsotopesDansyl CompoundsAmniotic fluidBiomarkerDansylationDown syndromeHydrops fetalisIsotopic chemical labelingMetabolomicsTrisomy 21

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.