Evidence map›Paper›PMID 41381444›Full record

ArticleNature communications2025

Metabolomics of saliva, serum, and urine for pathogenesis, diagnosis, and prognosis in gestational diabetes mellitus.

Qi Wu, Yihui Wu, Shuqi Zhu, Yibo Tang, Lixia Zhang, Jiayue Tang, Qi Chen, Luyao Hu, Pingya Zhu, Xuliang Fu and 4 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Qi Wu *Obstetrical Department, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.ORCID http://orcid.org/0000-0001-5117-2708
Yihui Wu *Obstetrical Department, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Shuqi Zhu *Obstetrical Department, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Yibo TangObstetrical Department, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Lixia ZhangObstetrical Department, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Jiayue TangObstetrical Department, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Qi ChenObstetrical Department, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Luyao HuObstetrical Department, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Pingya ZhuWell-healthcare Technologies Co. Ltd., Hangzhou, China.
Xuliang FuWell-healthcare Technologies Co. Ltd., Hangzhou, China.
Jianghai ChangWell-healthcare Technologies Co. Ltd., Hangzhou, China.
Sheng CaoWell-healthcare Technologies Co. Ltd., Hangzhou, China.
Danqing ChenObstetrical Department, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Zhaoxia LiangObstetrical Department, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China. xiaozaizai@zju.edu.cn.ORCID http://orcid.org/0000-0001-8571-3269

Funding

Natural Science Foundation of Zhejiang Province (Zhejiang Provincial Natural Science Foundation) ZCLQN25H0402
6 · The paper itself

Abstract

Gestational diabetes mellitus (GDM) is a common metabolic disorder in pregnancy, but the underlying mechanism has not been fully clarified. Using metabolomic profiling of second-trimester saliva, serum, and urine, we identify 54 metabolites altered in GDM that converge on key metabolic pathways. Fifty GDM biomarkers independently associated with abnormal maternal glucose and insulin resistance are selected to construct GDM discriminant models (internal test AUC: 0.868; real-world test: 0.796). These GDM biomarkers are also associated with clinical profiles and adverse outcomes, thereby predicting maternal and neonatal risks (internal test AUC: 0.764 and 0.838; real-world test: 0.726 and 0.792, respectively). Eleven GDM biomarkers are already altered in the first trimester, which can be used for the early prediction of GDM (internal test AUC: 0.767; real-world test: 0.744). In this work, changes and interactions of metabolites in saliva, serum, and urine in the second trimester are first identified in GDM, providing insights into its pathogenesis and potential early prediction and prevention strategies.

Indexed as

Diabetes, GestationalMetabolomicsSalivaAdultBiomarkersBlood GlucoseFemaleHumansInsulin ResistancePregnancyPregnancy Trimester, SecondPrognosisBiomarkersBlood Glucose

Identifiers

PMID41381444
PMCPMC12698703

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.