Evidence map›Paper›PMID 42133093›Full record

Observational studyEuropean journal of nutrition2026

Amino acids: Missing link in preeclampsia pathogenesis?

Iclal Sena Gezer, Hasan Altinsoy, Ayse Gulcin Bastemur, Ozlem Dogan, Atakan Tanacan, Fatma Doga Ocal, Dilek Sahin, Nuray Yazihan

Abstract readObservational Study
In one paragraph

Observational study in European journal of nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Iclal Sena GezerInterdisciplinary Food, Metabolism and Clinical Nutrition Department, Institute of Health Sciences, Ankara University, Ankara, Turkey.ORCID http://orcid.org/0000-0002-0183-5232
Hasan AltinsoyDivision of Perinatology, Department of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, University of Health Sciences, Ankara, Turkey.ORCID http://orcid.org/0000-0001-9616-8139
Ayse Gulcin BastemurDivision of Perinatology, Department of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, University of Health Sciences, Ankara, Turkey.ORCID http://orcid.org/0000-0001-8362-7324
Ozlem DoganDepartment of Medical Biochemistry, Faculty of Medicine, Ankara University, Ankara, Turkey.ORCID http://orcid.org/0000-0003-3078-999X
Atakan TanacanDivision of Perinatology, Department of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, University of Health Sciences, Ankara, Turkey.ORCID http://orcid.org/0000-0001-8209-8248
Fatma Doga OcalDivision of Perinatology, Department of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, University of Health Sciences, Ankara, Turkey.ORCID http://orcid.org/0000-0003-4727-7982
Dilek SahinDivision of Perinatology, Department of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, University of Health Sciences, Ankara, Turkey.ORCID http://orcid.org/0000-0001-8567-9048
Nuray YazihanInterdisciplinary Food, Metabolism and Clinical Nutrition Department, Institute of Health Sciences, Ankara University, Ankara, Turkey. nyazihan@ankara.edu.tr.ORCID http://orcid.org/0000-0003-1237-8468

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study was designed to determine maternal dietary and serum amino acid (AA) levels as risk factors for preeclampsia (PE), aiming to identify the potential of specific AAs as biomarkers that could lead to novel dietary intervention strategies.

methodsThis prospective observational study included a total of 84 pregnant women (27 with PE and 57 controls). Maternal serum AA profiles were quantified using liquid chromatography-mass spectrometry (LC-MS), and dietary AA intake was assessed via three-day dietary recalls, usual intake was estimated using the Multiple Source Method (MSM) to correct for within-person variability. The potential of AA as a risk factor was evaluated using the Receiver Operating Characteristic (ROC) curve analysis, and key mechanisms involved in AA metabolism were identified through pathway analysis.

resultsDietary assessment uncovered a altered dietary amino acid pattern (AUC > 0.8), characterized by low intake of arginine, alanine, and glycine, glutamic acid, histidine, proline, serine, threonine, and tryptophan, alongside high total branched-chain amino acid (BCAA) and leucine consumption. Although dietary total protein intake was lower in PE, a higher intake of animal protein was observed. Concurrently, serum glutamine, asparagine, phenylalanine, 3-methylhistidine, cysteine, threonine, valine, BCAA, EAA, and aromatic AAs (AUC > 0.8) in serum were found to be potential risk factors for PE. Our results establish that dietary AA patterns and serum AA changes are independent, key risk factors, together providing a more comprehensive etiological model of PE.

conclusionThis study showed that a dietary imbalance in specific AAs represents a modifiable risk factor for PE. This finding, alongside an altered serum AA profile, opens new avenues for targeted nutritional interventions in high-risk pregnancies.

Indexed as

Amino AcidsDietPre-EclampsiaAdultAmino Acids, Branched-ChainBiomarkersCase-Control StudiesDietary ProteinsFemaleHumansPregnancyProspective StudiesRisk FactorsYoung AdultAmino AcidsAmino Acids, Branched-ChainBiomarkersDietary ProteinsAAsArginineBCAADietPreeclampsiaSerum

Identifiers

PMID42133093
PMCPMC13176041

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Registered trials

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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.