Longitudinal Assessment of Erythrocyte Fatty Acid Composition Throughout Pregnancy and Post Partum
Tóm tắt
Transfer of fatty acids from mother to fetus during pregnancy is a requirement for optimal fetal growth. We report a longitudinal study of full maternal erythrocyte fatty acid profile assessed at each trimester of pregnancy [mean 12.5 (range 8–14), 26.1 (24–28) and 35.5 (33–38) weeks’ gestation] and in the post partum period [18.1 (12–26) weeks]. The study recruited healthy women (n = 47) from routine antenatal clinics at the Princess Royal Maternity Unit, Glasgow, Scotland. There were increases in 16:1n7 (22%, p = 0.0005), 24:1n9 (13%, p = 0.0032), 22:5n6 (25%, p = 0.0003), 18:3n3 (41%, p = 0.0007) and 22:6n3 (20%, p = 0.0005) concentrations during pregnancy. The greatest increases took place between gestations at sampling of 12.5 and 26.1 weeks. The change in 16:1n7 concentration between gestations at sampling of 12.5 and 35.3 weeks was negatively associated with maternal booking body mass index (r = −0.40, p = 0.006). The change in 22:6n3 concentration was correlated with the change in 24:1n9 (r = 0.70, p < 0.001). In samples taken four months post partum, 14:0 concentration was lower (29%, p = 0.0002) and 24:0 concentration (15%, p = 0.0009) and n6/n3 ratio (11%, p = 0.0019) were higher than at a gestation at sampling of 12.5 weeks. In conclusion, several fatty acids are specifically mobilised during pregnancy. The correlation between maternal 22:6n3 and 24:1n9 suggests that mobilisation of these fatty acids may be coordinated. The inverse relationship between 16:1n7 and maternal central obesity warrants further investigation.
Tài liệu tham khảo
Uauy R, Mena P, Rojas C (2000) Essential fatty acids in early life: structural and functional role. Proc Nutr Soc 59(1):3–15
Sattar N, Berry C, Greer IA (1998) Essential fatty acids in relation to pregnancy complications and fetal development. Br J Obstet Gynaecol 105(12):1248–1255
Haggarty P (2002) Placental regulation of fatty acid delivery and its effect on fetal growth—a review. Placenta 23(Suppl A):S28–S38
van Houwelingen AC, Sorensen JD, Hornstra G, Simonis MM, Boris J, Olsen SF, et al. (1995) Essential fatty acid status in neonates after fish-oil supplementation during late pregnancy. Br J Nutr 74(5):723–731
Al MD, van Houwelingen AC, Kester AD, Hasaart TH, de Jong AE, Hornstra G (1995) Maternal essential fatty acid patterns during normal pregnancy and their relationship to the neonatal essential fatty acid status. Br J Nutr 74(1):55–68
Otto SJ, Houwelingen AC, Antal M, Manninen A, Godfrey K, Lopez-Jaramillo P, et al. (1997) Maternal and neonatal essential fatty acid status in phospholipids: an international comparative study. Eur J Clin Nutr 51(4):232–242
Montgomery C, Speake BK, Cameron A, Sattar N, Weaver LT (2003) Maternal docosahexaenoic acid supplementation and fetal accretion. Br J Nutr 90(1):135–145
Hornstra G, Al MD, van Houwelingen AC, Foreman-van Drongelen MM (1995) Essential fatty acids in pregnancy and early human development. Eur J Obstet Gynecol Reprod Biol 61(1):57–62
Skeaff CM, Hodson L, McKenzie JE (2006) Dietary-induced changes in fatty acid composition of human plasma, platelet, and erythrocyte lipids follow a similar time course. J Nutr 136(3):565–569
Ghebremeskel K, Min Y, Crawford MA, Nam JH, Kim A, Koo JN, et al. (2000) Blood fatty acid composition of pregnant and nonpregnant Korean women: red cells may act as a reservoir of arachidonic acid and docosahexaenoic acid for utilization by the developing fetus. Lipids 35(5):567–574
Ashby AM, Robinette B, Kay HH (1997) Plasma and erythrocyte profiles of nonesterified polyunsaturated fatty acids during normal pregnancy and labor. Am J Perinatol 14(10):623–629
Stark KD, Beblo S, Murthy M, Buda-Abela M, Janisse J, Rockett H, et al. (2005) Comparison of bloodstream fatty acid composition from African–American women at gestation, delivery, and postpartum. J Lipid Res 46(3):516–525
Carstairs V, Morris R (1989) Deprivation and mortality: an alternative to social class? Community Med 11(3):210–219
Altman DG, Coles EC (1980) Nomograms for precise determination of birth weight for dates. Br J Obstet Gynaecol 87(2):81–86
Folch J, Lees M, Sloane Stanley GH (1957) A simple method for the isolation and purification of total lipides from animal tissues. J Biol Chem 226(1):497–509
Hoving EB, Jansen G, Volmer M, Van Doormaal JJ, Muskiet FA (1988) Profiling of plasma cholesterol ester and triglyceride fatty acids as their methyl esters by capillary gas chromatography, preceded by a rapid aminopropyl-silica column chromatographic separation of lipid classes. J Chromatogr 434(2):395–409
Clark P, Sattar N, Walker ID, Greer IA (2001) The Glasgow outcome, APCR and lipid (GOAL) pregnancy study: significance of pregnancy associated activated protein C resistance. Thromb Haemost 85(1):30–35
Williams C, Coltart TM (1978) Adipose tissue metabolism in pregnancy: the lipolytic effect of human placental lactogen. Br J Obstet Gynaecol 85(1):43–46
Burdge G (2004) Alpha-linolenic acid metabolism in men and women: nutritional and biological implications. Curr Opin Clin Nutr Metab Care 7(2):137–144
Burdge GC, Wootton SA (2002) Conversion of alpha-linolenic acid to eicosapentaenoic, docosapentaenoic and docosahexaenoic acids in young women. Br J Nutr 88(4):411–420
Haggarty P (2004) Effect of placental function on fatty acid requirements during pregnancy. Eur J Clin Nutr 58(12):1559–1570
Makrides M, Gibson RA (2000) Long-chain polyunsaturated fatty acid requirements during pregnancy and lactation. Am J Clin Nutr 71(1 Suppl):307S–311S
Fokkema MR, Smit EN, Martini IA, Woltil HA, Boersma ER, Muskiet FA (2002) Assessment of essential fatty acid and omega3-fatty acid status by measurement of erythrocyte 20:3omega9 (mead acid), 22:5omega6/20:4omega6 and 22:5omega6/22:6omega3. Prostaglandins Leukot Essent Fatty Acids 67(5):345–356
Burdge GC, Jones AE, Wootton SA (2002) Eicosapentaenoic and docosapentaenoic acids are the principal products of alpha-linolenic acid metabolism in young men. Br J Nutr 88(4):355–363
de Groot RH, Hornstra G, van Houwelingen AC, Roumen F (2004) Effect of alpha-linolenic acid supplementation during pregnancy on maternal and neonatal polyunsaturated fatty acid status and pregnancy outcome. Am J Clin Nutr 79(2):251–260
Martinez M, Mougan I (1998) Fatty acid composition of human brain phospholipids during normal development. J Neurochem 71(6):2528–2533
Sargent JR, Coupland K, Wilson R (1994) Nervonic acid and demyelinating disease. Med Hypotheses 42(4):237–242
Uauy R, Hoffman DR, Peirano P, Birch DG, Birch EE (2001) Essential fatty acids in visual and brain development. Lipids 36(9):885–895
Innis SM (2005) Essential fatty acid transfer and fetal development. Placenta 26(Suppl A):S70–S75
Dobrzyn A, Ntambi JM (2005) The role of stearoyl-CoA desaturase in the control of metabolism. Prostaglandins Leukot Essent Fatty Acids 73(1):35–41
Cohen P, Friedman JM (2004) Leptin and the control of metabolism: role for stearoyl-CoA desaturase-1 (SCD-1). J Nutr 134(9):2455S-2463S
Okada T, Furuhashi N, Kuromori Y, Miyashita M, Iwata F, Harada K (2005) Plasma palmitoleic acid content and obesity in children. Am J Clin Nutr 82(4):747–750
Dobrzyn A, Ntambi JM (2005) Stearoyl-CoA desaturase as a new drug target for obesity treatment. Obes Rev 6(2):169–174
Sattar N, Greer IA, Pirwani I, Gibson J, Wallace AM (1998) Leptin levels in pregnancy: marker for fat accumulation and mobilization? Acta Obstet Gynecol Scand 77(3):278–283
Highman TJ, Friedman JE, Huston LP, Wong WW, Catalano PM (1998) Longitudinal changes in maternal serum leptin concentrations, body composition, and resting metabolic rate in pregnancy. Am J Obstet Gynecol 178(5):1010–1015
Ramsay JE, Ferrell WR, Crawford L, Wallace AM, Greer IA, Sattar N (2002) Maternal obesity is associated with dysregulation of metabolic, vascular, and inflammatory pathways. J Clin Endocrinol Metab 87(9):4231–4237
Henson MC, Castracane VD (2006) Leptin in pregnancy: an update. Biol Reprod 74(2):218–229
Edwards DE, Bohm RP, Purcell J Jr, Ratterree MS, Swan KF, Castracane VD, et al. (2004) Two isoforms of the leptin receptor are enhanced in pregnancy-specific tissues and soluble leptin receptor is enhanced in maternal serum with advancing gestation in the baboon. Biol Reprod 71(5):1746–1752
Soria A, Gonzalez MC, Vidal H, Herrera E, Bocos C (2005) Triglyceridemia and peroxisome proliferator-activated receptor-alpha expression are not connected in fenofibrate-treated pregnant rats. Mol Cell Biochem 273(1–2):97–107
Kanagalingam MG, Forouhi NG, Greer IA, Sattar N (2005) Changes in booking body mass index over a decade: retrospective analysis from a Glasgow maternity hospital. Br J Obstet Gynaecol 112(10):1431–1433
