• Int J Med Sci · Jan 2020

    Observational Study

    Lipidomic profiling of chorionic villi in the placentas of women with chronic venous disease.

    • Miguel A Ortega, Miguel A Saez, Felipe Sainz, Oscar Fraile-Martínez, Sandra García-Gallego, Leonel Pekarek, Coral Bravo, Santiago Coca, Melchor Álvarez- Mon, Julia Buján, Natalio García-Honduvilla, and Ángel Asúnsolo.
    • Department of Medicine and Medical Specialties, Faculty of Medicine and Health Sciences, University of Alcalá, Alcalá de Henares, Madrid, Spain.
    • Int J Med Sci. 2020 Jan 1; 17 (17): 279027982790-2798.

    AbstractBackground: Chronic venous disease (CVD) is a prevalent lower limb venous pathology that especially affects women, who also show an increased risk of this disease during pregnancy. Studies have shown significant structural changes in the placentas of women with CVD and several markers of tissue damage have been also described. Patients and Methods: To try to understand the different placental pathologies, research efforts have focused on examining metabolomic profiles as indicators of the repercussions of these vascular disorders. This study examines changes produced in the metabolomic profiles of chorionic villi in the placentas of women with CVD. In a study population of 12 pregnant women, 6 with and 6 without CVD, we compared through mass spectroscopy coupled to ultra-high performance liquid chromatography (UHPLC-MS), 240 metabolites in chorionic villus samples. Results: This study is the first to detect in the placental villi of pregnant women with CVD, modifications in lysophosphatidylcholines and amino acids along with diminished levels of other lipids such as triglycerides, sphingomyelins, and non-esterified omega 9 fatty acids, suggesting a role of these abnormalities in the pathogenesis of CVD. Conclusions: Our findings are a starting point for future studies designed to examine the impacts of CVD on maternal and fetal well-being.© The author(s).

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