Metabolic profiling and early prediction models for gestational diabetes mellitus in PCOS and non-PCOS pregnant women

Bibliographic Details
Title: Metabolic profiling and early prediction models for gestational diabetes mellitus in PCOS and non-PCOS pregnant women
Authors: Jin Wang, Can Cui, Fei Hou, Zhiyan Wu, Yingying Peng, Hua Jin
Source: European Journal of Medical Research, Vol 30, Iss 1, Pp 1-11 (2025)
Publisher Information: BMC, 2025.
Publication Year: 2025
Collection: LCC:Medicine
Subject Terms: Gestational diabetes mellitus, Polycystic ovary syndrome, Untargeted metabolomics analysis, Prediction models, Medicine
More Details: Abstract Background Gestational diabetes mellitus (GDM) is the most common pregnancy complication, significantly affecting maternal and neonatal health. Polycystic ovary syndrome (PCOS) is a common endocrine disorder characterized by metabolic abnormalities, which notably elevates the risk of developing GDM during pregnancy. Methods In this study, we utilized ultra-high-performance liquid chromatography for untargeted metabolomics analysis of serum samples from 137 pregnant women in the early-to-mid-pregnancy. The cohort consisted of 137 participants, including 70 in the PCOS group (36 who developed GDM in mid-to-late pregnancy and 34 who did not) and 67 in the non-PCOS group (37 who developed GDM and 30 who remained GDM-free). The aim was to investigate metabolic profile differences between PCOS and non-PCOS patients and to construct early GDM prediction models separately for the PCOS and non-PCOS groups. Results Our findings revealed significant differences in the metabolic profiles of PCOS patients, which may help elucidate the higher risk of GDM in the PCOS population. Moreover, tailored early GDM prediction models for the PCOS group demonstrated high predictive performance, providing strong support for early diagnosis and intervention in clinical practice. Conclusions Untargeted metabolomics analysis revealed distinct metabolic patterns between PCOS patients and non-PCOS patients, particularly in pathways related to GDM. Based on these findings, we successfully constructed GDM prediction models for both PCOS and non-PCOS groups, offering a promising tool for clinical management and early intervention in high-risk populations.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2047-783X
Relation: https://doaj.org/toc/2047-783X
DOI: 10.1186/s40001-025-02526-2
Access URL: https://doaj.org/article/a307af323cab4be8bdb778d542bcfc89
Accession Number: edsdoj.307af323cab4be8bdb778d542bcfc89
Database: Directory of Open Access Journals
More Details
ISSN:2047783X
DOI:10.1186/s40001-025-02526-2
Published in:European Journal of Medical Research
Language:English