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Lipoprotein subfraction patterns throughout gestation in The Gambia: changes in subfraction composition and their relationships with infant birth weights

Journal Article · · Lipids in Health and Disease
 [1];  [2];  [3];  [4];  [5];  [5];  [6];  [5];  [6];  [7];  [6]
  1. Univ. of Cincinnati, OH (United States); Cincinnati Children’s Hospital Medical Center, OH (United States)
  2. Univ. of Cincinnati, OH (United States); Pacific Northwest National Laboratory (PNNL), Richland, WA (United States)
  3. Cincinnati Children’s Hospital Medical Center, OH (United States)
  4. National Institutes of Health (NIH), Bethesda, MD (United States)
  5. London School of Hygiene and Tropical Medicine, Banjul (Gambia)
  6. Univ. of Cincinnati, OH (United States)
  7. London School of Hygiene and Tropical Medicine, Banjul (Gambia); King's College, London (United Kingdom)

Lipoprotein subfraction concentrations have been shown to change as gestation progresses in resource-rich settings. The objective of the current study was to evaluate the impact of pregnancy on different-sized lipoprotein particle concentrations and compositions in a resource-poor setting. Samples were collected from pregnant women in rural Gambia at enrollment (8–20 weeks), 20 weeks, and 30 weeks of gestation. Concentrations of different-sized high-density, low-density, and triglyceride-rich lipoprotein particles (HDL, LDL, and TRL, respectively) were measured by nuclear magnetic resonance in 126 pooled plasma samples from a subset of women. HDL was isolated and the HDL proteome evaluated using mass spectroscopy. Subfraction concentrations from women in The Gambia were also compared to concentrations in women in the U.S. in mid gestation. Total lipoprotein particles and all-sized TRL, LDL, and HDL particle concentrations increased during gestation, with the exception of medium-sized LDL and HDL particles which decreased. Subfraction concentrations were not associated with infant birth weights, though relationships were found between some lipoprotein subfraction concentrations in women with normal versus low birth weight infants (< 2500 kg). HDL’s proteome also changed during gestation, showing enrichment in proteins associated with metal ion binding, hemostasis, lipid metabolism, protease inhibitors, proteolysis, and complement activation. Compared to women in the U.S., Gambian women had lower large- and small-sized LDL and HDL concentrations, but similar medium-sized LDL and HDL concentrations. Most lipoprotein subfraction concentrations increase throughout pregnancy in Gambian women and are lower in Gambian vs U.S. women, the exception being medium-sized LDL and HDL particle concentrations which decrease during gestation and are similar in both cohorts of women. The proteomes of HDL also change in ways to support gestation. These changes warrant further study to determine how a lack of change or different changes could impact negative pregnancy outcomes.

Research Organization:
Pacific Northwest National Laboratory (PNNL), Richland, WA (United States)
Sponsoring Organization:
USDOE
Grant/Contract Number:
AC05-76RL01830
OSTI ID:
2471572
Journal Information:
Lipids in Health and Disease, Journal Name: Lipids in Health and Disease Journal Issue: 1 Vol. 22; ISSN 1476-511X
Publisher:
Springer NatureCopyright Statement
Country of Publication:
United States
Language:
English

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