Metabolomic identification of novel diagnostic biomarkers in ectopic pregnancy

Autor: Ceren Katar, Salim Erkaya, Ray O. Bahado-Singh, Ismail Mert, Ayse Citil, Onur Turkoglu, Stewart F. Graham, Ali Yilmaz, Dilek Uygur, Praveen Kumar
Rok vydání: 2019
Předmět:
Zdroj: Metabolomics : Official journal of the Metabolomic Society. 15(11)
ISSN: 1573-3890
Popis: Ectopic pregnancy (EP) is a potentially life-threatening condition and early diagnosis still remains a challenge, causing a delay in management leading to tubal rupture. To identify putative plasma biomarkers for the detection of tubal EP and elucidate altered biochemical pathways in EP compared to intrauterine pregnancies. This case–control study included prospective recruitment of 39 tubal EP cases and 89 early intrauterine pregnancy controls. Plasma samples were biochemically profiled using proton nuclear magnetic resonance spectroscopy (1H NMR). To avoid over-fitting, datasets were randomly divided into a discovery group (26 cases vs 60 controls) and a test group (13 cases and 29 controls). Logistic regression models were developed in the discovery group and validated in the independent test group. Area under the receiver operating characteristics curve (AUC), 95% confidence interval (CI), sensitivity, and specificity values were calculated. In total 13 of 43 (30.3%) metabolite concentrations were significantly altered in EP plasma (p
Databáze: OpenAIRE
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