Secreted proteins in plasma and placenta as novel non-invasive biomarkers for intrahepatic cholestasis of pregnancy: A case-control study.

Background: Intrahepatic cholestasis of pregnancy (ICP) is likely to lead to unfavorable consequences. Total bile acid (TBA) is thought to be the sole ICP indicator available as of now, but it comes with some kind of restrictions in terms of sensitivity and specificity. We were endeavoring to find potential diagnostic biomarkers for ICP in this investigation. Methods: This case-control study with a prospective nature included 40 females in the stage of pregnancy who were diagnosed with ICP. It also included another 20 females who were also pregnant but with sound physical condition(control). Placental and plasma samples were collected from all females that were in the stage of pregnancy, except for 20 ICP patients, in which only plasma was collected. We used four-dimensional data-independent acquisition followed by enzyme-linked immunosorbent assay and immunohistochemistry to identify and validate plasma and placental profiles in ICP patients and controls. Bioinformatics was adopted in an effort to demonstrate the relevant biological processes and signalling pathways. Correlation analysis was used to analyse the consistency of tissue and plasma protein expression and the correlation between sequencing and experimental results. Results: The expression levels of nectin-1 (NECTIN1), Kunitz-type protease inhibitor 1 (SPINT1), and inter-alpha-trypsin inhibitor heavy chain H3 (ITIH3) were remarkably higher in ICP patients than in controls. However, heparin cofactor 2 (SERPIND1) expression levels in female participants in the stage of pregnancy who were diagnosed with ICP were remarkably lower than those pregnant females with good physical fitness. In addition to the negative correlation between SERPIND1 and TBA, NECTIN1, SPINT1, and ITIH3 expression positively correlated with TBA. Area under the receiver operating characteristic curve (AUC) values of 0.7925, 0.8313, 0.8163, and 0.9025, respectively, were used to assess the diagnostic accuracies of NECTIN1, SPINT1, ITIH3, and SERPIND1. AUC (0.9438) was considerably greater when NECTIN1, SPINT1, and SERPIND1 were integrated, according to binary logistic regression. The AUC of the ROC curve for various combinations of SERPIND1 and other indicators was higher than itself, thus providing a more reliable ICP diagnosis. Furthermore, according to the bioinformatics analysis, the NECTIN1, SPINT1, ITIH3, and SERPIND1 were identified as secreted proteins because they were localized in the extracellular region. Conclusions: This research discovered new non-invasive ICP indicators. On top of this, it sheds new light on the crucial diagnostic function of secreted proteins in ICP.

Identification and validation of diagnostic biomarkers for intrahepatic cholestasis of pregnancy based on untargeted and targeted metabolomics analyses of urine metabolite profiles.

BACKGROUND: Intrahepatic cholestasis of pregnancy (ICP) is a prevalent pregnancy-specific complication that presents with maternal itching and elevated serum bile acid levels. ICP is associated with unfavorable pregnancy outcomes, severely decreasing the pregnant woman's quality of life. Timely identification of ICP is crucial for effective management and improved outcomes. METHODS: We collected urine samples from 8 patients with ICP and 8 healthy individuals. We used Liquid Chromatography-Mass Spectrometry (LC-MS) to detect metabolite expression levels, then conducted a series of bioinformatic analyses to explore the potential biological meanings of differentially expressed metabolites, and preliminarily discovered several candidate biomarkers. To validate these candidate biomarkers, we performed Gas Chromatography-Mass Spectrometry (GC-MS) detection and analyzed their diagnostic values using receiver operating characteristic (ROC) curve. RESULTS: Untargeted metabolomics data showed that 6129 positive peaks and 6218 negative peaks were extracted from each specimen. OPLS-DA analysis and the heat map for cluster analysis showed satisfactory capability in discriminating ICP specimens from controls. Subsequent analysis extracted 64 significantly differentially expressed metabolites, which could be potential biomarkers for diagnosis of ICP. Based on the KEGG enrichment analyses, six candidate biomarkers were preliminarily identified. Two most promising biomarkers (3-hydroxypropionic acid and uracil) were validated by targeted metabolomics analyses with the area under the curve (AUC) of 0.920 and 0.850 respectively. CONCLUSION: Based on preliminary screening from untargeted metabolomics and subsequent validation through targeted metabolomics, 3-hydroxypropionic acid and uracil were identified as promising diagnostic biomarkers for ICP.

An omics review and perspective of researches on intrahepatic cholestasis of pregnancy.

Intrahepatic cholestasis of pregnancy (ICP) is one of the common pregnancy complications that may threaten the health of both pregnant women and their fetuses. Hence, it is of vital importance to identify key moleculars and the associated functional pathways of ICP, which will help us to better understand the pathological mechanisms as well as to develop precise clinical biomarkers. The emerging and developing of multiple omics approaches enable comprehensive studies of the genome, transcriptome, proteome and metabolome of clinical samples. The present review collected and summarized the omics based studies of ICP, aiming to provide an overview of the current progress, limitations and future directions. Briefly, these studies covered a broad range of research contents by the comparing of different experimental groups including ICP patients, ICP subtypes, ICP fetuses, ICP models and other complications. Correspondingly, the studied samples contain various types of clinical samples, in vitro cultured tissues, cell lines and the samples from animal models. According to the main research objectives, we further categorized these studies into two groups: pathogenesis and diagnosis analyses. The pathogenesis studies identified tens of functional pathways that may represent the key regulatory events for the occurrence, progression, treatment and fetal effects of ICP. On the other hand, the diagnosis studies tested more than 40 potential models for the early-prediction, diagnosis, grading, prognosis or differential diagnosis of ICP. Apart from these achievements, we also evaluated the limitations of current studies, and emphasized that many aspects of clinical characteristics, sample processing, and analytical method can greatly affect the reliability and repeatability of omics results. Finally, we also pointed out several new directions for the omics based analyses of ICP and other perinatal associated conditions in the future.

Tribological and mechanical behaviors of polyamide 6/glass fiber composite filled with various solid lubricants.

The effects of polytetrafluoroethylene (PTFE), graphite, ultrahigh molecular weight polyethylene (UHMWPE), and their compounds on mechanical and tribological properties of glass-fiber-reinforced polyamide 6 (PA6/GF) were studied. The polymeric materials were blended using twin-screw extruder and subsequently injection molded for test samples. Mechanical properties were investigated in terms of hardness, tensile strength, and impact strength. Friction and wear experiments were run under ambient conditions at a rotating speed of 200 rpm and load of 100 N. The morphologies of the worn surfaces were also observed with scanning electron microscope. The results showed that graphite could increase the tensile strength of PA6/GF-15 composite, but the material became soft. Graphite/UHMWPE complex solid lubricants were effective in increasing the already high impact strength of PA6/GF-15 composite. 5% PTFE gave the maximum reduction in the coefficient of friction. However, PTFE/UHMWPE complex solid lubricants were the best choice for improving both friction and wear behaviors due to the lower friction coefficient and mass wear rate. Moreover, the worn surface of PA6 composites revealed that adhesive wear, abrasive wear, and fatigue wear occurred in this study.

Electrostatic interactions and aqueous two-phase separation modes of aqueous mixed oppositely charged surfactants system.

Electrostatic interactions play an important role in setting the aqueous two-phase separation behaviors of mixtures of oppositely charged surfactants. The aqueous mixture of cetyltrimethylammonium bromide (CTAB) and sodium dodecylsulfonate (AS) is actually a five-component system, comprised of CTAB, AS, complex salt (cetyltrimethylammonium dodecylsulfonate, abbreviated as CTA(+)AS(-)), NaBr, and water. In the three-dimensional pyramid phase diagram, the aqueous two-phase region with excess AS or with excess CTAB extends successively from the region very near to the NaBr-H2O line through the CTAB-AS-H2O conventional mixing plane to the CTA(+)AS(-)-AS-H2O side plane or to the CTA(+)AS(-)-CTAB-H2O side plane, respectively. Large or small molar ratios between the counterions and their corresponding surfactant ions for oppositely charged surfactants located in the NaBr side or the CTA(+)AS(-) side of the pyramid imply strong or weak electrostatic screening. Electrostatic screening of counterions alters the electrostatic attractions between the oppositely charged head groups or the electrostatic repulsions between the like-charged head groups in excess, and the electrostatic free energy of aggregation thus affects the aqueous two-phase separation modes. Composition analysis, rheological property investigation, and TEM images suggest that there are two kinds of aqueous two-phase systems (ATPSs). On the basis of these experimental results and Kaler's cell model, two kinds of phase separation modes were proposed. Experimental results also indicate that all of the top phases are surfactant-rich, and all of the bottom phases are surfactant-poor; the density difference between the top phase and the bottom phase in one ATPS is very small; the interfacial tension (σ) of the ATPS is ultralow.