Intergenerational Associations of Hypertensive Disorders of Pregnancy With Offspring Metabolomics: A Systematic Review

Abstract. Objective:. To examine the impact of hypertensive disorders of pregnancy (HDP) on offspring metabolomics. Methods:. We searched five databases: PubMed, Ovid Embase, MEDLINE, Web of Science, and China National Knowledge Infrastructure, and included studies that reported metabolomics among...

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Main Authors: Jinrui Xiong, Ling-Jun Li, Yongping Zhang, Zhihong Zhang, Yue Yang, Huan Hu, Jinhong Liu, Zimeng Chen, Peng Huang, Mengjiao Liu, Yang Pan, Jue Li
Format: Article
Language:English
Published: Wolters Kluwer Health 2025-07-01
Series:Maternal-Fetal Medicine
Online Access:http://journals.lww.com/10.1097/FM9.0000000000000276
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Summary:Abstract. Objective:. To examine the impact of hypertensive disorders of pregnancy (HDP) on offspring metabolomics. Methods:. We searched five databases: PubMed, Ovid Embase, MEDLINE, Web of Science, and China National Knowledge Infrastructure, and included studies that reported metabolomics among human offspring born to HDP-complicated pregnancies. Results:. Database search yielded 4054 articles, and after full-text screening, ten observational studies met inclusion criteria. Half of the studies had a sample size of less than 100 and were all observational studies in preeclampsia (PE) and gestational hypertension.Neonates were the most focused group in all included studies. Offspring born to HDP-complicated pregnancies exhibited statistically significant variations in blood metabolomics compared to their counterparts, characterized by amino acids, lipids, carnitine, and others (e.g., 1α,25-(OH)2-D). Most studies reported a significant increase in differential metabolites of offspring born to HDP-complicated pregnancies. Four studies (n = 1109) measured lipids-related metabolites, and all consistently showed that offspring born to PE-complicated pregnancies had significantly higher concentrations than non-PE exposed offspring. Conclusion:. The existing evidence suggests an intergenerational effect of HDP on offspring metabolomics. Long-term follow-up studies are needed to advance the health effects of related adverse health outcomes and inform the prevention of offspring’s health. Registration:. PROSPERO; CRD42023453078.
ISSN:2096-6954
2641-5895