Search Results (94)

Although age-related changes in the gut microbiome of pigs have been extensively studied, the dynamic patterns of fecal microbiota and SCFAs during the gestation-to-weaning period in sows remain poorly characterized. We aim to characterize the changes in fecal microbiota and SCFAs from pregnancy to weaning, and to investigate their associations with maternal weight gain during gestation. We systematically collected 100 fecal samples at four time points (day 30 of pregnancy (T1), 1–2 days before delivery (T2), day 10 after delivery (T3), and day 21 of weaning stage (T3)), and measured the body weight of sows at T1 (132 kg ± 10.8) and T2 (205 kg ± 12.1). The primary nutrient components of the diets during the gestation and lactation periods are summarized. All fecal samples were subjected to 16S rRNA gene sequencing. We found that a high proportion of crude fiber (bran) is a key feature of the gestation diet, which may affect enterotype shifts and gut microbial composition. Sows fed a high-fiber diet showed significant enrichment of gut microbiota, including genera such as Prevotellaceae_UCG-003, Prevotellaceae_NK3B31_group, and Prevotella_9 during the gestational period (LDA score > 2). Moreover, Eubacterium_coprostanoligenes_group (average relative abundance: 5.5%) and Lachnospiraceae_NK4A136_group (average relative abundance: 2.5%) were the dominant bacteria during the lactation stage. Fecal propionate and butyrate levels were lowest in late gestation, and propionate negatively and acetate positively correlated with body weight change (p < 0.05). Additionally, certain Prevotella taxa were associated with arachidonic acid metabolism and acetate production (p < 0.05). Our study identified key microbial communities across four stages from gestation to weaning and revealed that dietary patterns can shape the sow gut microbiota. Furthermore, we observed significant correlations between SCFAs and body weight change during pregnancy. These findings provide a scientific basis and theoretical support for future strategies aimed at modulating gut microbiota and targeting SCFAs to improve maternal health and productivity throughout the gestation-to-weaning period. Full article

Background and Objectives: Maternal vitamin D (25-hydroxyvitamin D, 25(OH)D) deficiency during pregnancy is associated with adverse outcomes for both mother and fetus. While vitamin D supplementation is commonly recommended, dietary and lifestyle factors influencing maternal 25(OH)D levels at term remain underexplored, particularly in Southern Europe. Aim: This study aimed to investigate prenatal determinants of maternal 25(OH)D levels at the time of delivery, focusing on dietary intake, supplement use, and seasonal variation. Materials and Methods: We conducted a cross-sectional study on 248 pregnant women admitted for delivery at the General Hospital of Piraeus “Tzaneio” between September 2019 and January 2022. A structured questionnaire was used to assess prenatal intake of vitamin D-rich foods (such as fatty fish, eggs, dairy, and fortified products), supplement use (dose, frequency), sun exposure habits, and lifestyle factors. Maternal serum 25(OH)D concentrations were measured from blood samples collected at the time of admission for delivery. Statistical analysis included descriptive statistics and multivariate linear regression to identify independent dietary and supplemental predictors of maternal vitamin D status. Results: A high prevalence of maternal vitamin D deficiency (VDD) was observed, particularly during the autumn and winter months. Women who reported regular intake of vitamin D supplements (400–800 IU daily) had significantly higher 25(OH)D levels compared to those who did not. Dietary intake of vitamin D-rich foods was positively associated with maternal 25(OH)D status, although the effect size was smaller compared to supplementation. Seasonal variation, BMI, and limited sun exposure were also independent predictors. Conclusions: Both vitamin D supplementation and increased dietary intake were positively associated with maternal 25(OH)D concentrations at delivery. These findings underscore the importance of prenatal nutritional assessment and targeted supplementation strategies to prevent maternal VDD in Mediterranean populations. Full article

Introduction: Vaginal microbiota has emerged as an important factor influencing human papillomavirus (HPV) persistence and host immunity. While HPV infection is often transient, persistent infections with high-risk HPV genotypes significantly increase the risk of cervical carcinogenesis. Thus, this study aims to investigate the association between microflora/sexually transmitted infections (STIs) and HPV infection, with a focus on the prevalence of coinfection and the potential role of genital tract microecological disorders. Methods: A prospective cohort study was conducted at a tertiary care center in Astana, Kazakhstan, between November 2024 and March 2025. A total of 396 non-pregnant women aged 18–45 years were enrolled during routine gynecological screening. Cervical samples were collected for high-risk HPV genotyping and the detection of 11 other vaginal microorganisms using real-time PCR. Results: HPV-positive women were significantly younger and more likely to be single compared to HPV-negative participants. They also had fewer pregnancies and deliveries and were more likely to use barrier contraception. Among STIs, Mycoplasma hominis demonstrated a significant association with HPV infection (adjusted OR = 2.16, 95% CI: 1.15–4.05, p = 0.017). Overall STI presence (adjusted OR = 2.16, p = 0.017) and STI multiplicity (adjusted OR = 1.36 per additional STI, p = 0.017) were also significantly associated with HPV positivity. Correlation analysis revealed a moderate association between Chlamydia trachomatis and Trichomonas vaginalis (ϕ = 0.39, p < 0.001), suggesting shared ecological or transmission pathways. Conclusion: The findings highlight the relevance of specific vaginal pathogens, particularly Mycoplasma hominis, and co-infection patterns in increasing the risk of HPV infection. These results underscore the importance of comprehensive STI screening and microbial profiling in cervical cancer prevention strategies, especially in populations with limited access to HPV vaccination. Further longitudinal and mechanistic studies are warranted to elucidate causal pathways and progression to cervical neoplasia. Full article

Background: The World Health Organization (WHO) defines stillbirth as the loss of a fetus after 28 weeks of gestation. Annually, approximately 2 million stillbirths occur worldwide. Projections indicate that by 2030, this figure could rise to nearly 15.9 million, with half of these stillbirths expected to take place in Sub-Saharan Africa. In the global literature, causes include placental complications, birth defects, and maternal health issues, though often the cause is unknown. Stillbirths have significant emotional and financial impacts on families. Methods: The process involves using chi-square tests to identify candidate covariates for model building. The relative risk (RR) measures the association between variables using the sample data of 1435 mothers collected retrospectively. Since these tests are independent, covariates might be interrelated. The unadjusted RR from the bivariate analysis is then refined using stepwise logistic regression, guided by the Akaike Information Criterion (AIC), to select the best subset of covariates among the candidate variables. The logistic model’s regression coefficients provide the adjusted RR (aRR), indicating the strength of the association between a factor and stillbirth. Results: The model fit results reveal that heavy bleeding in the second or third trimester increases stillbirth risk by 4.69 times. Other factors, such as water breaking early in the third trimester (aRR = 3.22), severe back pain (aRR = 2.61), and conditions like anemia (aRR = 2.45) and malaria (aRR = 2.74), also heightened the risk. Further, mothers with a history of hypertension faced a 3.89-times-greater risk, while multifetal pregnancies increased risk by over 6 times. Conversely, proper mental and physical relaxation could reduce stillbirth risk by over 60%. Additionally, mothers aged 20 to 35 had a 40% lower risk than younger or older mothers. Conclusions: This research study identifies the significant predictors for forecasting stillbirth in pregnant women, and the results could help in the development of health monitoring strategies during pregnancy to reduce stillbirth risks. The research findings further support the importance of targeted interventions for high-risk groups. Full article

Background/Objectives: Physical activity (PA) during pregnancy presents health benefits for mother and child. The World Health Organization (WHO) recommends at least 150 min of moderate-intensity physical activity per week for a healthy pregnancy. The objectives of this study were to describe physical and sedentary activity patterns, estimate the proportion of women meeting PA recommendations, and identify associated sociodemographic and obstetric characteristics in a sample of pregnant women from southern Spain. Methods: For this cross-sectional study, a random sample of 385 pregnant women attending their 20th-week scheduled ultrasound at their referral hospital was selected. Inclusion criteria were being between 18 and 22 gestational weeks pregnant and communicating in Spanish. A face-to-face structured interview was used to collect demographic, obstetric, and PA data, as well as sedentary patterns. Indexes of weekly PA in various domains were computed. Bivariate analyses were conducted to assess the variability of physical and sedentary activities according to sociodemographic and obstetric variables. Statistical significance was set at p < 0.05. Results: A total of 84.4% of participants engaged in some type of PA and 73.7% met WHO PA requirements. Higher leisure PA was associated with higher education (p < 0.05) and first-time pregnancy (p < 0.01). Higher work PA was linked to lower education (p < 0.01), being born outside Spain (p < 0.05), and later pregnancy awareness (p < 0.01). Higher sedentary daily time was associated with higher education (p < 0.01), speaking Spanish as a child (p < 0.05), and first-time pregnancy (p < 0.05). Conclusions: Most pregnant women in this study met PA recommendations. Correlates of leisure PA differ from those regarding work PA. Full article

This study investigated how environmental temperature affects estrus behavior and pregnancy rates in lactating dairy cows during induced estrus. We hypothesized that higher temperatures reduce estrus expression and pregnancy rates and influence hormone levels. Fifty-eight healthy, multiparous, ovulation-synchronized cows were studied under heat stress (summer) and non-stress (winter) conditions. Cows were assigned to G7G or OvSynch (OVS) hormone protocols. Blood samples collected on insemination day measured estradiol, LH, prolactin, insulin, and IGF-1 concentrations. Estrus signs and behaviors were also recorded. We found that during summer, daily maximum temperature–humidity Index (THI) values mostly exceeded 68, confirming the presence of heat stress. Estrus behaviors—especially standing and mounting—were significantly reduced under heat stress, occurring five to seven times more frequently in winter than in summer. Estrus detection rate was 86% in winter and 53% in summer. Pregnancy rates also declined sharply in summer (10%) compared to winter (39%), with all summer pregnancies in the G7G group. Hormonal analysis showed that estradiol levels remained consistent in the G7G group, while in the OVS group, it was significantly higher in winter than in summer. No significant seasonal differences were observed in the other hormones. Our findings indicate that heat stress impairs estrus expression and pregnancy rates in dairy cows. However, we conclude that the choice of hormone synchronization protocol (G7G) and the use of an automated estrus detection system may help to improve reproductive performance. Full article

Background: Human endogenous retroviruses (HERVs) are remnants of ancestral retroviral infections integrated into the human genome, some of which maintain a residual active expression and retain physiological relevance. HIV-1 infection and antiretroviral therapy (ART) are known to modulate HERV expression, yet their specific effects during pregnancy remain poorly understood. This study aimed to investigate the peripartum transcriptional activity of selected HERV sequences in HIV-1-positive women receiving ART and their newborns exposed to the therapy and HIV-1-negative healthy controls. Methods: We quantified the expression of pol regions of HERV-H, -K, and -W and of Syncytin 1 and Syncytin 2 in peripheral blood samples collected at delivery using real-time PCR. Results: In HIV-1-positive mothers on ART therapy, we observed a significant downregulation in the pol gene expression of HERV-H, HERV-K, and HERV-W, as well as of Syncytin 1 and Syncytin 2, compared to healthy mothers. In contrast, no differences in the expression of the different targets were found in the two groups of newborns. All the HERV genes analyzed were also found to be expressed at significantly higher levels in the newborns compared to their mothers. Discussion: The results obtained suggest that antiretroviral therapy may influence and modulate HERV expression during pregnancy in both the mother and the fetus. Full article

Background/Objectives: Iodine deficiency disorders remain a global public health concern, as acknowledged by the World Health Organization (WHO). Adequate maternal iodine intake during pregnancy is essential for normal fetal development, yet the relationship between maternal iodine status and fetal growth remains controversial. Urinary Iodine Concentration (UIC) is a commonly used marker for assessing iodine status. This study evaluates the association between maternal UIC and neonatal anthropometric parameters. Methods: This prospective single-center cohort study included 202 pregnant women without known or reported thyroid disease, recruited between 2018 and 2021. Maternal iodine status was assessed by UIC from spot urine samples collected at the time of recruitment. Correlations were analyzed between maternal UIC and neonatal anthropometric measures, including birth weight (g), length (cm), and head circumference (cm). Analyses stratified by fetal sex were also performed. Results: No statistically significant association was found between UIC and neonatal anthropometric measures. Analysis of these correlations, stratified by fetal sex, did not reveal any statistically significant associations either. Conclusions: Maternal UIC showed no association with neonatal anthropometric outcomes in this study, regardless of fetal sex. Further research is needed to investigate the additional effects of maternal iodine status in healthy, euthyroid pregnant women on neonatal outcomes. Full article

The peripartum period is critical for breeding female donkeys (i.e., jennies) and ensuring the delivery of healthy neonatal foals. The gut microbiota deeply influences the host metabolism. This study aimed to investigate the dynamic changes in the gut microbiome during the peripartum period in jennies. Fresh fecal samples of eight adult jennies were collected at the following seven sampling time points: 21, 7, and 3 days prepartum (G21, G7, and G3) and 1, 3, 7, and 14 days postpartum (L1, L3, L7, and L14). Sequencing of the V4 hypervariable regions of the 16S rRNA genes was carried out using fecal samples to identify the differences in the microbiome across the peripartum period. Bacteroidota and Firmicutes were the most abundant bacterial phyla in the feces. Treponema and Lachnospiraceae XPB1014 group significantly increased in the L3 group compared to the G7 group (q < 0.05), and a decline trend was observed in L1 group around parturition. The genus Clostridium sensu stricto 1, family Clostridiaceae, and order Clostridiales were considered to be biomarkers of the L3 group. Among the 25 functional pathways detected by Kyoto Encyclopedia of Genes and Genomes pathway analysis, beta lactam resistance, insulin resistance, and peptidases were the top three important pathways observed in the gut microbiota during the peripartum period in jennies. The gut microbial structure changed significantly at different time points during the peripartum period in jennies. These results contribute to a better understanding of the gut microbiota to ensure health care during important phases from late pregnancy to early lactation in jennies. Full article

Background/Objectives: Hypertensive disorders of pregnancy are a leading cause of pregnancy-related deaths in the United States, accounting for 7% of maternal mortality. Labetalol and nifedipine are the first-line drugs for the management of hypertension in pregnancy, but there are little data guiding the choice of one drug over the other. The current pilot longitudinal study aims to characterize the pharmacokinetics (PK) and pharmacodynamics (PD) of labetalol stereoisomers throughout pregnancy and postpartum. Methods: This is a single-center clinical study recruiting up to 40 pregnant individuals ≥ 18 years of age at the time of enrollment, taking labetalol as per the standard of care. The exclusion criteria include any pathophysiology impacting the PK of labetalol, e.g., liver failure. Maternal plasma, urine, amniotic fluid, cord blood, and breast milk will be collected, and labetalol stereoisomers will be measured using a validated LC-MS/MS assay. Heart rate and blood pressure will be measured as the PD endpoints. These may be assessed throughout a participant’s dosing interval at scheduled PK study visits, which will occur every 6–10 weeks during pregnancy, at delivery, during the 1st week postpartum, and up to 20 weeks postpartum. The primary aim is to characterize the PK and PD of labetalol during pregnancy and in the postpartum period. The secondary aim is to determine the extent of breast milk excretion of and infant exposure to labetalol from breast milk. The data will be analyzed using population PK modeling to evaluate the PK/PD relationship and ultimately develop trimester-specific dosing recommendations. Results/Conclusions: To our knowledge, this is the first study aiming to characterize the PK of labetalol stereoisomers across pregnancy and postpartum, utilizing individual stereoisomer data to evaluate the PK/PD relationship, and collecting postpartum samples, including breast milk, to model infant exposure to labetalol through breast milk. This study will provide important PK/PD data and knowledge which will be combined with large multi-center clinical trial data to develop trimester-specific dosing regimens for anti-hypertensive agents. Full article

Kalanchoe daigremontiana, a medicinal plant rich in bioactive compounds, has the potential to serve as a feed supplement, reducing reliance on conventional livestock medications while potentially enhancing productivity. This study evaluated the effects of K. daigremontiana supplementation over 52 days on kidney and liver function, metabolism, weight changes, and reproductive efficiency in multiparous Alpine goats during the breeding season. Fifty-five goats were assigned to either a control (CTL, n = 27; 47.6 ± 1.1 kg) or a K. daigremontiana-supplemented (KAL, n = 28; 47.6 ± 1.3 kg) diet. The KAL group received K. daigremontiana at a dry matter-based inclusion rate of 2 kg t⁻¹ of feed, while the CTL group received no supplementation. Blood samples were collected at four time points to assess the biochemical markers of kidney and liver function. Pregnancy was achieved through natural mating, and reproductive efficiency was evaluated. Overall, liver and kidney function did not differ significantly between treatments (p > 0.05). However, KAL supplementation was associated with increased creatinine (p < 0.05), ALP (p < 0.001), and bilirubin (p < 0.05) at specific time points, whereas CTL goats exhibited higher BUN (p < 0.001), AST (p < 0.05), albumin (p < 0.001), total protein (p ≤ 0.05), and phosphorus (p < 0.01) on specific dates. Other metabolic markers, weight gain, and reproductive efficiency did not differ between treatments (p > 0.05). Overall, Kalanchoe daigremontiana supplementation had mild, transient effects on goat health without significantly impacting productivity. Further research is needed to explore its long-term effects and optimal dosage for livestock nutrition. Full article

Arsenic chronic exposure, particularly in its inorganic form, represents a significant public health concern. This study was conducted in Arica, the northernmost city in the country, whose inhabitants have been exposed to inorganic arsenic both naturally through drinking water and anthropogenically due to a toxic waste disposal site. We explored changes in inorganic arsenic levels in a cohort of pregnant women and their children over a decade, identifying exposure trends and their determinants. We used data on arsenic exposure through maternal urine samples during pregnancy, collected by the Health Authority between 2013 and 2016 (measurement 1), and followed up with assessments of their children in 2023 (measurement 2). Temporal changes in inorganic arsenic concentration were analyzed using the Wilcoxon Signed-Rank test, and a mixed linear regression model was employed to determine which factors contributed to urinary inorganic arsenic levels. We did not observe significant differences in mean arsenic concentrations between the two-time points (p = 0.4026). The mixed linear regression model revealed that children consuming bottled water had 8.3% lower urinary inorganic arsenic concentrations than those drinking tap water (95% CI: −15.36 to −0.54%). Additionally, children from ethnic groups had 8.64% higher inorganic arsenic concentrations (95% CI: 0.49 to 17.5%), while those with caregivers with higher education showed a 13.67% reduction (95% CI: −25.06 to −0.56%). Despite mitigation efforts, these findings underscore the ongoing risk of inorganic arsenic exposure among vulnerable populations. They further emphasize the importance of addressing natural arsenic contamination in water and implementing targeted interventions to reduce disparities associated with socioeconomic and demographic factors. Full article

Objective: Intrahepatic cholestasis of pregnancy (ICP) is associated with an elevated risk of adverse perinatal outcomes, including perinatal morbidity and mortality. The objectives of this study were to evaluate the bile acid (BA) metabolism profiles in the urine of patients with ICP and to investigate the association between specific BAs and maternal and neonatal outcomes in patients with ICP. Methods: A total of 127 Chinese women with ICP and 55 healthy pregnant women were enrolled in our retrospective study. Spot urine samples and clinical data were collected from pregnant women from January 2019 to December 2022 at the First Affiliated Hospital of Chongqing Medical University, Chongqing. Based on total bile acid (TBA) levels, the ICP group was subdivided into mild (10–40 μmol/L) and severe (≥40 μmol/L) ICP groups. Patients in the ICP group were further divided into two categories according to neonatal outcomes: an ICP with adverse pregnancy outcomes group and an ICP with non-adverse pregnancy outcomes group. Metabolites from maternal urine were collected and analyzed using ultra-high-performance liquid chromatography–triple quadrupole time-of-flight mass spectroscopy (UPLC-triple TOF-MS). Results: Significant differences were observed between the mild and severe ICP groups in the onset time of symptoms, gestational weeks at time of ICP diagnosis, the duration of using ursodeoxycholic acid (UDCA) drugs during pregnancy, gestational age at delivery, premature delivery, and cesarean delivery. The expression levels of the composition of different urinary bile acids including THCA, TCA, T-ω-MCA, TCA-3-S, TCDCA-3-S, TDCA-3-S, GCDCA-3-S, DCA-3-G and GDCA-3-G were remarkably higher in the ICP with adverse pregnancy outcomes group than those in the ICP with non-adverse pregnancy outcomes group and the control group. The single-parameter model used to predict adverse pregnancy outcomes in ICP had similar areas under the curve (AUCs) of the receiver operating characteristic (ROC), ranging from 0.755 to 0.869. However, an AUC of 0.886 and 95% CI were obtained by the index of combined urinary bile acids in multiple prediction models (95% CI 0.790 to 0.983, p < 0.05). TCA-3-S in the urinary bile acids had a strong positive correlation with the aspartate aminotransferase (AST) level (r = 0.617, p < 0.05). Furthermore, TCDCA-3-S and GCDCA-3-S in the urinary bile acids had a strong positive correlation with the alanine aminotransferase (ALT) level (r = 0.607, p < 0.05; r = 0.611, p < 0.05) and AST level (r = 0.629, p < 0.05; r = 0.619, p < 0.05). Conclusions: Maternal urinary bile acid profiles were prominent for the prognosis of maternal and neonatal outcomes of ICP. Elevated levels of TCA-3-S, TCDCA-3-S, and GCDCA-3-S in urine might be important predictors for indicating adverse pregnancy outcomes in ICP. Full article

Background/Objectives: Glucose and lipid metabolism during pregnancy are crucial for perinatal outcomes. Recently, chrono-nutritional factors have been partially identified as influencing pregnancy metabolism. This study aimed to investigate overnight fasting duration and meal frequency during pregnancy and to clarify their associations with glucose and lipid metabolism. Methods: This cross-sectional study was conducted at a university hospital in Tokyo, Japan, between February 2020 and June 2021. A self-administered questionnaire was used to evaluate overnight fasting duration and meal frequency in 144 pregnant women in their second trimester. Nutrient intake was assessed using the brief-type self-administered diet history questionnaire. Non-fasting blood samples were collected and analyzed for levels of total cholesterol, triglycerides, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and glycated albumin. Results: The mean ± standard deviation of overnight fasting duration was 12.1 ± 1.5 h, meal frequency was 3.8 ± 0.9 times per day, and glycated albumin level was 13.3 ± 1.0%. Multivariate analysis revealed that a longer overnight fasting duration was significantly associated with lower glycated albumin levels (β = −0.167, p = 0.030). Conclusions: These findings suggest that, in addition to meal content and quantity, overnight fasting may be effective in appropriately managing glycated albumin levels during the second trimester of pregnancy. Full article

The prevalence of fetal macrosomia is steadily increasing worldwide, reaching up to 20%. Fetal macrosomia complicates pregnancy and delivery. Current prediction strategies are inaccurate, and most patients with fetal macrosomia go into labor with an “unknown status”. The aim of this study was to develop a system for predicting fetal macrosomia based on the lipid profiles of pregnant women’s blood serum. In total, 110 patients were included in this study: 30 patients had gestational diabetes mellitus (GDM) and 80 did not. During the observation, blood samples were collected at three time points: in the first trimester (11–13 weeks of pregnancy), in the second trimester (24–26 weeks), and in the third trimester (30–32 weeks). Lipids were detected by flow injection analysis with mass spectrometry. Lipid profiles of pregnant women were discriminated by orthogonal projection on latent structure discriminant analysis (OPLS-DA) in all three trimesters. The developed OPLS-DA models allowed for the prediction of the occurrence of fetal macrosomia during pregnancy. Three sets of models were developed: models independent of GDM status with a sensitivity of 0.85 and specificity of 0.91, models for patients with positive GDM status with a sensitivity of 0.91 and specificity of 0.96, and models for patients with negative GDM status with a sensitivity of 0.93 and specificity of 0.92. Phosphatidylcholines and sphingomyelins were the most important discriminative features. These lipid groups probably play an important role in the pathogenesis of fetal macrosomia and may serve as laboratory markers of this pregnancy complication. Full article