Comparison of Diagnostic Values of Maternal Arginine Concentration for Different Pregnancy Complications: A Systematic Review and Meta-Analysis
Abnormal arginine metabolism contributes to the development of intrauterine growth restriction (IUGR), preeclampsia (PE), and gestational diabetes mellitus (GDM), which increase the health burden of mothers and induce adverse birth outcomes. However, associations between maternal arginine concentrat...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-01-01
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| Series: | Biomedicines |
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| Online Access: | https://www.mdpi.com/2227-9059/10/1/166 |
| _version_ | 1827666440858107904 |
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| author | Lianbin Xu Jia Zeng Huanan Wang Hongyun Liu |
| author_facet | Lianbin Xu Jia Zeng Huanan Wang Hongyun Liu |
| author_sort | Lianbin Xu |
| collection | DOAJ |
| description | Abnormal arginine metabolism contributes to the development of intrauterine growth restriction (IUGR), preeclampsia (PE), and gestational diabetes mellitus (GDM), which increase the health burden of mothers and induce adverse birth outcomes. However, associations between maternal arginine concentration and different pregnancy complications have not been systematically compared. The PubMed, ScienceDirect, and Web of Science databases were searched for peer-reviewed publications to evaluate the diagnostic value of plasma arginine concentration in complicated pregnancies. Standardized mean difference (SMD) of the arginine concentration was pooled by a random effects model. The results show that increased maternal arginine concentrations were observed in IUGR (SMD: 0.48; 95% CI: 0.20, 0.76; I<sup>2</sup> = 47.0%) and GDM (SMD: 0.46; 95% CI: 0.11, 0.81; I<sup>2</sup> = 82.3%) cases but not in PE patients (SMD: 0.21; 95% CI: −0.04, 0.47; I<sup>2</sup> = 80.3%) compared with the normal cohorts. Subgroup analyses indicated that the non-fasting circulating arginine concentration in third trimester was increased significantly in GDM and severe IUGR pregnancies, but the change mode was dependent on ethnicity. Additionally, only severe PE persons were accompanied by higher plasma arginine concentrations. These findings suggest that maternal arginine concentration is an important reference for assessing the development of pregnancy complications. |
| first_indexed | 2024-03-10T01:50:44Z |
| format | Article |
| id | doaj.art-266687ef54c948abb14662065e04bacc |
| institution | Directory Open Access Journal |
| issn | 2227-9059 |
| language | English |
| last_indexed | 2024-03-10T01:50:44Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Biomedicines |
| spelling | doaj.art-266687ef54c948abb14662065e04bacc2023-11-23T13:04:54ZengMDPI AGBiomedicines2227-90592022-01-0110116610.3390/biomedicines10010166Comparison of Diagnostic Values of Maternal Arginine Concentration for Different Pregnancy Complications: A Systematic Review and Meta-AnalysisLianbin Xu0Jia Zeng1Huanan Wang2Hongyun Liu3College of Animal Sciences, Zhejiang University, Hangzhou 310058, ChinaCollege of Animal Sciences, Zhejiang University, Hangzhou 310058, ChinaCollege of Animal Sciences, Zhejiang University, Hangzhou 310058, ChinaCollege of Animal Sciences, Zhejiang University, Hangzhou 310058, ChinaAbnormal arginine metabolism contributes to the development of intrauterine growth restriction (IUGR), preeclampsia (PE), and gestational diabetes mellitus (GDM), which increase the health burden of mothers and induce adverse birth outcomes. However, associations between maternal arginine concentration and different pregnancy complications have not been systematically compared. The PubMed, ScienceDirect, and Web of Science databases were searched for peer-reviewed publications to evaluate the diagnostic value of plasma arginine concentration in complicated pregnancies. Standardized mean difference (SMD) of the arginine concentration was pooled by a random effects model. The results show that increased maternal arginine concentrations were observed in IUGR (SMD: 0.48; 95% CI: 0.20, 0.76; I<sup>2</sup> = 47.0%) and GDM (SMD: 0.46; 95% CI: 0.11, 0.81; I<sup>2</sup> = 82.3%) cases but not in PE patients (SMD: 0.21; 95% CI: −0.04, 0.47; I<sup>2</sup> = 80.3%) compared with the normal cohorts. Subgroup analyses indicated that the non-fasting circulating arginine concentration in third trimester was increased significantly in GDM and severe IUGR pregnancies, but the change mode was dependent on ethnicity. Additionally, only severe PE persons were accompanied by higher plasma arginine concentrations. These findings suggest that maternal arginine concentration is an important reference for assessing the development of pregnancy complications.https://www.mdpi.com/2227-9059/10/1/166maternal arginine concentrationintrauterine growth restrictiongestational diabetes mellituspreeclampsiadiagnostic valuepregnancy |
| spellingShingle | Lianbin Xu Jia Zeng Huanan Wang Hongyun Liu Comparison of Diagnostic Values of Maternal Arginine Concentration for Different Pregnancy Complications: A Systematic Review and Meta-Analysis Biomedicines maternal arginine concentration intrauterine growth restriction gestational diabetes mellitus preeclampsia diagnostic value pregnancy |
| title | Comparison of Diagnostic Values of Maternal Arginine Concentration for Different Pregnancy Complications: A Systematic Review and Meta-Analysis |
| title_full | Comparison of Diagnostic Values of Maternal Arginine Concentration for Different Pregnancy Complications: A Systematic Review and Meta-Analysis |
| title_fullStr | Comparison of Diagnostic Values of Maternal Arginine Concentration for Different Pregnancy Complications: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Comparison of Diagnostic Values of Maternal Arginine Concentration for Different Pregnancy Complications: A Systematic Review and Meta-Analysis |
| title_short | Comparison of Diagnostic Values of Maternal Arginine Concentration for Different Pregnancy Complications: A Systematic Review and Meta-Analysis |
| title_sort | comparison of diagnostic values of maternal arginine concentration for different pregnancy complications a systematic review and meta analysis |
| topic | maternal arginine concentration intrauterine growth restriction gestational diabetes mellitus preeclampsia diagnostic value pregnancy |
| url | https://www.mdpi.com/2227-9059/10/1/166 |
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