Association of maternal prenatal copper concentration with gestational duration and preterm birth : a multicountry meta-analysis

Copyright © 2023. Published by Elsevier Inc..

BACKGROUND: Copper (Cu), an essential trace mineral regulating multiple actions of inflammation and oxidative stress, has been implicated in risk for preterm birth (PTB).

OBJECTIVES: This study aimed to determine the association of maternal Cu concentration during pregnancy with PTB risk and gestational duration in a large multicohort study including diverse populations.

METHODS: Maternal plasma or serum samples of 10,449 singleton live births were obtained from 18 geographically diverse study cohorts. Maternal Cu concentrations were determined using inductively coupled plasma mass spectrometry. The associations of maternal Cu with PTB and gestational duration were analyzed using logistic and linear regressions for each cohort. The estimates were then combined using meta-analysis. Associations between maternal Cu and acute-phase reactants (APRs) and infection status were analyzed in 1239 samples from the Malawi cohort.

RESULTS: The maternal prenatal Cu concentration in our study samples followed normal distribution with mean of 1.92 μg/mL and standard deviation of 0.43 μg/mL, and Cu concentrations increased with gestational age up to 20 wk. The random-effect meta-analysis across 18 cohorts revealed that 1 μg/mL increase in maternal Cu concentration was associated with higher risk of PTB with odds ratio of 1.30 (95% confidence interval [CI]: 1.08, 1.57) and shorter gestational duration of 1.64 d (95% CI: 0.56, 2.73). In the Malawi cohort, higher maternal Cu concentration, concentrations of multiple APRs, and infections (malaria and HIV) were correlated and associated with greater risk of PTB and shorter gestational duration.

CONCLUSIONS: Our study supports robust negative association between maternal Cu and gestational duration and positive association with risk for PTB. Cu concentration was strongly correlated with APRs and infection status suggesting its potential role in inflammation, a pathway implicated in the mechanisms of PTB. Therefore, maternal Cu could be used as potential marker of integrated inflammatory pathways during pregnancy and risk for PTB.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:119

Enthalten in:

The American journal of clinical nutrition - 119(2024), 1 vom: 27. Jan., Seite 221-231

Sprache:

Englisch

Beteiligte Personen:

Monangi, Nagendra K [VerfasserIn]
Xu, Huan [VerfasserIn]
Fan, Yue-Mei [VerfasserIn]
Khanam, Rasheeda [VerfasserIn]
Khan, Waqasuddin [VerfasserIn]
Deb, Saikat [VerfasserIn]
Pervin, Jesmin [VerfasserIn]
Price, Joan T [VerfasserIn]
Kaur, Lovejeet [VerfasserIn]
INTERBIO-21st Study Consortium [VerfasserIn]
Al Mahmud, Abdullah [VerfasserIn]
Thanh, Le Quang [VerfasserIn]
Care, Angharad [VerfasserIn]
Landero, Julio A [VerfasserIn]
Combs, Gerald F [VerfasserIn]
Belling, Elizabeth [VerfasserIn]
Chappell, Joanne [VerfasserIn]
Chen, Jing [VerfasserIn]
Kong, Fansheng [VerfasserIn]
Lacher, Craig [VerfasserIn]
Ahmed, Salahuddin [VerfasserIn]
Chowdhury, Nabidul Haque [VerfasserIn]
Rahman, Sayedur [VerfasserIn]
Kabir, Furqan [VerfasserIn]
Nisar, Imran [VerfasserIn]
Hotwani, Aneeta [VerfasserIn]
Mehmood, Usma [VerfasserIn]
Nizar, Ambreen [VerfasserIn]
Khalid, Javairia [VerfasserIn]
Dhingra, Usha [VerfasserIn]
Dutta, Arup [VerfasserIn]
Ali, Said Mohamed [VerfasserIn]
Aftab, Fahad [VerfasserIn]
Juma, Mohammed Hamad [VerfasserIn]
Rahman, Monjur [VerfasserIn]
Ahmed, Tahmeed [VerfasserIn]
Islam, M Munirul [VerfasserIn]
Vwalika, Bellington [VerfasserIn]
Musonda, Patrick [VerfasserIn]
Ashorn, Ulla [VerfasserIn]
Maleta, Kenneth [VerfasserIn]
Hallman, Mikko [VerfasserIn]
Goodfellow, Laura [VerfasserIn]
Gupta, Juhi K [VerfasserIn]
Alfirevic, Ana [VerfasserIn]
Murphy, Susan K [VerfasserIn]
Rand, Larry [VerfasserIn]
Ryckman, Kelli K [VerfasserIn]
Murray, Jeffrey C [VerfasserIn]
Bahl, Rajiv [VerfasserIn]
Litch, James A [VerfasserIn]
Baruch-Gravett, Courtney [VerfasserIn]
Sopory, Shailaja [VerfasserIn]
Chandra Mouli Natchu, Uma [VerfasserIn]
Kumar, Pavitra V [VerfasserIn]
Kumari, Neha [VerfasserIn]
Thiruvengadam, Ramachandran [VerfasserIn]
Singh, Atul Kumar [VerfasserIn]
Kumar, Pankaj [VerfasserIn]
GARBH-Ini study team [VerfasserIn]
Alfirevic, Zarko [VerfasserIn]
Baqui, Abdullah H [VerfasserIn]
Bhatnagar, Shinjini [VerfasserIn]
Hirst, Jane E [VerfasserIn]
Hoyo, Cathrine [VerfasserIn]
Jehan, Fyezah [VerfasserIn]
Jelliffe-Pawlowski, Laura [VerfasserIn]
Rahman, Anisur [VerfasserIn]
Roth, Daniel E [VerfasserIn]
Sazawal, Sunil [VerfasserIn]
Stringer, Jeffrey S A [VerfasserIn]
Ashorn, Per [VerfasserIn]
Zhang, Ge [VerfasserIn]
Muglia, Louis J [VerfasserIn]
Villar, Jose [Sonstige Person]
McGready, Rose [Sonstige Person]
Barros, Fernando C [Sonstige Person]
Victora, Cesar G [Sonstige Person]
Munim, Shama [Sonstige Person]
Papageorgh, Aris T [Sonstige Person]
Ochieng, Roseline [Sonstige Person]
Craik, Rachel [Sonstige Person]
Barososio, Hellen C [Sonstige Person]
Berkley, James A [Sonstige Person]
Carvalho, Maria [Sonstige Person]
Ismail, Leila Cheikh [Sonstige Person]
Lambert, Ann [Sonstige Person]
Norris, Shane A [Sonstige Person]
Tshivuila-Matela, Chrystelle Oo [Sonstige Person]
Nosten, Francois [Sonstige Person]
Uauy, Ricardo [Sonstige Person]
Bhutta, Zulfiqar A [Sonstige Person]
Kennedy, Stephen [Sonstige Person]

Links:

Volltext

Themen:

789U1901C5
Acute-phase reactants
Copper
Gestational duration
Inflammation
Journal Article
Low- and middle-income countries
Meta-Analysis
Nutrition
Pregnancy
Preterm birth

Anmerkungen:

Date Completed 08.01.2024

Date Revised 20.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ajcnut.2023.10.011

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363827358