Accurate prediction of birth implementing a statistical model through the determination of steroid hormones in saliva

Steroidal hormone interaction in pregnancy is crucial for adequate fetal evolution and preparation for childbirth and extrauterine life. Estrone sulphate, estriol, progesterone and cortisol play important roles in the initiation of labour mechanism at the start of contractions and cervical effacement. However, their interaction remains uncertain. Although several studies regarding the hormonal mechanism of labour have been reported, the prediction of date of birth remains a challenge. In this study, we present for the first time machine learning algorithms for the prediction of whether spontaneous labour will occur from week 37 onwards. Estrone sulphate, estriol, progesterone and cortisol were analysed in saliva samples collected from 106 pregnant women since week 34 by enzyme-immunoassay (EIA) techniques. We compared a random forest model with a traditional logistic regression over a dataset constructed with the values observed of these measures. We observed that the results, evaluated in terms of accuracy and area under the curve (AUC) metrics, are sensibly better in the random forest model. For this reason, we consider that machine learning methods contribute in an important way to the obstetric practice.

Longitudinal study on steroid hormone variations during the second trimester of gestation: a useful tool to confirm adequate foetal development

Background The interaction of hormonal factors are crucial for good foetal development. During the second trimester of gestation, most of the main physiological processes of foetal development occur. Therefore, the aim of this study was to determine the variations in the physiological levels of cortisol, estriol, estrone sulphate, and progesterone during the second trimester (weeks 12–26) in order to establish normal ranges that can serve as indicators of foetal well-being and good functioning of the foetal-placental unit. Methods Saliva samples from 106 pregnant women were collected weekly (from week 12 to week 26 of gestation), and hormonal measurements were assayed by an enzyme immunoassay. The technique used for hormone measurements was highly sensitive and served as a non-invasive method for sample collection. Results The results revealed a statistically significant (p<0.05) difference between cortisol, progesterone, and oestrogens throughout the second trimester, with a more substantial relationship between oestrogens and progesterone [P4-E3 (r=0.427); P4-E1SO4 (r=0.419)]. By analysing these hormone concentrations, statistically significant (p<0.05) elevations in progesterone, cortisol, and estriol levels were found at the 16th [(P4 (0.78±0.088), C(1.99±0.116), E3(2.513±0.114)]; 18th [(P4 (1.116±0.144), C(3.409±0.137), E3(3.043±0.123)] and 23rd week of gestation [(P4(1.36±0.153), C(1.936±0.11), E3(2.657±0.07)]. Estrone sulphate levels appeared to increase progressively throughout the second trimester [from 1.103±0.03 to 2.244±0.09]. Conclusion The 18th week of gestation seems to constitute a very important week during foetal adrenal development, and the analysis of the main hormones involved in foetal development, provided more precise information regarding the proper functioning of the foetal unit and foetal development.

New possibilities for pregnancy diagnosis in ruminants: Limitations, advantages, use

Early pregnancy diagnosis in ruminants, especially in high production herds, is one of the most important components of reproduction management. Reducing the time between insemination and the exclusion or confirmation of pregnancy is of major economic importance. That is why the traditional method of pregnancy examination by transrectal palpation is increasingly complemented by additional tests, such as ultrasonography. An alternative to these methods of pregnancy diagnosis are also simple field tests. The best known are tests for progesterone and estrone sulphate concentrations. Over the last few years, the measuring of pregnancy-associated glycoproteins (PAGs) has also been gaining popularity. In cattle, this method can be used as early as the 28th day of pregnancy, when the plasma concentration of PAGs exceeds 1ng / ml. Maximum values of pregnancy-associated glycoproteins are observed about day 240 after fertilization. After calving, their level quickly decreases. In sheep, the concentration of PAGs increases significantly in the 3rd and 4th weeks of gestation and reaches its maximum level around the 9th week. In goats, the concentration of PAGs differs between races, but its measurement can be quite a reliable indirect method of pregnancy diagnosis. The PAGs value in this species grows until about the 8th week after insemination and, depending on the breed, reaches a maximum value of 50 to 69 ng/ml. One limitation for the use of PAGs field tests may be false positives which occur after the death of the embryo. Similarly, an increased PAGs concentration can persists for up to about 70 days after calving. Moreover, the PAGs concentration is also affected by the health, age and milk production of the female. The advantages of field tests are the simplicity of performance, the ease of reading and interpreting the results and the short time needed to complete the entire procedure. Field tests based on the commonly used ELISA method are characterized by low invasiveness (blood, milk), combined with high sensitivity and specificity. Their rapid application under field conditions makes them an excellent extension of diagnostic capabilities, especially in large herds of cows, .

Metabolism of Dehydroepiandrosterone Sulfate and Estrone-Sulfate by Human Platelets

The aim of the present research was to study the uptake of DHEAS, and to establish the intracrine capacity of human platelets to produce sex steroid hormones. The DHEAS transport was evaluated through the uptake of [3H]-DHEAS in the presence or absence of different substrates through the organic anion transporting polypeptide (OATP) family. The activity of sulfatase enzyme was evaluated, and the metabolism of DHEAS was measured by the conversion of [3H]-DHEAS to [3H]-androstenedione, [3H]-testosterone, [3H]-estrone and [3H]-17β-estradiol. Results indicated the existence in the plasma membrane of an OATP with high affinity for DHEAS and estrone sulphate (E1S). The platelets showed the capacity to convert DHEAS to active DHEA by the steroid-sulfatase activity. The cells resulted to be a potential site for androgens production, since they have the capacity to produce androstenedione and testosterone; in addition, they reduced [3H]-estrone to [3H]-17β-estradiol. This is the first demonstration that human platelets are able to import DHEAS and E1S using the OATP family and to convert DHEAS to active DHEA, and to transform E1S to 17β-estradiol.