37 Bioanalysis (2017) 9(1), 37–51 ISSN 1757-6180
part of
Research Article
10.4155/bio-2016-0223 © 2017 Future Science Ltd
Aim: Till now there is very limited knowledge on the molecular content of coelomic
fluid and cells. This study presents the first attempt to elucidate the metabolic profile
of such samples. Methodology: Samples were collected via coelocentesis from 41
women during the first trimester of gestation. Metabolic content was assessed using
four different analytical platforms. For targeted analysis a hydrophilic interaction
chromatography ultra high performance LC–MS/MS method was applied. Holistic
analysis performed by GC–MS, NMR spectroscopy and ion cyclotron ultra-high
resolution MS (FT–ICR–MS) instrumentation. Results & Conclusions: Our observations
suggest coelomic fluid and cells as promising biosamples, rich in metabolites with
potential use in mammalian system biology studies.
First draft submitted: 9 August 2016; Accepted for publication: 11 October 2016;
Published online: 6 December 2016
Keywords: coelomic fluid • coelomic fluid cells • metabolomics
Extra-embryonic coelom (EEC) is probably
one of the least explored human body fluid
cavities in the human body. EEC is the larg-
est space inside the human gestational sac
up to 9 weeks’ gestation [1] . After 10 weeks,
the EEC starts shrinking with simultaneous
expansion of the amniotic cavity. EEC pro-
vides an essential nutritional pathway for the
early fetus before the placental circulation is
fully established. Analysis of the EEC con-
tent (coelomic fluid [CF] and cells [CFC])
has been proposed for prenatal diagnosis.
CF and CFC are collected by coelocentesis
typically performed between 6 and 11 weeks
of gestation by highly experienced special-
ists. Coelocentesis is (in theory) an attrac-
tive alternative for early amniocentesis and
chorionic villous sampling because the risk
of directly injuring the growing embryo or
damaging its placenta is low [2] .
Several authors have proposed the use
of coelomic cells in prenatal diagnostics.
For application of CFC in prenatal diag-
nosis, different techniques have been used,
including fluorescence in situ hybridization
and polymerase chain reaction to identify
fetal gender [3–5] , DNA amplification [6] to
identify single gene disorders such as sickle
cell anemia or β-thalassemia – [7] and stan-
dard cytogenetic cultures [3] . Prenatal diag-
nosis in the first trimester could provide early
detection of genetic disorders, however, in
two studies by Giambona et al. limitations
due to contamination of samples with mater-
nal cells are discussed. The cellular content
of CF was investigated for any potential mor-
phological discrimination between maternal
and embryo–fetal cells. It was found that
the CFC contained ten different cell types
including six of maternal origin and four
types of embryo–fetal cells [8] . Another study
is mainly focused on isolation of fetal cells
from celomic fluid [9] .
Additionally it is important to mention
that although coelocentesis has been pro-
posed as an early prenatal diagnostic proce-
dure there is very limited knowledge on the
metabolic content of both CF and CFCs [10] .
Metabolic profile of human coelomic fluid
C Virgiliou
1
, L Valianou
1
,
M Witting
2,3
, F Moritz
2
, C
Fotakis
4
, P Zoumpoulakis
4
,
A C Chatziioannou
1
, L
Lazaros
5
, G Makrydimas
5
, K
Chatzimeletiou
6
, N Raikos
7
&
GA Theodoridis
*,1
1
Department of Chemistry, Aristotle
University, Thessaloniki, Greece
2
Research Unit Analytical
BioGeoChemistry Helmholtz Zentrum
Munchen, German, Research Center for
Health and Environment Neuherberg,
Germany
3
Chair of Analytical Foodchemistry,
Wissenschaftszentrum Weihenstephan
für Ernährung, Landnutzunng und
Umwelt, Technische Universität München
4
Institute of Biology, Medicinal Chemistry
& Biotechnology, National Hellenic
Research Foundation, Athens, Greece
5
Department of Obstetrics & Gynecology,
Ioannina University Hospital, Ioannina,
Greece
6
Unit for Human Reproduction, 1st
Department of Obstetrics & Gynecology,
Medical School, Aristotle University of
Thessaloniki, Thessaloniki, Greece
7
Laboratory of Forensic Medicine &
Toxicology, Medical School, Aristotle
University of Thessaloniki, Thessaloniki,
Greece
*Author for correspondence:
gtheodor@chem.auth.gr
Special Focus Issue: Methods & Techniques for Metabolic Phenotyping
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