Evidence mapPaperPMID 41999981Full record

ArticleJournal of lipid research2026

Development and application of a fluorescent immunochromatographic assay for metabolite G-DCA quantification in ICP.

Jianyi Gao, Linxia Shuang, Xiaojin Yang, Ruirui Dong, Gaoying Wang, Rong Wang, Ting Zhang

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Article in Journal of lipid research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Jianyi GaoWuxi Maternity and Child Health Care Hospital, Affiliated Women's Hospital of Jiangnan University, Jiangnan University, Wuxi, China. Electronic address: 18655274052@163.com.
Linxia ShuangWuxi Maternity and Child Health Care Hospital, Affiliated Women's Hospital of Jiangnan University, Jiangnan University, Wuxi, China; Wuxi School of Medicine, Jiangnan University, Wuxi, China.
Xiaojin YangWuxi Maternity and Child Health Care Hospital, Affiliated Women's Hospital of Jiangnan University, Jiangnan University, Wuxi, China.
Ruirui DongWuxi Maternity and Child Health Care Hospital, Affiliated Women's Hospital of Jiangnan University, Jiangnan University, Wuxi, China.
Gaoying WangWuxi Maternity and Child Health Care Hospital, Affiliated Women's Hospital of Jiangnan University, Jiangnan University, Wuxi, China.
Rong WangWuxi Maternity and Child Health Care Hospital, Affiliated Women's Hospital of Jiangnan University, Jiangnan University, Wuxi, China.
Ting ZhangWuxi Maternity and Child Health Care Hospital, Affiliated Women's Hospital of Jiangnan University, Jiangnan University, Wuxi, China. Electronic address: 9862022078@jiangnan.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intrahepatic cholestasis of pregnancy (ICP) is a pregnancy-specific liver disorder characterized by dysregulated bile acid metabolism, which can lead to severe adverse pregnancy outcomes. Glycine-conjugated deoxycholic acid (G-DCA) is a small-molecule metabolite that has been reported to be elevated in the serum of patients with ICP; however, its clinical application remains limited because conventional chromatographic methods for its quantification are time-consuming, costly, and not well-suited for rapid clinical screening. To address this gap, we developed a time-resolved fluorescence immunochromatographic test strip (TRF-ICTS) for the quantitative detection of serum G-DCA. Based on a small-molecule competitive binding design, the assay requires only 10 μl of serum sample and enables rapid detection within 16 min. The TRF-ICTS demonstrated good analytical performance, with a linear range of 0.05-10.0 ng/ml and a detection limit of 0.074 ng/ml, and maintained stable performance over two weeks of storage at both 4°C and 37°C. The results showed good quantitative agreement with LC-MS/MS measurements. Evaluation of sensitivity, specificity, and precision demonstrated that all parameters were within acceptable ranges. Clinical validation using serum samples from ICP patients and healthy pregnant women showed that G-DCA levels were elevated across different trimesters and were more pronounced in patients with severe ICP and adverse pregnancy outcomes. Overall, the developed TRF-ICTS provides a rapid and sensitive method for quantifying G-DCA, which may serve as a complementary biomarker for ICP diagnosis and disease stratification, providing additional insights into bile acid changes following UDCA treatment.

Indexed as

Cholestasis, IntrahepaticChromatography, AffinityDeoxycholic AcidPregnancy ComplicationsFemaleFluorescenceHumansPregnancyDeoxycholic Acidbile acids and saltscompetitive assaydyslipidemiasg-dcaimmunochromatographyinflammationintrahepatic cholestasis of pregnancylivermetabolismpregnancysmall-molecule metabolites

Identifiers

PMID41999981
PMCPMC13202283

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.