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2014 · European journal of clinical nutrition · paywalled

Obesity prevalence in relation to gut microbial environments capable of producing equol or O-desmethylangolensin from the isoflavone daidzein

Frankenfeld et al.

The finding, in our words

Obese adults were nearly three times more likely than normal-weight adults to be non-producers of the gut microbial metabolite O-desmethylangolensin (ODMA) after a soy challenge, based on first-void urine analysis (adjusted odds ratio 2.8, 95% CI 1.2–6.2). This suggests that ODMA phenotype from first-void urine could serve as a decentralised biomarker for obesity risk, whereas equol phenotype showed no association.

A paraphrase to the Library’s standard, never the abstract. The source is one link away and is always the authority.

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  1. 2026

    DNA methylation markers in first-void urine effectively detect high-grade cervical lesions in HPV-positive women, with results similar to clinician-collected samples in those over 30. This enables reliable cervical cancer screening using self-collected urine, reducing the need for invasive follow-up procedures in decentralised settings.

    Evaluating DNA methylation markers and extended HPV genotyping in first-void urine for detecting high-grade cervical lesions in HPV-positive women: a cross-sectional studyTranberg et al., BMC medicine · source ↗

    • colli-pee
    • first-void
    • self-collection
    • hpv
    • urine
    • biomarkers
    • genotyping
  2. 2026

    In a small proof-of-concept, first-void urine and cervicovaginal brushes yielded high-quality vaginal microbiome profiles in most participants, comparable to vaginal swabs, offering non-invasive, user-friendly alternatives for research; however, storage at room temperature altered microbial composition in some first-void urine samples, indicating a need for careful handling.

    First-void urine and cervicovaginal brushes for vaginal microbiome profiling: a proof-of-concept studyPinedo-Bardales et al., Microbiology spectrum (paywalled) · source ↗

    • first-void
    • self-collection
    • microbiome
    • hpv
    • urine
  3. 2026

    The study found that testing for ASCL1/LHX8 DNA methylation in at-home collected first-void urine can detect most cervical cancers and high-grade precancers, supporting a fully molecular screening pathway without a clinical visit.

    Clinical performance of ASCL1/LHX8 DNA methylation on first-void urine to screen for cervical cancerVan Keer et al., Communications medicine · source ↗

    • colli-pee
    • first-void
    • self-collection
    • hpv
    • liquid-biopsy
    • urine
    • biomarkers
  4. 2024

    Adding polyethylene glycol to first-void urine before centrifugation markedly improved cell-free DNA recovery in the pellet, whereas low-speed centrifugation alone removed cellular DNA while keeping cell-free DNA in the supernatant. Pseudovirions pelleted reliably under all conditions, but the study revealed substantial variation between self-collected samples, highlighting the need for standardised protocols in decentralised HPV screening programmes.

    Concentration strategies for spiked and naturally present biomarkers in non-invasively collected first-void urineTéblick et al., European journal of medical research · source ↗

    • first-void
    • hpv
    • liquid-biopsy
    • liquid
    • urine
    • validation
    • biomarkers
  5. 2023

    In adults given EPA or DHA for 12 weeks, first-void urine analysed by MSI-CE-MS showed increased S-carboxypropylcysteamine and other candidate metabolites that correlated with the Omega-3 Index measured in erythrocytes, suggesting urine could support non-invasive monitoring of omega-3 status.

    Urinary Metabolite Profiling to Non-Invasively Monitor the Omega-3 Index: An Exploratory Secondary Analysis of a Randomized Clinical Trial in Young AdultsMacIntyre et al., Metabolites · source ↗

    • urine
    • first-void
    • metabolome
    • biomarkers