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Decreased fetal pre-adipocyte factor-1 in pregnancies complicated by gestational diabetes mellitus
Jie Li1, Qiuyuan Zhu1, Hanzhi Wang1
1Women's Hospital, School of Medicine, Zhejiang University, Key Laboratory of Reproductive Genetics, Ministry of Education, China.
Insights
Serum pre-adipocyte factor-1 (pref-1) levels are lower in fetuses of mothers with gestational diabetes mellitus (GDM). This finding may impact the child's future metabolic health.
Area of Science:
- Endocrinology
- Metabolic Diseases
- Perinatal Medicine
Background:
- Serum pre-adipocyte factor-1 (pref-1) inhibits adipocyte differentiation and is linked to metabolic disease risk.
- Elevated pref-1 is observed in small for gestational age fetuses.
- Gestational diabetes mellitus (GDM) may alter fetal pref-1 concentrations.
Purpose of the Study:
- To investigate fetal pre-adipocyte factor-1 (pref-1) concentrations in pregnancies complicated by gestational diabetes mellitus (GDM).
Main Methods:
- Umbilical cord blood samples were collected from fetuses of mothers with GDM (n=37) and normal pregnancies (n=45).
- Pref-1 concentrations were quantified using enzyme-linked immunosorbent assay (ELISA).
- Fetal birth weights were recorded and compared between groups.
Main Results:
- Fetal serum pref-1 concentrations were significantly lower in the GDM group (16.12±6.48 μg/l) compared to controls (22.09±7.22 μg/l; P=0.001).
- Fetuses from GDM pregnancies exhibited significantly higher birth weights (3567±544 g) than controls (3253±370 g; P=0.003).
Conclusions:
- Gestational diabetes mellitus is associated with decreased fetal pref-1 concentrations.
- These alterations in pref-1 may have implications for the offspring's long-term metabolic health.
- Further research is warranted to explore the link between GDM, fetal pref-1, and metabolic outcomes.
Background:
Serum pre-adipocyte factor-1 (pref-1) is an inhibitor of adipocyte differentiation that increases in small for gestational age fetuses. It plays a role in adipose metabolism and is associated with an increased risk of metabolic diseases in adulthood. We hypothesized that preadipocyte factor-1 (pref-1) concentration is altered in fetuses born to women with gestational diabetes mellitus (GDM).
Methods:
Umbilical cord blood pref-1 concentrations were determined by enzyme-linked immunosorbant assay in 37 fetuses from pregnancies complicated by GDM and 45 fetuses from normal pregnancies.
Results:
Serum pref-1 concentrations were significantly lower in fetuses of women with GDM compared to normal pregnancies (16.12±6.48 vs. 22.09±7.22 μg/l, P=0.001). Birth weight was significantly higher in GDM fetuses compared to normal pregnancies (3567±544 vs. 3253±370 g, P=0.003).
Conclusions:
Pregnancies complicated by GDM have decreased fetal pref-1 concentrations compared to normal pregnancies. These differences may be significant in terms of their later development of metabolic conditions.
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