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.
Abstract

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