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Updated: Nov 29, 2025

Mechanism of Regulation of Adipocyte Numbers in Adult Organisms Through Differentiation and Apoptosis Homeostasis
Published on: June 3, 2016
Role of adipose tissue in regulating fetal growth in gestational diabetes mellitus
Caitlyn Nguyen-Ngo1, Nanthini Jayabalan2, Polin Haghvirdizadeh1
1Mercy Perinatal Research Centre, Mercy Hospital for Women, Heidelberg, Victoria, Australia; Obstetrics, Nutrition and Endocrinology Group, Department of Obstetrics and Gynaecology, University of Melbourne, Victoria, Australia.
Insights
Gestational diabetes mellitus (GDM) is a global concern. Understanding how adipose tissue factors influence placental nutrient transport is key to preventing GDM and its complications.
Area of Science:
- Reproductive biology
- Metabolic disorders
- Placental science
Background:
- Gestational diabetes mellitus (GDM) poses significant risks to maternal and infant health.
- Effective GDM prevention strategies are urgently needed.
- Pathophysiology of GDM requires further elucidation, particularly the interplay between adipose tissue, placenta, and fetal growth.
Purpose of the Study:
- To review the role of placental nutrient transporters in GDM.
- To discuss adipose-derived factors influencing placental function.
- To explore potential therapeutic targets for GDM prevention.
Main Methods:
- Literature review focusing on GDM pathophysiology.
- Analysis of the relationship between adipose tissue secretions and placental nutrient transport.
- Examination of factors affecting fetal growth regulation.
Main Results:
- The placenta is crucial for fetal growth via nutrient transfer.
- Adipose-derived factors (adipokines, extracellular vesicles) impact placental inflammation and nutrient transport.
- Interactions between adipose factors and placental transporters are complex.
Conclusions:
- Understanding adipose-placental interactions is vital for GDM prevention.
- Placental nutrient transporters and adipose-derived factors represent potential therapeutic targets.
- Further research into these relationships may lead to novel GDM interventions.
Abstract:
Gestational diabetes mellitus (GDM) is a global health issue with significant short and long-term complications for both mother and baby. There is a strong need to identify an effective therapeutic that can prevent the development of GDM. A better understanding of the pathophysiology of GDM and the relationship between the adipose tissue, the placenta and fetal growth is required. The placenta regulates fetal growth by modulating nutrient transfer of glucose, amino acids and fatty acids. Various factors secreted by the adipose tissue, such as adipokines, adipocytokines and more recently identified extracellular vesicles, can influence inflammation and interact with placental nutrient transport. In this review, the role of the placental nutrient transporters and the adipose-derived factors that can influence their function will be discussed. A better understanding of these factors and their relationship may make a potential target for therapeutic interventions to prevent the development of GDM and its consequences.
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