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S100B Maternal Blood Levels in Gestational Diabetes Mellitus Are Birthweight, Gender and Delivery Mode Dependent
Laura Abella1, Ebe D'Adamo2, Mariachiara Strozzi3
1Hospital Universitari Dexeus, 08028 Barcelona, Spain.
Insights
Maternal S100B levels are elevated in pregnancies with Gestational Diabetes Mellitus (GDM), indicating potential fetal central nervous system (CNS) involvement. This protein may serve as a valuable marker for monitoring high-risk pregnancies.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Neurology
- Biochemistry
Background:
- Gestational Diabetes Mellitus (GDM) significantly contributes to perinatal complications.
- A reliable biomarker for fetal central nervous system (CNS) development and damage in GDM pregnancies is currently lacking.
Purpose of the Study:
- To investigate the role of brain-protein S100B in maternal blood as a potential indicator of fetal CNS status in Gestational Diabetes Mellitus pregnancies.
- To assess the correlation of S100B levels with gestational age, birth weight, and delivery mode in GDM cases.
Main Methods:
- A prospective case-control study involving 646 pregnancies (106 GDM, 530 controls).
- Maternal blood samples were collected at four time-points from 24 weeks gestation to term for S100B measurement.
- Data was analyzed considering gender, delivery mode, gestational age, and birth weight.
Main Results:
- Elevated S100B levels were observed in GDM fetuses compared to controls from 24 weeks gestation to term (p < 0.05).
- Higher S100B levels were noted in male newborns and those born vaginally within the GDM group.
- S100B positively correlated with gestational age (R = 0.27) and birth weight (R = 0.37) (p < 0.01).
Conclusions:
- Maternal S100B shows promise as a biomarker for monitoring fetal CNS status in high-risk Gestational Diabetes Mellitus pregnancies.
- Further research is warranted to explore S100B's potential as an early marker for CNS growth or damage in the GDM population.
Abstract:
Gestational Diabetes Mellitus (GDM) is one of the main causes of perinatal mortality/morbidity. Today, a parameter offering useful information on fetal central nervous system (CNS) development/damage is eagerly awaited. We investigated the role of brain-protein S100B in the maternal blood of GDM pregnancies by means of a prospective case-control study in 646 pregnancies (GDM: n = 106; controls: n = 530). Maternal blood samples for S100B measurement were collected at four monitoring time-points from 24 weeks of gestation to term. Data was corrected for gender and delivery mode and correlated with gestational age and weight at birth. Results showed higher (p < 0.05) S100B from 24 to 32 weeks and at term in GDM fetuses than controls. Higher (p < 0.05) S100B was observed in GDM male new-borns than in females from 24 to 32 weeks and at term, in GDM cases delivering vaginally than by caesarean section. Finally, S100B positively correlated with gestational age and weight at birth (R = 0.27; R = 0.37, respectively; p < 0.01). The present findings show the usefulness of S100B in CNS to monitor high-risk pregnancies during perinatal standard-of-care procedures. The results suggest that further investigations into its potential role as an early marker of CNS growth/damage in GDM population are needed.
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