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Is Chemerin Associated with Gestational Diabetes Mellitus? A Case-Control Study
Ziwen Ma1, Liming Chu1, Yan Zhang1
1Department of Obstetrics and Gynecology, Shanghai Pudong New Area Healthcare Hospital for Women and Children, Shanghai, People's Republic of China.
Summary
Elevated chemerin levels are linked to gestational diabetes mellitus (GDM) risk. The placenta, along with adipose tissue, may contribute to GDM development.
Area of Science:
- Endocrinology
- Metabolic Disorders
- Pregnancy Complications
Background:
- Gestational diabetes mellitus (GDM) is a common pregnancy complication.
- Chemerin, a adipokine, has been implicated in metabolic disorders.
- Understanding chemerin's role in GDM is crucial for early detection and management.
Purpose of the Study:
- To investigate the relationship between GDM and chemerin.
- To analyze chemerin levels in maternal and cord blood.
- To examine chemerin mRNA and protein expression in placental and adipose tissues.
Main Methods:
- A case-control study involving 110 women with GDM and 110 controls.
- Measurement of chemerin levels in peripheral and cord blood.
- Assessment of chemerin mRNA and protein expression in placental and adipose tissues.
Main Results:
- Women with GDM had higher pre-pregnancy BMI, TG/HDL ratio, and TG levels, and lower HDL levels.
- Chemerin levels were significantly higher in cord blood of the GDM group.
- Chemerin mRNA and protein expression were significantly elevated in the placenta and adipose tissue of GDM patients, correlating with GDM risk.
Conclusions:
- Elevated chemerin is closely associated with the risk of GDM.
- The placenta is identified as a potential significant source of chemerin in GDM, in addition to adipose tissue.
- These findings suggest chemerin's involvement in the pathogenesis of GDM.
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