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Published on: July 17, 2018
The Mother-Child Dyad Adipokine Pattern: A Review of Current Knowledge
Jolanta Lis-Kuberka1, Małgorzata Pupek1, Magdalena Orczyk-Pawiłowicz1
1Department of Biochemistry and Immunochemistry, Division of Chemistry and Immunochemistry, Wroclaw Medical University, M. Skłodowskiej-Curie 48/50, 50-369 Wroclaw, Poland.
Insights
Adipokines, hormones regulating metabolism, are crucial in mother-child health. Their altered levels during pregnancy impact offspring
Area of Science:
- Endocrinology
- Metabolism
- Perinatal Health
Background:
- Adipokines are adipose tissue hormones vital for metabolic regulation.
- Maternal adipokine alterations negatively affect insulin resistance, metabolic stress, placental function, and fetal development.
- These changes can lead to long-term metabolic health issues in offspring.
Purpose of the Study:
- To review current knowledge on adipokine concentrations in maternal-infant dyads.
- To examine the impact of perinatal risk factors on adipokine patterns.
- To identify knowledge gaps in perinatal and postnatal metabolic programming.
Main Methods:
- Literature review of studies measuring adipokines in maternal plasma, cord plasma, infant plasma, milk, and placenta.
- Analysis of data concerning gestational diabetes mellitus, preeclampsia, intrauterine growth restriction, preterm delivery, and maternal obesity.
- Synthesis of findings on adipokine profiles in various biological fluids.
Main Results:
- Adipokine patterns are significantly influenced by adverse perinatal risk factors.
- Specific adipokines show altered concentrations in maternal and infant biological fluids under conditions like gestational diabetes and obesity.
- The review highlights substantial variability and knowledge gaps in adipokine dynamics.
Conclusions:
- Adipokine measurement in maternal-infant dyads is critical for preventing metabolic diseases.
- Further research is needed to understand adipokine roles in early developmental programming.
- Maternal lifestyle interventions may offer a pathway to modulate adverse metabolic outcomes.
Abstract:
An important role in the network of interconnections between the mother and child is played by adipokines, which are adipose tissue hormones engaged in the regulation of metabolism. Alternations of maternal adipokines translate to the worsening of maternal insulin resistance as well as metabolic stress, altered placenta functions, and fetal development, which finally contribute to long-term metabolic unfavorable conditions. This paper is the first to summarize the current state of knowledge concerning the concentrations of individual adipokines in different biological fluids of maternal and cord plasma, newborn/infant plasma, milk, and the placenta, where it highlights the impact of adverse perinatal risk factors, including gestational diabetes mellitus, preeclampsia, intrauterine growth restriction, preterm delivery, and maternal obesity on the adipokine patterns in maternal-infant dyads. The importance of adipokine measurement and relationships in biological fluids during pregnancy and lactation is crucial for public health in the area of prevention of most diet-related metabolic diseases. The review highlights the huge knowledge gap in the field of hormones participating in the energy homeostasis and metabolic pathways during perinatal and postnatal periods in the mother-child dyad. An in-depth characterization is needed to confirm if the adverse outcomes of early developmental programming might be modulated via maternal lifestyle intervention.
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