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Association of Umbilical Cord Perilipin 2 Levels with Neonatal Anthropometric Measurements in Infants of Diabetic
Kiymet Celik1, Nurten Ozkan Zarif1, Ikbal Ozen Kucukcetin2
1Department Neonatology, Akdeniz University, 07070 Antalya, Turkey.
Insights
Infants of diabetic mothers (IDMs) show increased subcutaneous fat, but Perilipin 2 (PLIN2) levels are not linked to this increased adipose tissue. PLIN2 levels did correlate with IGF-2 and leptin in IDMs.
Area of Science:
- Endocrinology
- Metabolic Research
- Pediatric Health
Background:
- Perilipin 2 (PLIN2) influences lipid droplet formation and is implicated in metabolic diseases.
- Infants of diabetic mothers (IDMs) often exhibit fetal hyperinsulinemia, leading to increased adipose tissue and macrosomia.
- Understanding PLIN2's role in IDMs is crucial for metabolic and growth insights.
Purpose of the Study:
- To examine the association between PLIN2 levels and anthropometric measurements in IDMs.
- To investigate the relationship between PLIN2 levels and Insulin-like Growth Factor (IGF)-1, IGF-2, and leptin in IDMs.
Main Methods:
- A cohort of IDMs was compared to a control group of infants born to non-diabetic mothers, matched for gestational age and sex.
- Cord blood samples were analyzed for PLIN2, IGF-1, IGF-2, and leptin concentrations.
- Standard anthropometric measurements were recorded at birth for all infants.
Main Results:
- IDMs had significantly higher middle arm circumference and skinfold thickness (triceps, biceps, subscapular, suprailiac) compared to controls.
- No significant differences were observed in birth weight, length, head circumference, or BMI between the groups.
- While PLIN2, IGF-1, IGF-2, and leptin levels were similar between groups, PLIN2 showed a strong correlation with IGF-2 and leptin.
Conclusions:
- Increased subcutaneous adipose tissue in IDMs was not associated with Perilipin 2 (PLIN2) levels.
- Despite potential for macrosomia, PLIN2's direct link to adiposity in this context requires further investigation.
Background:
Perilipin 2 (PLIN2) is a protein that contributes to the formation and stability of lipid droplets. It has been associated with the development of several diseases, particularly related to glucose and lipid metabolism. In infants of diabetic mother (IDM), fetal hyperinsulinaemia leads to increased adipose tissue and macrosomia. The aim of this study was to investigate the relationship between PLIN2 levels and anthropometric measurements in the IDM and to investigate the relationship between PLIN2 levels and IGF-1, IGF-2 and leptin levels.
Methods:
The study group consisted of IDMs, while the control group consisted of infants born to non-diabetic mother, matched for gestational week and gender. Cord blood samples were collected from all patients to determine PLIN2, IGF-1, IGF-2 and leptin levels. Anthropometric measurements were taken for all patients at birth.
Results:
There were no differences between the groups in birth weight, birth length, head circumference and body mass index (BMI), but middle arm circumference, triceps, biceps, subscapular and suprailiac skinfold thickness were significantly higher in the IDM. While PLIN2, IGF-1, IGF-2 and leptin levels were similar between groups, there was a strong correlation between PLIN2 levels and IGF-2 and leptin levels.
Conclusions:
Even if IDMs were not macrosomic, the presence of high subcutaneous adipose tissue was not associated with PLIN2.
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