在人类怀孕期间的孕产妇肥胖和妊娠期糖尿病中潜在的葡萄糖生物标志物
Anna Farkas1, Andrea Suranyi2, Balint Kolcsar2
1Horváth Csaba Memorial Laboratory of Bioseparation Sciences, Research Center for Molecular Medicine, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary.
Journal of clinical medicine
|March 17, 2025
概括
孕期糖尿病 (GDM) 改变了人类的IgG N-糖化,特别是核心的糖化. 这些变化可以作为孕妇早期GDM检测的生物标志物,即使是那些BMI正常的孕妇.
科学领域:
- 生殖医学和内分泌学.
- 免疫学和葡萄糖生物学
背景情况:
- 肥胖是一个与妊娠期糖尿病 (GDM) 相关的全球健康问题.
- GDM可以导致母亲和孩子的妊娠并发症.
- 人体IgG N-糖化模式在各种生理和病理状态下发生变化,这表明它有可能作为生物标志物.
研究的目的:
- 为了研究肥胖和GDM对人类血清IgG N-链接糖化在怀孕期间的影响.
- 为了确定潜在的甘氨酸生物标志物用于GDM诊断和怀孕并发症预测.
主要方法:
- 研究参与者按身体质量指数 (BMI) 和GDM状态分组:正常体重控制,肥胖,正常体重与GDM,肥胖与GDM.
- 人体血清IgG N-甘氨酸被释放,使用毛细血管电泳分离,并通过激光诱导的光检测.
主要成果:
- 在四个组中观察到IgG N-糖化模式的显著差异.
- 与对照组相比,GDM和肥胖的GDM群体的核心fucosylation水平显著下降.
- 在仅使用GDM的组中,核化值最低.
结论:
- 仅仅肥胖不会显著改变怀孕期间的IgG N-糖化.
- 改变IgG N-甘氨酸的形状,特别是核心的fucosylation,显示承诺作为生物标志物用于正常体重的孕妇GDM诊断.
- 需要进一步的研究来验证这些甘氨酸生物标志物的临床应用在管理GDM和相关的怀孕结果.
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