在重复妊娠糖尿病中肠道微生物组和血清代谢变化
Wei Zheng1, Yixuan Lu2, Xianxian Yuan2
1Department of Nutrition, Endocrinology, and Metabolism, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China; Beijing Maternal and Child Health Care Hospital, Beijing 100026, China; Department of Clinical Nutrition, Capital Medical University, Beijing 100069, China.
Diabetes research and clinical practice
|August 13, 2025
概括
重复的妊娠糖尿病 (GDM) 与妊娠期间的肠道微生物群和代谢变化有关. 针对这些变化的干预措施可能有助于预防GDM复发.
科学领域:
- 微生物组研究的研究.
- 代谢学 代谢学 代谢学
- 生殖健康 生殖健康
背景情况:
- 复发性妊娠糖尿病 (GDM) 影响了以前有史以来女性的很大比例.
- 了解肠道微生物群和宿主新陈代谢之间的相互作用对于管理GDM至关重要.
研究的目的:
- 为了确定肠道微生物组和血清代谢变化在女性的复发性GDM.
- 使用孟德尔随机化 (MR) 探索潜在的因果关系.
主要方法:
- 对70名先前患有GDM的孕妇进行前性队列研究.
- 对于肠道微生物群的16S rRNA测序和血清代谢物的非向代谢组.
- MR分析了来自多个大型生物银行队列的综合数据.
主要成果:
- 观察到特定阶段的微生物失生症,早期有助于炎症的种类丰富,后来有益细菌枯竭.
- 减少微生物群落凝聚力和改变脂质和咖啡因代谢物水平在复发性GDM中.
- 核磁共振分析表明16种种类型可能因果关系地影响GDM风险,可能由脂质信号传递介导.
结论:
- 妊娠期间的肠道微生物群和代谢副产品是预防GDM的潜在目标.
- 调节肠道微生物组和代谢途径可能为复发性GDM提供新的治疗策略.
相关概念视频
Pathophysiology of Diabetes
1.2K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
1.2K
Diabetes Mellitus: Type 2 and Gestational
2.9K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.9K
Glucagon-like Receptor Agonists
418
Incretins include glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), which stimulate insulin secretion post-meals. In type 2 diabetes, GIP's efficacy is reduced, making GLP-1 a viable drug target. GIP originates from preproGIP.
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by...
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by...
418
Glucose Transporters
24.1K
Glucose transporters facilitate the transport of glucose across the cell membrane. In addition to glucose, some glucose transporters can also aid the movement of other hexoses such as fructose, mannose, and galactose.
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
24.1K
Diabetes Mellitus: Overview and Type I Subtype
3.2K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
3.2K
What is Monogastric Digestion?
72.5K
The human body contains a monogastric digestive system. In a monogastric digestive system, the stomach only contains one chamber in which it digests food. Several other animal species also have monogastric digestive systems, including pigs, horses, dogs, and birds. This chapter, however, focuses on the human digestive system.
72.5K


