肝脏作为代谢传感器在妊娠糖尿病:对后代的肝脏和糖尿病风险的影响
Mona Mohamed Ibrahim Abdalla1, Mohammed Ismail-Khan2,3
1Department of Human Biology, School of Medicine, International Medical University, Bukit Jalil 57000, Kuala Lumpur, Malaysia. monamohamed@imu.edu.my.
World journal of hepatology
|December 10, 2025
概括
孕期糖尿病 (GDM) 破坏母亲的肝脏,影响后代的代谢健康. 以肝脏为中心的干预措施可以防止诸如2型糖尿病等疾病的代际传播.
科学领域:
- 生殖生物学 生殖生物学
- 代谢障碍 代谢障碍 代谢障碍
- 肝病学 肝病学是一种肝病学.
背景情况:
- 孕期糖尿病 (GDM) 已知产科并发症和对母亲和后代的长期代谢风险.
- 研究传统上专注于GDM中的胰腺和胎盘因素.
- 孕妇的肝脏是怀孕期间的主要代谢调节器,对胎儿发育至关重要.
研究的目的:
- 审查GDM如何破坏母亲的肝功能.
- 概述将母性肝功能障碍与后代代谢疾病联系在一起的机制.
- 探索GDM的新途径和潜在干预措施.
主要方法:
- 文献综述综合了关于GDM和母亲肝脏病理生理学的当前发现.
- 对参与肝功能障碍的机械路径的分析.
- 探索关于肠-肝-胎盘轴,胆酸,ER压力和细胞外囊泡的新兴研究.
主要成果:
- GDM将母亲的肝脏从代谢协调员转变为不适应信号的来源.
- 孕产妇的肝功能障碍有助于使后代易患非酒精性脂肪肝病和2型糖尿病.
- 关键途径包括肝激素失调,脂质代谢变化,胰岛素信号受损,炎症和表观遗传重编程.
结论:
- 重构母亲肝脏在GDM中的作用对于了解代际代谢疾病至关重要.
- 确定早期临床干预的关键窗口是可能的.
- 专注于肝脏的策略有可能预防代谢性疾病的传播.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
4.2K
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...
4.2K
Pathophysiology of Diabetes
3.1K
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,...
3.1K
Liver Physiology
3.4K
The liver, an essential organ in the human body, performs over 200 vital functions that can be broadly categorized into metabolic, hematological, endocrine regulation, and bile production.
Metabolic Regulation:
The liver is the central organ involved in regulating blood composition. It stabilizes blood glucose levels, maintaining them within the range of 70–110 mg/dL. When these levels drop, the liver breaks down glycogen reserves and releases glucose into the bloodstream. It can...
Metabolic Regulation:
The liver is the central organ involved in regulating blood composition. It stabilizes blood glucose levels, maintaining them within the range of 70–110 mg/dL. When these levels drop, the liver breaks down glycogen reserves and releases glucose into the bloodstream. It can...
3.4K
Diabetes: Symptoms, Diagnosis, and Complications
2.0K
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
2.0K
Diabetes Mellitus: Overview and Type I Subtype
4.8K
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...
4.8K
Cell Specific Gene Expression
16.2K
Multicellular organisms contain a variety of structurally and functionally distinct cell types, but the DNA in all the cells originated from the same parent cells. The differences in the cells can be attributed to the differential gene expression. Liver cells, whose functions include detoxification of blood, production of bile to metabolize fats, and synthesis of proteins essential for metabolism, must express a specific set of genes to perform their functions. Gene expression also varies with...
16.2K


