Aerts L, Van Assche F A
Department of Obstetrics and Gynaecology, U. Z. Gasthuisberg, K. U. Leuven, Belgium.
J Perinat Med. 2001;29(1):81-4. doi: 10.1515/JPM.2001.012.
Gestational diabetes compromises fetal development and induces a diabetogenic effect in the offspring, including the development of gestational diabetes and the transmission of the effect to the next generation. Changes are not limited to glucose and insulin metabolism, and appear to be modulated by alterations at the hypothalamo-hypophyseal axis. In the present work, serum concentrations are given for the non-protein amino-acids taurine and gamma-aminobutyric acid (GABA), both neurotransmitters essential for normal brain development, and for the endogenous neuroprotector carnosine, a known anti-oxydans. Taurine levels are significantly below normal values in mildly diabetic mothers, in their fetal and adult offspring, virgin and pregnant, and in the fetuses of these pregnant offspring. GABA and carnosine levels are at the limit of detection in the diabetic mothers and their offspring at every stage. It is concluded that the low taurine, GABA and carnosine levels in diabetic mothers and their fetuses might compromise the normal structural and functional development of the fetal brain. When adult, these offspring present a deficiency of the circulating levels of these neurotransmitters involved in the hypothalamo-hypophyseal regulation of insulin secretion. This might contribute to the development of impaired glucose tolerance and gestational diabetes, thereby transmitting the effect to the next generation.
妊娠期糖尿病会影响胎儿发育,并在子代中诱发致糖尿病效应,包括妊娠期糖尿病的发生以及这种效应向下一代的传递。变化不仅限于葡萄糖和胰岛素代谢,而且似乎受到下丘脑 - 垂体轴变化的调节。在本研究中,给出了非蛋白质氨基酸牛磺酸和γ-氨基丁酸(GABA)的血清浓度,这两种神经递质对正常脑发育至关重要,还给出了内源性神经保护剂肌肽(一种已知的抗氧化剂)的血清浓度。轻度糖尿病母亲及其胎儿、成年子代(无论处女或怀孕)以及这些怀孕子代的胎儿中,牛磺酸水平均显著低于正常值。在糖尿病母亲及其子代的各个阶段,GABA和肌肽水平均处于检测极限。结论是,糖尿病母亲及其胎儿中牛磺酸、GABA和肌肽水平较低可能会损害胎儿大脑的正常结构和功能发育。这些子代成年后,这些参与下丘脑 - 垂体轴调节胰岛素分泌的神经递质的循环水平会出现不足。这可能导致糖耐量受损和妊娠期糖尿病的发生,从而将这种效应传递给下一代。