Cho Geum Joon, Yoo Sang Wook, Hong Soon Cheol, Oh Min-Jeong, Kim Tak, Kim Hai Joong, Lee Kyu Wan, Kim Sun Haeng
Department of Obstetrics and Gynecology, College of Medicine, Korea University, Seoul, Republic of Korea.
Acta Obstet Gynecol Scand. 2006;85(9):1051-6. doi: 10.1080/00016340500470150.
Resistin is a novel hormone secreted by human adipocytes and mononuclear cells. It is expressed in the human placenta, and has been postulated to play a role in the regulation of energy metabolism during pregnancy. However, correlations between umbilical and maternal serum resistin levels and neonatal birth weight remain poorly understood. The purpose of the study was to clarify the correlation between umbilical cord and maternal serum resistin levels and neonatal birth weight.
This study included 37 healthy mothers, neonates. Resistin levels were determined by ELISA, and compared for correlation between umbilical cord and maternal serum resistin levels and neonatal birth weight.
The ranges of resistin levels for umbilical and maternal sera were 10.61-40.81 and 1.14-25.54 ng/ml, respectively. Mean umbilical serum resistin level (21.34+/-1.07 ng/ml) was significantly higher than maternal serum resistin level (10.13+/-1.12) (p<0.001). Umbilical serum resistin levels were positively correlated with maternal serum resistin levels (r=0.607, p<0.001) and negatively with neonatal birth weight (r= - 0.345, p=0.037). No significant differences in resistin levels were discovered between the female and male neonates. In addition, there were no correlation between the umbilical resistin levels and maternal body mass indices, umbilical leptin levels, or insulin levels.
It is suggested that resistin not only affects energy homeostasis by existing in high levels in the fetus, but may play an important role in controlling body weight through effective regulation of adipogenesis by negative feedback.
抵抗素是一种由人脂肪细胞和单核细胞分泌的新型激素。它在人胎盘中表达,并被推测在孕期能量代谢调节中发挥作用。然而,脐血和母血抵抗素水平与新生儿出生体重之间的相关性仍知之甚少。本研究的目的是阐明脐血和母血抵抗素水平与新生儿出生体重之间的相关性。
本研究纳入了37名健康母亲及新生儿。采用酶联免疫吸附测定法(ELISA)测定抵抗素水平,并比较脐血和母血抵抗素水平与新生儿出生体重之间的相关性。
脐血和母血抵抗素水平范围分别为10.61 - 40.81 ng/ml和1.14 - 25.54 ng/ml。脐血抵抗素平均水平(21.34±1.07 ng/ml)显著高于母血抵抗素水平(10.13±1.12)(p<0.001)。脐血抵抗素水平与母血抵抗素水平呈正相关(r = 0.607,p<0.001),与新生儿出生体重呈负相关(r = - 0.345,p = 0.037)。在男、女新生儿之间未发现抵抗素水平有显著差异。此外脐血抵抗素水平与母亲体重指数、脐血瘦素水平或胰岛素水平之间无相关性。
提示抵抗素不仅通过在胎儿体内高水平存在影响能量稳态,还可能通过负反馈有效调节脂肪生成来控制体重,发挥重要作用。