Siddiqui Khalid, George Teena P
Strategic Center for Diabetes Research, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Biomark Med. 2017 Jul;11(7):579-586. doi: 10.2217/bmm-2017-0013. Epub 2017 Jul 7.
Diabetes is estimated to be one of the major causes of deaths in most countries due to its high prevalence rate, which was 8.8% in 2015. Hyperglycemia detected during pregnancy is known as gestational diabetes mellitus and it increases the potential risk of development of Type 2 diabetes in mothers with its varying prevalence rate of 1-14% in different populations. It also leads to the higher risk of developing abnormal glucose tolerance and obesity in their child at an early age. Recent studies show that potential mediators of insulin resistance such as adipokines - adiponectin, leptin and resistin are important for glucose and lipid metabolism. Adipokines are directly involved in the regulation of insulin secretion and insulin sensitivity in the liver, muscle and adipose tissue. It is also involved in inflammation, adipose tissue accumulation, adverse fat distribution and subsequently affects glucose metabolism. This review highlights the role of resistin (an adipokine) in the development of gestational diabetes mellitus.
由于糖尿病的高患病率,据估计它是大多数国家主要的死亡原因之一,2015年其患病率为8.8%。孕期检测到的高血糖被称为妊娠期糖尿病,它会增加母亲患2型糖尿病的潜在风险,在不同人群中其患病率在1%至14%之间变化。它还会导致其子女在幼年时出现糖耐量异常和肥胖的风险更高。最近的研究表明,胰岛素抵抗的潜在介质如脂肪因子——脂联素、瘦素和抵抗素对葡萄糖和脂质代谢很重要。脂肪因子直接参与肝脏、肌肉和脂肪组织中胰岛素分泌和胰岛素敏感性的调节。它还参与炎症、脂肪组织积累、不良脂肪分布,随后影响葡萄糖代谢。本综述重点介绍了抵抗素(一种脂肪因子)在妊娠期糖尿病发生发展中的作用。