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妊娠期伴发产前并发症的糖尿病分子病理生理学。

Molecular pathophysiology of diabetes mellitus during pregnancy with antenatal complications.

机构信息

Department of Pathology, Institute of General Pathology and Pathophysiology, 8 Baltyiskaya str., 125315, Moscow, Russia.

Institute of Biomedical Chemistry, Biobanking Group, 10 Pogodinskaya str., 119121, Moscow, Russia.

出版信息

Sci Rep. 2020 Nov 12;10(1):19641. doi: 10.1038/s41598-020-76689-9.


DOI:10.1038/s41598-020-76689-9
PMID:33184417
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7665025/
Abstract

Gestational diabetes mellitus is a daunting problem accompanied by severe fetal development complications and type 2 diabetes mellitus in postpartum. Diagnosis of diabetic conditions occurs only in the second trimester, while associated antenatal complications are typically revealed even later. We acquired an assay of peripheral and cord blood samples of patients with different types of diabetes mellitus who delivered either healthy newborns or associated with fetopathy complications. Obtained data were handled with qualitative and quantitative analysis. Pathways of molecular events involved in diabetes mellitus and fetopathy were reconstructed based on the discovered markers and their quantitative alteration. Plenty of pathways were integrated to differentiate the type of diabetes and to recognize the impact of the diabetic condition on fetal development. The impaired triglycerides transport, glucose uptake, and consequent insulin resistance are mostly affected by faulted lipid metabolism (APOM, APOD, APOH, APOC1) and encouraged by oxidative stress (CP, TF, ORM2) and inflammation (CFH, CFB, CLU) as a secondary response accompanied by changes in matrix architecture (AFM, FBLN1, AMBP). Alterations in proteomes of peripheral and cord blood were expectedly unequal. Both up- and downregulated markers were accommodated in the cast of molecular events interconnected with the lipid metabolism, RXR/PPAR-signaling pathway, and extracellular architecture modulation. The obtained results congregate numerous biological processes to molecular events that underline diabetes during gestation and uncover some critical aspects affecting fetal growth and development.

摘要

妊娠期糖尿病是一个令人担忧的问题,伴随着严重的胎儿发育并发症和产后 2 型糖尿病。糖尿病的诊断仅在妊娠中期进行,而相关的产前并发症通常更晚才显现。我们获得了不同类型糖尿病患者的外周血和脐带血样本的检测结果,这些患者所分娩的新生儿要么健康,要么伴有胎儿疾病并发症。我们对获得的数据进行了定性和定量分析。根据发现的标记物及其定量改变,重建了涉及糖尿病和胎儿疾病的分子事件途径。将大量途径整合起来,以区分糖尿病的类型,并识别糖尿病状况对胎儿发育的影响。受损的甘油三酯转运、葡萄糖摄取以及随之而来的胰岛素抵抗主要受脂质代谢异常(APOM、APOD、APOH、APOC1)影响,并受到氧化应激(CP、TF、ORM2)和炎症(CFH、CFB、CLU)的促进,作为伴随基质结构改变的二级反应(AFM、FBLN1、AMBP)。外周血和脐带血中的蛋白质组改变预计是不相等的。上调和下调的标记物都被纳入与脂质代谢、RXR/PPAR 信号通路和细胞外结构调节相互关联的分子事件中。所得结果汇集了许多生物学过程到分子事件,这些事件强调了妊娠期间的糖尿病,并揭示了一些影响胎儿生长和发育的关键方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a74/7665025/138734f2cbee/41598_2020_76689_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a74/7665025/9202d71e5bad/41598_2020_76689_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a74/7665025/fe8f6548102e/41598_2020_76689_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a74/7665025/315758759531/41598_2020_76689_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a74/7665025/138734f2cbee/41598_2020_76689_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a74/7665025/9202d71e5bad/41598_2020_76689_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a74/7665025/fe8f6548102e/41598_2020_76689_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a74/7665025/315758759531/41598_2020_76689_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a74/7665025/138734f2cbee/41598_2020_76689_Fig4_HTML.jpg

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[1]
Molecular pathophysiology of diabetes mellitus during pregnancy with antenatal complications.

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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
Exosome Proteomics Reveals the Deregulation of Coagulation, Complement and Lipid Metabolism Proteins in Gestational Diabetes Mellitus.

Molecules. 2022-8-26

[10]
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本文引用的文献

[1]
Association of Proteins Modulating Immune Response and Insulin Clearance During Gestation with Antenatal Complications in Patients with Gestational or Type 2 Diabetes Mellitus.

Cells. 2020-4-21

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