Biomedical Research and Innovation Platform (BRIP), South African Medical Research Council, P.O. Box 19070, Tygerberg, Cape Town 7505, South Africa.
Division of Medical Physiology, Faculty of Health Sciences, Stellenbosch University, P.O. Box 19063, Tygerberg, Cape Town 7505, South Africa.
Int J Mol Sci. 2021 Jan 29;22(3):1326. doi: 10.3390/ijms22031326.
Adiponectin is an adipocyte-derived hormone that plays a critical role in energy homeostasis, mainly attributed to its insulin-sensitizing properties. Accumulating studies have reported that adiponectin concentrations are decreased during metabolic diseases, such as obesity and type 2 diabetes, with an emerging body of evidence providing support for its use as a biomarker for pregnancy complications. The identification of maternal factors that could predict the outcome of compromised pregnancies could act as valuable tools that allow the early recognition of high-risk pregnancies, facilitating close follow-up and prevention of pregnancy complications in mother and child. In this review we consider the role of adiponectin as a potential biomarker of disorders associated with pregnancy. We discuss common disorders associated with pregnancy (gestational diabetes mellitus, preeclampsia, preterm birth and abnormal intrauterine growth) and highlight studies that have investigated the potential of adiponectin to serve as biomarkers for these disorders. We conclude the review by recommending strategies to consider for future research.
脂联素是一种脂肪细胞来源的激素,在能量平衡中起着关键作用,主要归因于其胰岛素增敏特性。越来越多的研究报告称,在代谢疾病(如肥胖症和 2 型糖尿病)期间,脂联素浓度降低,越来越多的证据支持其作为妊娠并发症的生物标志物。确定可预测妊娠并发症结局的母体因素可能成为有价值的工具,可以早期识别高危妊娠,促进母婴妊娠并发症的密切随访和预防。在这篇综述中,我们考虑了脂联素作为与妊娠相关疾病的潜在生物标志物的作用。我们讨论了与妊娠相关的常见疾病(妊娠糖尿病、子痫前期、早产和宫内生长异常),并强调了研究脂联素作为这些疾病生物标志物的潜力。我们通过推荐未来研究需要考虑的策略来结束综述。