Department of Obstetrics, The Fifth Affiliated Hospital of Xinjiang Medical University, Urumqi, People's Republic of China.
Gynecol Endocrinol. 2022 Jun;38(6):503-507. doi: 10.1080/09513590.2022.2073348. Epub 2022 May 10.
Gestational diabetes mellitus is a frequently diagnosed glucose metabolic disorder during pregnancy. Diabetes mellitus has been found to pose important health risks to the developing fetus, mother, and offspring. Here, we investigated the protective effects of S14G-humanin, a potent humanin analogue, against maternal and neonatal adverse outcomes in mice with diabetes mellitus. The results show that S14G-humanin administration reduced the blood glucose levels and elevated the serum insulin levels in diabetes mellitus mice. The parameters of serum lipid metabolism including low-density lipoprotein, total cholesterol, and high-density lipoprotein in diabetes mellitus mice were also decreased after S14G-humanin administration. Intervention with S14G-humanin also increased the fetus alive ratio and fetal length, as well as decreased fetal and placenta weights. In addition, we demonstrate that S14G-humanin elevated the activity of the anti-oxidative enzymes catalase, glutathione peroxidase, and superoxide dismutase and reduced the inflammatory cytokines levels in the placentas of diabetes mellitus mice. The significantly increased endoplasmic reticulum stress in the placentas of diabetes mellitus mice was also attenuated by S14G-humanin administration. Taken together, S14G-humanin exerted protective roles in improving maternal and neonatal outcomes. Our findings indicate that S14G-humanin might be an effective intervention approach for women with diabetes mellitus.
妊娠期糖尿病是一种常见的妊娠期糖代谢紊乱疾病。糖尿病已被发现对发育中的胎儿、母亲和后代构成重要的健康风险。在这里,我们研究了 S14G-人胰岛素,一种有效的人胰岛素类似物,对糖尿病小鼠母儿不良结局的保护作用。结果表明,S14G-人胰岛素可降低糖尿病小鼠的血糖水平,提高血清胰岛素水平。S14G-人胰岛素给药后,糖尿病小鼠的血清脂质代谢参数如低密度脂蛋白、总胆固醇和高密度脂蛋白也降低。S14G-人胰岛素干预还增加了活胎比例和胎儿长度,同时降低了胎儿和胎盘的重量。此外,我们证明 S14G-人胰岛素可提高糖尿病小鼠胎盘中抗氧化酶过氧化氢酶、谷胱甘肽过氧化物酶和超氧化物歧化酶的活性,降低炎症细胞因子的水平。S14G-人胰岛素给药还可减轻糖尿病小鼠胎盘中内质网应激的显著增加。综上所述,S14G-人胰岛素在改善母儿结局方面发挥了保护作用。我们的研究结果表明,S14G-人胰岛素可能是糖尿病女性的一种有效干预方法。