Chen Lin, Jiang Jie, Tian Yong
Department of Obstetrics and Gynecology, Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, China.
Ginekol Pol. 2025;96(1):1-6. doi: 10.5603/gpl.95298. Epub 2023 Oct 16.
Gestational diabetes mellitus (GDM) is the first type of diabetes induced by abnormal maternal glucose metabolism after pregnancy. Long non-coding RNA (lncRNA) has been found to be of great value in the study of its pathogenesis and treatment. This study aimed to explore the expression and diagnostic value of lncRNA HCG18 in GDM.
The expression levels of HCG18 in serum of participating GDM patients and healthy controls were detected by polymerase chain reaction (RT-qPCR). The correlation between the expression of HCG18 and the blood glucose level was clarified by the detection of blood glucose levels in GDM patients. The receiver operating characteristic curve (ROC) was used to evaluate the clinical diagnostic value of HCG18 for GDM. Furthermore, multivariate logistic analysis was used to verify the diagnostic value of HCG18 in GDM.
This study concluded that the expression level of HCG18 was upregulated in the serum of GDM patients compared with the control group. ROC curve showed that the AUC was 0.916, the sensitivity was 80.5%, the specificity was 90.2%, and multivariate logistic regression analysis verified that HCG18 (OR = 6.984, 95% CI = 3.751-13.005, p < 0.001) was significantly associated with GDM, which suggesting that HCG18 has diagnostic significance for GDM. In addition, the expression of HCG18 was positively correlated with fasting blood glucose, 1h blood glucose and 2 h blood glucose of patients.
LncRNA HCG18 was elevated in patient serum and might serve as a diagnostic biomarker for GDM.
妊娠期糖尿病(GDM)是妊娠后母体葡萄糖代谢异常诱发的首类糖尿病。长链非编码RNA(lncRNA)已被发现在其发病机制及治疗研究中具有重要价值。本研究旨在探讨lncRNA HCG18在GDM中的表达及诊断价值。
采用聚合酶链反应(RT-qPCR)检测参与研究的GDM患者血清及健康对照者血清中HCG18的表达水平。通过检测GDM患者的血糖水平,明确HCG18表达与血糖水平之间的相关性。采用受试者工作特征曲线(ROC)评估HCG18对GDM的临床诊断价值。此外,运用多因素logistic分析验证HCG18在GDM中的诊断价值。
本研究得出,与对照组相比,GDM患者血清中HCG18表达水平上调。ROC曲线显示,曲线下面积(AUC)为0.916,灵敏度为80.5%,特异度为90.2%,多因素logistic回归分析验证HCG18(比值比[OR]=6.984,95%置信区间[CI]=3.751 - 13.005,p<0.001)与GDM显著相关,这表明HCG18对GDM具有诊断意义。此外,HCG18的表达与患者空腹血糖、餐后1小时血糖及餐后2小时血糖呈正相关。
lncRNA HCG18在患者血清中升高,可能作为GDM的诊断生物标志物。