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氧化应激和抗氧化剂治疗对妊娠期糖尿病结局的影响:一项范围综述

The Effect of Oxidative Stress and Antioxidants Treatment on Gestational Diabetes Mellitus Outcome: A Scoping Review.

作者信息

Zheng Zhen-Xia, Feng Xiao, Zhuang Lijuan

机构信息

Obstetrics Department, Zhongshan Hospital of Xiamen University, Fujian, China.

Department of Pediatrics, Affiliated Zhongshan Hospital of Xiamen University, Fujian, China.

出版信息

Cell Biochem Biophys. 2024 Dec;82(4):3003-3013. doi: 10.1007/s12013-024-01417-3. Epub 2024 Jul 13.

DOI:10.1007/s12013-024-01417-3
PMID:39003362
Abstract

Diagnosing a pregnant woman's glucose intolerance is referred to as gestational diabetes mellitus (GDM). Diabetes has been linked to enhanced oxidative stress. In this condition, oxidative stress may damage nucleic acids, fats, and proteins, which in turn affects cell and tissue functions. The present study highlights the relationship between oxidative stress and GDM, with a particular focus on the role of hyperglycemia-induced processes during reactive oxygen species (ROS) oversupply, followed by it discusses the oxidative stress biomarkers and assesses the effects of antioxidant supplements on glycemic control, inflammatory processes, and oxidative stress among individuals with GDM. Two reviewers conducted a comprehensive literature search utilizing the PubMed®, Web of Science™, and Scopus® databases. Only items published in the English language up until June 2024 were taken into account. We conducted a thorough search of research databases to identify articles that had the terms "oxidative stress" or "antioxidant" and "GDM". From this search, we selected 55 relevant papers to be included in this narrative review. Pregnancy-induced hypertension, postpartum bleeding, lower birth weight, a higher risk of hyperbilirubinemia in their neonates, fetal growth retardation, and birth asphyxia were revealed to be outcomes of women enduring major oxidative stress during pregnancy. Furthermore, tight glycemic control both before and throughout pregnancy as well as oxidative stress treatment may help women highly prone to GDM.

摘要

诊断孕妇的葡萄糖不耐受被称为妊娠期糖尿病(GDM)。糖尿病与氧化应激增强有关。在这种情况下,氧化应激可能会损害核酸、脂肪和蛋白质,进而影响细胞和组织功能。本研究强调了氧化应激与GDM之间的关系,特别关注高血糖诱导的过程在活性氧(ROS)供应过剩期间所起的作用,随后讨论了氧化应激生物标志物,并评估了抗氧化剂补充剂对GDM患者血糖控制、炎症过程和氧化应激的影响。两名评审员利用PubMed®、Web of Science™和Scopus®数据库进行了全面的文献检索。仅考虑截至2024年6月以英文发表的文章。我们对研究数据库进行了全面搜索,以识别包含“氧化应激”或“抗氧化剂”以及“GDM”等术语的文章。通过这次搜索,我们选择了55篇相关论文纳入本叙述性综述。研究发现,妊娠期间承受重大氧化应激的女性会出现妊娠高血压、产后出血、低出生体重、新生儿高胆红素血症风险增加、胎儿生长受限和出生窒息等后果。此外,在怀孕前及整个孕期进行严格的血糖控制以及氧化应激治疗可能对极易患GDM的女性有帮助。

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本文引用的文献

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Changes in body mass index and waist circumference and heart failure in type 2 diabetes mellitus.2 型糖尿病患者体重指数和腰围的变化与心力衰竭。
Front Endocrinol (Lausanne). 2023 Dec 21;14:1305839. doi: 10.3389/fendo.2023.1305839. eCollection 2023.
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Structural Characterization and Immunomodulatory Activity of a Mannose-Rich Polysaccharide Isolated from H4-2.从H4-2中分离得到的富含甘露糖的多糖的结构表征及免疫调节活性
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Podophyllotoxin-mediated neurotoxicity via the microbiota-gut-brain axis in SD rats based on the toxicological evidence chain (TEC) concept.
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Oxidative Stress in Type 2 Diabetes: Impacts from Pathogenesis to Lifestyle Modifications.2型糖尿病中的氧化应激:从发病机制到生活方式改变的影响
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Immune dysregulation and pathogenic pathways mediated by common infections in rheumatoid arthritis.类风湿关节炎中常见感染介导的免疫失调和发病途径。
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Decellularized human amniotic membrane engraftment in combination with adipose-derived stem cells transplantation, synergistically improved diabetic wound healing.脱细胞人羊膜植入联合脂肪干细胞移植,协同改善糖尿病伤口愈合。
J Cosmet Dermatol. 2022 Dec;21(12):6939-6950. doi: 10.1111/jocd.15394. Epub 2022 Sep 25.
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The impact of diabetes on postoperative outcomes following spine surgery: A meta-analysis of 40 cohort studies with 2.9 million participants.糖尿病对脊柱手术后术后结局的影响:一项包含 290 万参与者的 40 项队列研究的荟萃分析。
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The causal effect of delivery volume on severe maternal morbidity: an instrumental variable analysis in Sichuan, China.分娩量对严重产妇发病率的因果效应:来自中国四川的工具变量分析。
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