Department of Gynecology and Obstetrics, The Fourth Hospital of Shijiazhuang, Shijiazhuang, Hebei, China.
Physiol Res. 2024 Aug 31;73(4):609-619. doi: 10.33549/physiolres.935287.
Gestational diabetes mellitus (GDM) is a common disease during pregnancy that has adverse effects on both the mother and fetus. There are currently rare researches on the effect of vitamin supplementation on GDM pregnant mother and their offspring on animal and cell levels systematically. This work supplemented the GDM pregnant mouse model with vitamin D and found that vitamin D can effectively alleviate the hyperglycemia in GDM pregnant mice, increase blood insulin and adiponectin concentrations, and improve GTT and ITT in pregnant mice. In addition, vitamin D can reduce the incidence of death and high birth weight of offspring caused by GDM. The offspring of GDM pregnant mice had higher blood glucose levels in the first 5 weeks after birth compared to the normal group, and then returned to normal levels. Vitamin D can alleviate abnormal glucose metabolism in newborn mice. The therapeutic effect exhibited by vitamin D may be due to their anti-inflammatory effects, as vitamin D supplementation significantly reduces the levels of TFN-?, MCP-1, IL-1? and IL-8 in the blood. Vitamin D also regulates liver lipid metabolism, resulting in a decrease in liver lipid accumulation and a decrease in blood triglycerides (TG) and cholesterol (CHO). The results of this study demonstrate that vitamin D supplementation can serve as an effective treatment strategy for alleviating GDM symptoms. Keywords: Gestational diabetes mellitus, Vitamin D, Glucose metabolism, Anti-inflammatory.
妊娠期糖尿病(GDM)是一种常见的妊娠疾病,对母婴均有不良影响。目前,在动物和细胞水平上,对维生素补充剂对 GDM 孕妇及其后代的影响的研究很少。本研究通过补充维生素 D 来建立 GDM 孕鼠模型,发现维生素 D 可有效缓解 GDM 孕鼠的高血糖,增加血胰岛素和脂联素浓度,改善 GDM 孕鼠的 GTT 和 ITT。此外,维生素 D 可降低 GDM 引起的孕鼠后代死亡和高出生体重的发生率。与正常组相比,GDM 孕鼠的后代在出生后的前 5 周血糖水平较高,随后恢复正常。维生素 D 可减轻新生鼠异常的葡萄糖代谢。维生素 D 发挥的治疗效果可能与其抗炎作用有关,因为补充维生素 D 可显著降低血中 TFN-?, MCP-1, IL-1?和 IL-8 的水平。维生素 D 还可调节肝脏脂质代谢,减少肝脂质堆积,降低血三酰甘油(TG)和胆固醇(CHO)。本研究结果表明,维生素 D 补充可作为缓解 GDM 症状的有效治疗策略。
妊娠期糖尿病;维生素 D;葡萄糖代谢;抗炎。