Wu Kaidong, Ji Chen, Li Gang
Dongyang Maternal and Child Health Hospital, Jinhua, 322103, China.
Changshou Community Healthcare Service, Shanghai, 200060, China.
Ir J Med Sci. 2025 Aug 12. doi: 10.1007/s11845-025-04059-3.
The prevalence of gestational diabetes mellitus (GDM) has increased recently. Currently, there is no effective treatment method, so this study aims to find a new biomarker for GDM.
MiR-432-5p expression and diagnostic value were detected in GDM by RT-qPCR and the receiver operating characteristic (ROC) curve. The correlation was analyzed utilizing Pearson correlation analysis. Logistic regression was utilized to analyze risk factors for GDM. To construct the GDM mouse model, female mice were fed a 45% kcal high-fat sucrose diet six weeks before mating to induce diabetes. MiR-432-5p was overexpressed and inhibited by injecting miR-432-5p agomir and miR-432-5p antagomir into the mice, and collagen type V alpha 2 chain (COL5A2) was overexpressed by injecting COL5A2 overexpression vectors into the mice.
In GDM, miR-432-5p decreased and had high diagnostic value, and miR-432-5p was a risk factor. In GDM, miR-432-5p was negatively correlated with fasting plasma glucose, 1 h plasma glucose, and 2 h plasma glucose. In the GDM mouse model, overexpressed miR-432-5p reduced the fasting plasma glucose and body weight, while inhibited miR-432-5p increased them. Overexpressed miR-432-5p decreased the proliferation and increased the apoptosis in the GDM mouse model, while inhibited miR-432-5p increased the proliferation and decreased the apoptosis. COL5A2 was negatively regulated by miR-432-5p in GDM. Overexpressed COL5A2 increased the proliferation and reduced the apoptosis in the GDM mouse model.
In GDM, miR-432-5p decreased and might be a biomarker. COL5A2 was decreased and negatively correlated with miR-432-5p in GDM. MiR-432-5p and COL5A2 acted together on GDM.
近年来,妊娠期糖尿病(GDM)的患病率有所上升。目前尚无有效的治疗方法,因此本研究旨在寻找一种新的GDM生物标志物。
采用逆转录定量聚合酶链反应(RT-qPCR)和受试者工作特征(ROC)曲线检测GDM中miR-432-5p的表达及诊断价值。利用Pearson相关分析进行相关性分析。采用逻辑回归分析GDM的危险因素。为构建GDM小鼠模型,雌性小鼠在交配前六周喂食45%千卡高脂蔗糖饮食以诱导糖尿病。通过向小鼠注射miR-432-5p激动剂和miR-432-5p拮抗剂来过表达和抑制miR-432-5p,并通过向小鼠注射COL5A2过表达载体来过表达V型胶原α2链(COL5A2)。
在GDM中,miR-432-5p降低且具有较高的诊断价值,miR-432-5p是一个危险因素。在GDM中,miR-432-5p与空腹血糖、1小时血糖和2小时血糖呈负相关。在GDM小鼠模型中,过表达miR-432-5p可降低空腹血糖和体重,而抑制miR-432-5p则使其升高。过表达miR-432-5p可降低GDM小鼠模型中的细胞增殖并增加细胞凋亡,而抑制miR-432-5p则增加细胞增殖并减少细胞凋亡。在GDM中,COL5A2受miR-432-5p负调控。过表达COL5A2可增加GDM小鼠模型中的细胞增殖并减少细胞凋亡。
在GDM中,miR-432-5p降低,可能是一种生物标志物。在GDM中,COL5A2降低且与miR-432-5p呈负相关。miR-432-5p和COL5A2共同作用于GDM。