Adipocytokines during pregnancy and postpartum in women with gestational diabetes and healthy controls

摘要

Background: This study aims to explore the changes in maternal serum adipocytokines during pregnancy and post partum in normal and complicated with gestational diabetes (GDM) pregnancies and to investigate the relationship between serum adipocytokines and some of major metabolic parameters. Materials and methods: 236 pregnant women (127 with GDM and 109 control group) and 50 postpartum women (30 with GDM during pregnancy and 20 controls). Using ELISA and EIA kits, serum levels of adipocytokines were tested during pregnancy and post partum. Maternal adipocytokines levels were correlated with some metabolic parameters. Results: Women with GDM had lower values of adiponectin and higher values of leptin during pregnancy (p < 0.001; 0.0001) and post partum (p < 0.002; 0.0001). Serum apelin was significantly lower in GDM group (p < 0.009). However, we did not find significance for resistin (p < 0.317) and apelin (p < 0.218). Positive correlation for leptin and negative for adiponectin was found for pre-pregnancy and pregnancy body mass index, glycated hemoglobin and homeostasis model assessment of insulin resistance index. Using cut point of 8.2 mu g/ml for adiponectin and 28.7 ng/ml for leptin could exclude GDM with a sensitivity of 83.6/81.2 and specificity of 56.6/64.2 (area under the curve 0.702 and 0.827). Conclusion: There are constant differences in adiponectin and leptin levels between GDM and control group during pregnancy and post partum. Apelin was decreased in our GDM group and no differences were found for resistin and visfatin. Further studies are required to verify the mechanism of this alteration and whether the adipocytokines can be predictors for GDM at an early stage of pregnancy. (C) 2013, Editrice Kurtis