Association of DPP-4 Concentrations with the Occurrence of Gestational Diabetes Mellitus and Excessive Gestational Weight Gain
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Published:2024-02-02
Issue:3
Volume:25
Page:1829
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ISSN:1422-0067
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Container-title:International Journal of Molecular Sciences
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language:en
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Short-container-title:IJMS
Author:
Niebrzydowska-Tatus Magdalena1ORCID, Pełech Aleksandra1ORCID, Bień Katarzyna2ORCID, Mekler Julia2ORCID, Santiago Miracle2ORCID, Kimber-Trojnar Żaneta1ORCID, Trojnar Marcin3
Affiliation:
1. Chair and Department of Obstetrics and Perinatology, Medical University of Lublin, 20-090 Lublin, Poland 2. Student’s Scientific Association at the Chair and Department of Obstetrics and Perinatology, Medical University of Lublin, 20-090 Lublin, Poland 3. Chair and Department of Internal Diseases, Medical University of Lublin, 20-059 Lublin, Poland
Abstract
Gestational diabetes mellitus (GDM) is considered one of the most common diseases that occur during pregnancy. In addition to increasing the risk of numerous complications throughout gestation, it is also believed to have a long-term potential to impact the risk of developing type 2 diabetes mellitus (T2DM) and cardiovascular disease for the mother and her offspring. While there are clear guidelines for healthy weight gain in pregnancy depending on pre-pregnancy BMI, as well as dietary and training recommendations to achieve this, an increasing number of women are experiencing excessive gestational weight gain (EGWG). Such patients have a higher risk of developing GDM and gestational hypertension, as well as requiring caesarian delivery. Dipeptidyl peptidase-4 (DPP-4) is a glycoprotein that seems to play an important role in glucose metabolism, and inhibition of its activity positively affects glucose regulation. The aim of our study was to compare DPP-4 concentrations in patients with GDM and EGWG with healthy women. DPP-4 levels were assessed in serum and urine samples collected on the day of delivery. The bioelectrical impedance analysis (BIA) method was also used to analyze the body composition of patients on the second day of the postpartum period. DPP-4 serum concentrations were significantly higher in patients in the GDM and EGWG groups compared to healthy women. Urinary DPP-4 concentrations were significantly higher in the control and GDM groups than in the EGWG group. Serum DPP-4 levels were positively correlated with BMI measured before pregnancy, on the delivery day, and in the early postpartum period, among other factors. According to our knowledge, this is the first study to determine DPP-4 levels in EGWG patients. DPP-4 may be related to the occurrence of GDM and EGWG; however, this requires further research.
Funder
Medical University of Lublin
Subject
Inorganic Chemistry,Organic Chemistry,Physical and Theoretical Chemistry,Computer Science Applications,Spectroscopy,Molecular Biology,General Medicine,Catalysis
Reference39 articles.
1. Moore, T.R., and Diabetes Mellitus and Pregnancy (2023, November 19). MedScape. Available online: https://emedicine.medscape.com/article/127547-overview?form=fpf&scode=msp&st=fpf&socialSite=apple&icd=login_success_ap_match_fpf#a7. 2. The effect of dipeptidyl peptidase-4 inhibitor and glucagon-like peptide-1 receptor agonist in gestational diabetes mellitus: A systematic review;Chen;Gynecol. Endocrinol.,2020 3. Plows, J.F., Stanley, J.L., Baker, P.N., Reynolds, C.M., and Vickers, M.H. (2018). The pathophysiology of gestational diabetes mellitus. Int. J. Mol. Sci., 19. 4. Gestational diabetes mellitus and developmental programming;Chu;Ann. Nutr. Metab.,2020 5. Rogozińska, E., Zamora, J., Marlin, N., Betrán, A.P., Astrup, A., Bogaerts, A., Cecatti, J.G., Dodd, J.M., Facchinetti, F., and Geiker, N.R.W. (2019). Gestational weight gain outside the Institute of Medicine recommendations and adverse pregnancy outcomes: Analysis using individual participant data from randomised trials. BMC Pregnancy Childbirth, 19.
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