The possible role of endocrine dysfunction of adipose tissue in gestational diabetes mellitus.

Abstract:

:Gestational diabetes mellitus (GDM) is diabetes that is first diagnosed in the second or third trimester of pregnancy in patients who did not have a history of diabetes before pregnancy. Consequences of GDM include increased risk of macrosomia and birth complications in the infant and an increased risk of maternal type 2 diabetes mellitus (T2DM) after pregnancy. There is also a longer-term risk of obesity, T2DM, and cardiovascular diseases in the child. GDM is the result of impaired glucose tolerance due to pancreatic β-cell dysfunction on a background of insulin resistance that physiologically increases during pregnancy. The strongest clinical predictors of GDM are overweight and obesity. The fact that women with GDM are more likely to be overweight or obese suggests that adipose tissue dysfunction may be involved in the pathogenesis of GDM, similarly to T2DM. Adipose tissue is not only involved in energy storage but also functions as an active endocrine organ secreting adipokines (specific hormones and cytokines) with the ability to alter insulin sensitivity. Recent evidence points to a crucial role of numerous adipokines produced by fat in the development of GDM. The following text summarizes the current knowledge about a possible role of selected adipokines in the development of GDM.

journal_name

Minerva Endocrinol

journal_title

Minerva endocrinologica

authors

Šimják P,Anderlová K,Cinkajzlová A,Pařízek A,Kršek M,Haluzík M

doi

10.23736/S0391-1977.20.03192-2

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

228-242

issue

3

eissn

0391-1977

issn

1827-1634

pii

S0391-1977.20.03192-2

journal_volume

45

pub_type

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