Abstract:
:Gestational diabetes mellitus (GDM) and polycystic ovary syndrome (PCOS) are distinct pathologies with impaired insulin sensitivity as a common feature. The aim of this study was to evaluate the response of fat tissue adipokines and gastrointestinal incretins to glucose load in patients diagnosed with one of the two disorders and to compare it with healthy controls. Oral glucose tolerance test (oGTT) was performed in 77 lean young women: 22 had positive history of GDM, 19 were PCOS patients, and 36 were healthy controls. Hormones were evaluated in fasting and in 60 min intervals during the 3 h oGTT using Bio-Plex ProHuman Diabetes 10-Plex Assay for C-peptide, ghrelin, GIP, GLP1, glucagon, insulin, leptin, total PAI1, resistin, visfatin and Bio-Plex ProHuman Diabetes Adipsin and Adiponectin Assays (Bio-Rad). Despite lean body composition, both PCOS and GDM women were more insulin resistant than controls. Significant postchallenge differences between the GDM and PCOS groups were observed in secretion of adipsin, leptin, glucagon, visfatin, ghrelin, GIP, and also GLP1 with higher levels in GDM. Conversely, PCOS was associated with the highest resistin, C-peptide, and PAI1 levels. Our data suggest that decreased insulin sensitivity observed in lean women with GDM and PCOS is associated with distinct hormonal response of fat and gastrointestinal tissue to glucose load.
journal_name
Physiol Resjournal_title
Physiological researchauthors
Vejrazkova D,Lischkova O,Vankova M,Stanicka S,Vrbikova J,Lukasova P,Vcelak J,Vacinova G,Bendlova Bdoi
10.33549/physiolres.933366subject
Has Abstractpub_date
2017-05-04 00:00:00pages
283-292issue
2eissn
0862-8408issn
1802-9973pii
933366journal_volume
66pub_type
杂志文章abstract::Leptin and adiponectin, two adipocytokines, may work together in regulating energy homeostasis and insulin action. Leptin gene expression has been investigated in term placental tissue complicated by gestational diabetes mellitus (GDM), but never in conjunction with all isoforms of the leptin receptor (LEPR A-D), or w...
journal_title:Physiological research
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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journal_title:Physiological research
pub_type: 杂志文章
doi:
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pub_type: 杂志文章,随机对照试验
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doi:
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pub_type: 杂志文章,评审
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更新日期:2001-01-01 00:00:00
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pub_type: 杂志文章
doi:
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pub_type: 杂志文章,评审
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 社论
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