Issue
Comparison of the expression levels of TNF-α, IL-6, hsCRP and sICAM-1 inflammatory factors, bone mineral density and nutritional status between diabetic and normal pregnant women
Corresponding Author(s) : Chun Wang
Cellular and Molecular Biology,
Vol. 66 No. 3: Issue 3
Abstract
To compare the ultrasound bone mineral density, nutritional status and inflammatory state of pregnant women with gestational diabetes mellitus (GDM) and those with normal blood glucose. Retrospective analysis of pregnant women who were prenatally examined and delivered in The 5th People's Hospital of Ji'nan from May 2015 to July 2017 was performed, including 68 subjects with normal blood glucose in the control group and 74 subjects with GDM in the experiment group. The bone mineral density, nutritional status and inflammatory state were measured by enzyme-linked immune sorbent assay (ELISA). The bone mineral density of pregnant women with GDM was lower than that of the control group; the incidence of osteoporosis in GDM pregnant women was higher than that in the control group. The energy intake of GDM pregnant women was high, and the usage rate of fruits, sweets, deep-fried products and night snack was higher than that of normal pregnant women. The expression levels of TNF-α, IL-6, hsCRP and sICAM-1 inflammatory factors in GDM pregnant women were significantly higher than those with normal blood glucose. The bone mineral density of pregnant women with GDM is lower than that with normal blood glucose. Therefore, the prevention of GDM in pregnant women is also important for their bone health. GDM pregnant women's health education should be strengthened and reasonable dietary interventions should be carried out as soon as possible. TNF-a, IL-6, hsCRP, and sICAM-1 may be involved in the inflammatory process of GDM.
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- Khalifeh A, Breathnach F, Coulter-Smith S, Robson M, Fitzpatrick C, Malone F. Changing trends in diabetes mellitus in pregnancy. J Obstet Gynaecol 2014; 34: 135-137.
- Catalano PM. Trying to understand gestational diabetes. Diabet Med 2014; 31: 273-281.
- Kleinwechter H, Schafer-Graf U, Buhrer C, Hoesli I, Kainer F, Kautzky-Willer A, Pawlowski B, Schunck K, Somville T, Sorger M. Gestational diabetes mellitus (GDM) diagnosis, therapy and follow-up care: Practice Guideline of the German Diabetes Association(DDG) and the German Association for Gynaecologyand Obstetrics (DGGG). Exp Clin Endocrinol Diabetes 2014; 122: 395-405.
- Gunderson EP, Hurston SR, Ning X, Lo JC, Crites Y, Walton D, Dewey KG, Azevedo RA, Young S, Fox G, Elmasian CC, Salvador N, Lum M, Sternfeld B, Quesenberry CP Jr. Study of Women, Infant Feeding and Type 2 Diabetes After GDM Pregnancy Investigators. Lactation and Progression to Type 2 Diabetes Mellitus after Gestational Diabetes Mellitus: A Prospective Cohort Study. Ann Intern Med 2015; 163: 889-898.
- Lappas M, Mundra PA, Wong G, Huynh K, Jinks D, Georgiou HM, Permezel M, Meikle PJ. The prediction of type 2 diabetes in women with previous gestational diabetes mellitus using lipidomics. Diabetologia 2015; 58: 1436-1442.
- Sullivan SD, Jablonski KA, Florez JC, Dabelea D, Franks PW, Dagogo-Jack S, Kim C, Knowler WC, Christophi CA, Ratner R. Genetic risk of progression to type 2 diabetes and response to intensive lifestyle or metformin in prediabetic women with and without a history of gestational diabetes mellitus. Diabetes Care 2014; 37: 909-911.
- Skorzynska-Dziduszko KE, Kimber-Trojnar Z, Patro-Malysza J, Olszewska A, Zaborowski T, Malecka-Massalska T. An interplay between Obesity and Inflammation in Gestational Diabetes Mellitus. Curr Pharm Biotechnol 2016; 17: 603-613.
- Roca-Rodriguez MDM, Lopez-Tinoco C, Fernandez-Deudero A, Murri M, Garcia-Palacios MV, Garcia-Valero MDA, Tinahones FJ, Aguilar-Diosdado M. Unfavorable cytokine and adhesion molecule profiles during and after pregnancy, in women with gestational diabetes mellitus. Endocrinol Diabetes Nutr 2017; 64: 18-25.
- Leipold H, Worda C, Gruber CJ, Prikoszovich T, Wagner O, Kautzky-Willer A. Gestational diabetes mellitus is associated with increased C-reactive protein concentrations in the third but not second trimester. Eur J Clin Invest 2005; 35: 752-757.
- Khuu G, Dika C. Iron deficiency anemia in pregnant women. Nurse Pract 2017; 42: 42-47.
- Serra MC, Ryan AS. Influence of Vitamin D and Parathyroid Hormone on Bone and Metabolic Risk in Women with Previous Gestational Diabetes. Horm Metab Res 2016; 48: 497-502.
- Marathe PH, Gao HX, Close KL. American Diabetes Association Standards of Medical Care in Diabetes 2017. J Diabetes 2017; 9: 320-324.
- Artal R. Outcome of fetuses in women with pregestational diabetes mellitus. J Perinat Med 2006; 34(4): 323-331.
- Islam NS, Tandon D, Mukherji R, Tanner M, Ghosh K, Alam G, Haq M, Rey MJ Trinh-Shevrin C. Understanding barriers to and facilitators of diabetes control and prevention in the New York City Bangladeshi community: a mixed-methods approach. Am J Public Health 2012; 102: 486-490.
- Kumari R, Singh H. The prevalence of elevated high-sensitivity C-reactive protein in normal pregnancy and gestational diabetes mellitus. J Family Med Prim Care 2017; 6: 259-264.
- Scholl TO, Sowers M, Chen X, Lenders C. Maternal glucose concentration influences fetal growth, gestation, and pregnancy complications. Am J Epidemiol 2001; 154: 514-520.
- Reddy KB, Sareen A, Kanojia RK, Prakash J. Transient osteoporosis of the hip in a non-pregnant woman. BMJ Case Rep 2015; 2015.
- Frost ML, Blake GM, Fogelman I. Can the WHO criteria for diagnosing osteoporosis be applied to calcaneal quantitative ultrasound? Osteoporos Int 2000; 11: 321-330.
- To WW, Wong MW. Bone mineral density changes in gestational diabetic pregnancies-a longitudinal study using quantitative ultrasound measurements of the os calcis. Gynecol Endocrinol 2008; 24: 519-525.
- Suntornsaratoon P, Wongdee K, Krishnamra N, Charoenphandhu N. Femoral bone mineral density and bone mineral content in bromocriptine-treated pregnant and lactating rats. J Physiol Sci 2010; 60: 1-8.
- Wisser J, Florio I, Neff M, Konig V, Huch R, Huch A, von Mandach U. Changes in bone density and metabolism in pregnancy. Acta Obstet Gynecol Scand 2005; 84: 349-354.
- Carolan M. Women's experiences of gestational diabetes self-management: a qualitative study. Midwifery 2013; 29: 637-645.
- Guofeng H, Donghai G, Feng T. Research on ultrasonic measurement of bone mineral density in pregnant women with diabetes mellitus bone pregnancy. Medical Innovation China 2012; 9(17): 150-151.
- Liang Y, Lin Q, Huang P, Wang Y, Li J, Zhang L, Cao J. Rice Bioactive Peptide Binding with TLR4 To Overcome H2O2-Induced Injury in Human Umbilical Vein Endothelial Cells through NF-κB Signaling. J Agri Food Chem 2018; 66(2): 440-448.
- Wang L, Lin Q, Yang T, Liang Y, Nie Y, Luo Y, Luo F. Oryzanol modifies high fat diet-induced obesity, liver gene expression profile, and inflammation response in mice. J Agri Food Chem 2017; 65(38): 8374-8385.
- Lou Y, Shi J, Guo D, Qureshi AK, Song L. Function of PD-L1 in antitumor immunity of glioma cells. Saudi J Boil Sci 2017; 24(4): 803-807.
- Lou Y, Guo D, Zhang H, Song L. Effectiveness of mesenchymal stems cells cultured by hanging drop vs. conventional culturing on the repair of hypoxic-ischemic-damaged mouse brains, measured by stemness gene expression. Open Life Sci 2016; 11(1): 519-523.
- Chen X, Xu Y, Meng L, Chen X, Yuan L, Cai Q, Shi W, Huang G. Non-parametric partial least squares–discriminant analysis model based on sum of ranking difference algorithm for tea grade identification using electronic tongue data identify tea grade using e-tongue data. Sens Actuators B Chem 2020; 127924.
- Nie Y, Luo F, Lin Q. Dietary nutrition and gut microflora: A promising target for treating diseases. Trends Food Sci Technol 2018;75: 72-80.
- Ren Y, Jiao X, Zhang L. Expression level of fibroblast growth factor 5 (FGF5) in the peripheral blood of primary hypertension and its clinical significance. Saudi J Biol Sci 2018; 25(3): 469-473.
- Guo T, Lin Q, Li X, Nie Y, Wang L, Shi L, Luo F. Octacosanol attenuates inflammation in both RAW264. 7 macrophages and a mouse model of colitis. J Agri Food Chem 2017; 65(18): 3647-3658.
- Li W, Jia MX, Wang JH, Lu JL, Deng J, Tang JX, Liu C. Association of MMP9-1562C/T and MMP13-77A/G polymorphisms with non-small cell lung cancer in southern Chinese population. Biomol 2019; 9(3): 107-119.
- Nie Y, Luo F, Wang L, Yang T, Shi L, Li X, Shen J, Xu W, Guo T, Lin Q. Anti-hyperlipidemic effect of rice bran polysaccharide and its potential mechanism in high-fat diet mice. Food Func 2017; 8(11): 4028-4041.
- Lou Y, Yang J, Wang L, Chen X, Xin X, Liu Y. The clinical efficacy study of treatment to Chiari malformation type I with syringomyelia under the minimally invasive surgery of resection of Submeningeal cerebellar Tonsillar Herniation and reconstruction of Cisterna magna. Saudi J Biol Sci 2019; 26(8): 1927-1931.
- Spranger J, Kroke A, Mohlig M, Hoffmann K, Bergmann MM, Ristow M, Boeing H, Pfeiffer AF. Inflammatory cytokines and the risk to develop type 2 diabetes: results of the prospective population-based European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam Study. Diabetes 2003; 52: 812-817.
- Yu J, Zhou Y, Gui J, Li AZ, Su XL, Feng L. Assessment of the number and function of macrophages in the placenta of gestational diabetes mellitus patients. J Huazhong Univ Sci Technolog Med Sci 2013; 33: 725-729.
References
Khalifeh A, Breathnach F, Coulter-Smith S, Robson M, Fitzpatrick C, Malone F. Changing trends in diabetes mellitus in pregnancy. J Obstet Gynaecol 2014; 34: 135-137.
Catalano PM. Trying to understand gestational diabetes. Diabet Med 2014; 31: 273-281.
Kleinwechter H, Schafer-Graf U, Buhrer C, Hoesli I, Kainer F, Kautzky-Willer A, Pawlowski B, Schunck K, Somville T, Sorger M. Gestational diabetes mellitus (GDM) diagnosis, therapy and follow-up care: Practice Guideline of the German Diabetes Association(DDG) and the German Association for Gynaecologyand Obstetrics (DGGG). Exp Clin Endocrinol Diabetes 2014; 122: 395-405.
Gunderson EP, Hurston SR, Ning X, Lo JC, Crites Y, Walton D, Dewey KG, Azevedo RA, Young S, Fox G, Elmasian CC, Salvador N, Lum M, Sternfeld B, Quesenberry CP Jr. Study of Women, Infant Feeding and Type 2 Diabetes After GDM Pregnancy Investigators. Lactation and Progression to Type 2 Diabetes Mellitus after Gestational Diabetes Mellitus: A Prospective Cohort Study. Ann Intern Med 2015; 163: 889-898.
Lappas M, Mundra PA, Wong G, Huynh K, Jinks D, Georgiou HM, Permezel M, Meikle PJ. The prediction of type 2 diabetes in women with previous gestational diabetes mellitus using lipidomics. Diabetologia 2015; 58: 1436-1442.
Sullivan SD, Jablonski KA, Florez JC, Dabelea D, Franks PW, Dagogo-Jack S, Kim C, Knowler WC, Christophi CA, Ratner R. Genetic risk of progression to type 2 diabetes and response to intensive lifestyle or metformin in prediabetic women with and without a history of gestational diabetes mellitus. Diabetes Care 2014; 37: 909-911.
Skorzynska-Dziduszko KE, Kimber-Trojnar Z, Patro-Malysza J, Olszewska A, Zaborowski T, Malecka-Massalska T. An interplay between Obesity and Inflammation in Gestational Diabetes Mellitus. Curr Pharm Biotechnol 2016; 17: 603-613.
Roca-Rodriguez MDM, Lopez-Tinoco C, Fernandez-Deudero A, Murri M, Garcia-Palacios MV, Garcia-Valero MDA, Tinahones FJ, Aguilar-Diosdado M. Unfavorable cytokine and adhesion molecule profiles during and after pregnancy, in women with gestational diabetes mellitus. Endocrinol Diabetes Nutr 2017; 64: 18-25.
Leipold H, Worda C, Gruber CJ, Prikoszovich T, Wagner O, Kautzky-Willer A. Gestational diabetes mellitus is associated with increased C-reactive protein concentrations in the third but not second trimester. Eur J Clin Invest 2005; 35: 752-757.
Khuu G, Dika C. Iron deficiency anemia in pregnant women. Nurse Pract 2017; 42: 42-47.
Serra MC, Ryan AS. Influence of Vitamin D and Parathyroid Hormone on Bone and Metabolic Risk in Women with Previous Gestational Diabetes. Horm Metab Res 2016; 48: 497-502.
Marathe PH, Gao HX, Close KL. American Diabetes Association Standards of Medical Care in Diabetes 2017. J Diabetes 2017; 9: 320-324.
Artal R. Outcome of fetuses in women with pregestational diabetes mellitus. J Perinat Med 2006; 34(4): 323-331.
Islam NS, Tandon D, Mukherji R, Tanner M, Ghosh K, Alam G, Haq M, Rey MJ Trinh-Shevrin C. Understanding barriers to and facilitators of diabetes control and prevention in the New York City Bangladeshi community: a mixed-methods approach. Am J Public Health 2012; 102: 486-490.
Kumari R, Singh H. The prevalence of elevated high-sensitivity C-reactive protein in normal pregnancy and gestational diabetes mellitus. J Family Med Prim Care 2017; 6: 259-264.
Scholl TO, Sowers M, Chen X, Lenders C. Maternal glucose concentration influences fetal growth, gestation, and pregnancy complications. Am J Epidemiol 2001; 154: 514-520.
Reddy KB, Sareen A, Kanojia RK, Prakash J. Transient osteoporosis of the hip in a non-pregnant woman. BMJ Case Rep 2015; 2015.
Frost ML, Blake GM, Fogelman I. Can the WHO criteria for diagnosing osteoporosis be applied to calcaneal quantitative ultrasound? Osteoporos Int 2000; 11: 321-330.
To WW, Wong MW. Bone mineral density changes in gestational diabetic pregnancies-a longitudinal study using quantitative ultrasound measurements of the os calcis. Gynecol Endocrinol 2008; 24: 519-525.
Suntornsaratoon P, Wongdee K, Krishnamra N, Charoenphandhu N. Femoral bone mineral density and bone mineral content in bromocriptine-treated pregnant and lactating rats. J Physiol Sci 2010; 60: 1-8.
Wisser J, Florio I, Neff M, Konig V, Huch R, Huch A, von Mandach U. Changes in bone density and metabolism in pregnancy. Acta Obstet Gynecol Scand 2005; 84: 349-354.
Carolan M. Women's experiences of gestational diabetes self-management: a qualitative study. Midwifery 2013; 29: 637-645.
Guofeng H, Donghai G, Feng T. Research on ultrasonic measurement of bone mineral density in pregnant women with diabetes mellitus bone pregnancy. Medical Innovation China 2012; 9(17): 150-151.
Liang Y, Lin Q, Huang P, Wang Y, Li J, Zhang L, Cao J. Rice Bioactive Peptide Binding with TLR4 To Overcome H2O2-Induced Injury in Human Umbilical Vein Endothelial Cells through NF-κB Signaling. J Agri Food Chem 2018; 66(2): 440-448.
Wang L, Lin Q, Yang T, Liang Y, Nie Y, Luo Y, Luo F. Oryzanol modifies high fat diet-induced obesity, liver gene expression profile, and inflammation response in mice. J Agri Food Chem 2017; 65(38): 8374-8385.
Lou Y, Shi J, Guo D, Qureshi AK, Song L. Function of PD-L1 in antitumor immunity of glioma cells. Saudi J Boil Sci 2017; 24(4): 803-807.
Lou Y, Guo D, Zhang H, Song L. Effectiveness of mesenchymal stems cells cultured by hanging drop vs. conventional culturing on the repair of hypoxic-ischemic-damaged mouse brains, measured by stemness gene expression. Open Life Sci 2016; 11(1): 519-523.
Chen X, Xu Y, Meng L, Chen X, Yuan L, Cai Q, Shi W, Huang G. Non-parametric partial least squares–discriminant analysis model based on sum of ranking difference algorithm for tea grade identification using electronic tongue data identify tea grade using e-tongue data. Sens Actuators B Chem 2020; 127924.
Nie Y, Luo F, Lin Q. Dietary nutrition and gut microflora: A promising target for treating diseases. Trends Food Sci Technol 2018;75: 72-80.
Ren Y, Jiao X, Zhang L. Expression level of fibroblast growth factor 5 (FGF5) in the peripheral blood of primary hypertension and its clinical significance. Saudi J Biol Sci 2018; 25(3): 469-473.
Guo T, Lin Q, Li X, Nie Y, Wang L, Shi L, Luo F. Octacosanol attenuates inflammation in both RAW264. 7 macrophages and a mouse model of colitis. J Agri Food Chem 2017; 65(18): 3647-3658.
Li W, Jia MX, Wang JH, Lu JL, Deng J, Tang JX, Liu C. Association of MMP9-1562C/T and MMP13-77A/G polymorphisms with non-small cell lung cancer in southern Chinese population. Biomol 2019; 9(3): 107-119.
Nie Y, Luo F, Wang L, Yang T, Shi L, Li X, Shen J, Xu W, Guo T, Lin Q. Anti-hyperlipidemic effect of rice bran polysaccharide and its potential mechanism in high-fat diet mice. Food Func 2017; 8(11): 4028-4041.
Lou Y, Yang J, Wang L, Chen X, Xin X, Liu Y. The clinical efficacy study of treatment to Chiari malformation type I with syringomyelia under the minimally invasive surgery of resection of Submeningeal cerebellar Tonsillar Herniation and reconstruction of Cisterna magna. Saudi J Biol Sci 2019; 26(8): 1927-1931.
Spranger J, Kroke A, Mohlig M, Hoffmann K, Bergmann MM, Ristow M, Boeing H, Pfeiffer AF. Inflammatory cytokines and the risk to develop type 2 diabetes: results of the prospective population-based European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam Study. Diabetes 2003; 52: 812-817.
Yu J, Zhou Y, Gui J, Li AZ, Su XL, Feng L. Assessment of the number and function of macrophages in the placenta of gestational diabetes mellitus patients. J Huazhong Univ Sci Technolog Med Sci 2013; 33: 725-729.