Abstract
Purpose
To investigate the association of omentin-1 and inflammatory factors in serum and visceral adipose tissue (VAT) of women with gestational diabetes mellitus (GDM) compared to normal pregnant (NP) subjects. Furthermore, to examine their correlation with maternal clinical characteristics.
Methods
We compared 116 GDM women to 115 NP women, at the time of cesarean section. Circulating omentin-1 and pro-inflammatory (IL-1β, IL-6, TNF-α), and anti-inflammatory cytokines (IL-1RA, IL-10) were examined. Moreover, their mRNA expression in VAT, along with inflammatory factors involved in the NF-κB pathway (TLR2, TLR4, NF-κB, IKκB), were examined.
Results
Circulating omentin-1 (p = 0.022) was lower and circulating IL-1-β, IL-1RA, as well as IL-10 (p = 0.005, p = 0.007, and p = 0.015, respectively), were higher in GDM compared to NP women. Omentin-1 correlated negatively with pre-pregnancy and gestational BMI, and HOMA-IR in all women, but was not associated with cytokines. TLR2, TLR4, IL-1β, IL-1RA, IL-6, IL-10 mRNA expression in VAT was lower in GDM compared with controls (p < 0.05 all). In multivariate analysis, BMI at delivery was significantly correlated to omentin-1 concentrations in all and NP subjects. In addition, omentin-1 expression was correlated to inflammatory gene expression in all, GDM and NP, women (p < 0.05 all).
Conclusion
Serum levels and VAT gene expression of omentin-1 are not independently linked to GDM; notwithstanding, GDM women have a VAT-altered inflammatory status. In addition, no systemic association between omentin-1 and inflammatory factors was found, whereas associations between their expression in all women were observed, indicating that expression of these adipokines is linked between them regardless of GDM.
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Availability of data and material
The data used to support the findings of this study are available from the corresponding author by request.
Code availability
Not applicable for that section.
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Funding
This study was supported by scientific grants from Instituto Mexicano del Seguro Social (FIS/IMSS/PROT/G18/1826). RS, JVO, EMA, and RGD hold a fellowship from the National System of Investigators (Consejo Nacional de Ciencia y Tecnología).
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MIPC, JVO, and RS planned and designed the study. MIPC, and JVO performed laboratory biomarker analysis. EMA, MFDV, RGD, and RS drafted the manuscript. MIPC, and RS performed the data analysis. All authors provided significant intellectual contribution in interpreting data and critical review of the manuscript.
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The study protocol was approved by the Institutional Review Board of the Instituto Mexicano del Seguro Social (IMSS) in Mexico City (R-2018-785-026).
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Peña-Cano, M.I., Valencia-Ortega, J., Morales-Ávila, E. et al. Omentin-1 and its relationship with inflammatory factors in maternal plasma and visceral adipose tissue of women with gestational diabetes mellitus. J Endocrinol Invest 45, 453–462 (2022). https://doi.org/10.1007/s40618-021-01671-9
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DOI: https://doi.org/10.1007/s40618-021-01671-9