Placental and maternal sFlt1/PlGF expression in gestational diabetes mellitus

Abstract Gestational diabetes mellitus (GDM) and preeclampsia (PE) are both characterized by endothelial dysfunction and GDM women have higher incidence of PE. The placenta plays a key role in PE pathogenesis but its contribution to PE during GDM remains unclear. Herein, we compared placental and ma...

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Autores principales: Anna Maria Nuzzo, Domenica Giuffrida, Laura Moretti, Paola Re, Giorgio Grassi, Guido Menato, Alessandro Rolfo
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/afba78b2b8c3438ca382df36cb00a6f8
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spelling oai:doaj.org-article:afba78b2b8c3438ca382df36cb00a6f82021-12-02T13:24:36ZPlacental and maternal sFlt1/PlGF expression in gestational diabetes mellitus10.1038/s41598-021-81785-52045-2322https://doaj.org/article/afba78b2b8c3438ca382df36cb00a6f82021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-81785-5https://doaj.org/toc/2045-2322Abstract Gestational diabetes mellitus (GDM) and preeclampsia (PE) are both characterized by endothelial dysfunction and GDM women have higher incidence of PE. The placenta plays a key role in PE pathogenesis but its contribution to PE during GDM remains unclear. Herein, we compared placental and maternal blood anti-angiogenic soluble fms-like tyrosine kinase-1 (sFlt1) and pro-angiogenic Placental Growth Factor (PlGF) expressions in GDM and GDM-PE pregnancies compared to controls (CTRL) and PE cases. Electrochemiluminescence immunoassays showed a significantly higher maternal blood sFlt1/PlGF values in GDM-PE relative to CTRL and GDM pregnancies. We reported that placental PlGF gene expression was significantly decreased in GDM, PE and GDM-PE relative to CTRL. However, PlGF protein levels were significantly increased in GDM and GDM-PE relative to CTRL and PE placentae. Finally, sFlt1 gene expression was significantly increased in PE relative to CTRL, GDM and GDM-PE placentae. In contrast, sFlt1 protein expression was significantly decreased in GDM-PE relative to CTRL, GDM and PE placentae. Finally, higher sFlt1/PlGF ratio in GDM-PE maternal blood suggest that sFlt1 overproduction is related to PE onset also in GDM pregnancies even though characterized by a less severe endothelial dysfunction in terms of angiogenic biomarkers.Anna Maria NuzzoDomenica GiuffridaLaura MorettiPaola ReGiorgio GrassiGuido MenatoAlessandro RolfoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Anna Maria Nuzzo
Domenica Giuffrida
Laura Moretti
Paola Re
Giorgio Grassi
Guido Menato
Alessandro Rolfo
Placental and maternal sFlt1/PlGF expression in gestational diabetes mellitus
description Abstract Gestational diabetes mellitus (GDM) and preeclampsia (PE) are both characterized by endothelial dysfunction and GDM women have higher incidence of PE. The placenta plays a key role in PE pathogenesis but its contribution to PE during GDM remains unclear. Herein, we compared placental and maternal blood anti-angiogenic soluble fms-like tyrosine kinase-1 (sFlt1) and pro-angiogenic Placental Growth Factor (PlGF) expressions in GDM and GDM-PE pregnancies compared to controls (CTRL) and PE cases. Electrochemiluminescence immunoassays showed a significantly higher maternal blood sFlt1/PlGF values in GDM-PE relative to CTRL and GDM pregnancies. We reported that placental PlGF gene expression was significantly decreased in GDM, PE and GDM-PE relative to CTRL. However, PlGF protein levels were significantly increased in GDM and GDM-PE relative to CTRL and PE placentae. Finally, sFlt1 gene expression was significantly increased in PE relative to CTRL, GDM and GDM-PE placentae. In contrast, sFlt1 protein expression was significantly decreased in GDM-PE relative to CTRL, GDM and PE placentae. Finally, higher sFlt1/PlGF ratio in GDM-PE maternal blood suggest that sFlt1 overproduction is related to PE onset also in GDM pregnancies even though characterized by a less severe endothelial dysfunction in terms of angiogenic biomarkers.
format article
author Anna Maria Nuzzo
Domenica Giuffrida
Laura Moretti
Paola Re
Giorgio Grassi
Guido Menato
Alessandro Rolfo
author_facet Anna Maria Nuzzo
Domenica Giuffrida
Laura Moretti
Paola Re
Giorgio Grassi
Guido Menato
Alessandro Rolfo
author_sort Anna Maria Nuzzo
title Placental and maternal sFlt1/PlGF expression in gestational diabetes mellitus
title_short Placental and maternal sFlt1/PlGF expression in gestational diabetes mellitus
title_full Placental and maternal sFlt1/PlGF expression in gestational diabetes mellitus
title_fullStr Placental and maternal sFlt1/PlGF expression in gestational diabetes mellitus
title_full_unstemmed Placental and maternal sFlt1/PlGF expression in gestational diabetes mellitus
title_sort placental and maternal sflt1/plgf expression in gestational diabetes mellitus
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/afba78b2b8c3438ca382df36cb00a6f8
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