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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Nature Portfolio
2021
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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) |
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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 |
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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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