Placental IGFBP1 levels during early pregnancy and the risk of insulin resistance and gestational diabetes
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Abstract
Reduced insulin sensitivity (insulin resistance) is a hallmark of normal physiology in late pregnancy and also underlies gestational diabetes mellitus (GDM). We conducted transcriptomic profiling of 434 human placentas and identified a positive association between insulin-like growth factor binding protein 1 gene ( IGFBP1 ) expression in the placenta and insulin sensitivity at ~26 weeks gestation. Circulating IGFBP1 protein levels rose over the course of pregnancy and declined postpartum, which, together with high gene expression levels in our placenta samples, suggests a placental or decidual source. Higher circulating IGFBP1 levels were associated with greater insulin sensitivity (lesser insulin resistance) at ~26 weeks gestation in the same cohort and in two additional pregnancy cohorts. In addition, low circulating IGFBP1 levels in early pregnancy predicted subsequent GDM diagnosis in two cohorts of pregnant women. These results implicate IGFBP1 in the glycemic physiology of pregnancy and suggest a role for placental IGFBP1 deficiency in GDM pathogenesis.
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- Authors
- Hivert, M.-F., White, F., Allard, C., James, K., Majid, S., Aguet, F., Ardlie, K. G., Florez, J. C., Edlow, A. G., Bouchard, L., Jacques, P.-É., Karumanchi, S. A., & Powe, C. E.
- Affiliations
- Harvard University (US)
- Université de Sherbrooke (CA)
- Centre de recherche du CHUS (CA)
- Broad Institute (US)
- Cedars-Sinai Medical Center (US)
- Corresponding author
- Hivert, Marie-France
- ORCID
- Venue
- Nature Medicine
- Published
- 2024-04-16
- Volume
- 30
- Issue
- 6
- Pages
- 1689-1695
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- PMC
- PMC11186792
- OpenAlex
- W4394832188
- Cited by
- 62
- References
- 70
- Citations by year
- 2026: 26 · 2025: 27 · 2024: 9
- FWCI
- 34.34
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Nature Medicine (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (submittedVersion, cc-by)
- Funders
- U.S. Department of Health and Human Services (K23DK113218, R01HD094150, NHLBI K24 HL157960)
- American Diabetes Association (1-15-ACE-26)
- Harvard Catalyst (UL1TR000170, UL1-TR-001102)
- Diabète Québec (20697, MOP 115071)
- Government of Canada (#MOP 115071, #PJT-152989)
- National Institutes of Health (UL1TR000170, UL1TR001102)
- Canadian Institutes of Health Research (PJT152989, MOP – 115071, 115071, 152989)
- Fonds de Recherche du Québec - Santé (#20697)
- National Heart, Lung, and Blood Institute (K24HL157960)
- National Institute of Diabetes and Digestive and Kidney Diseases (K23DK113218)
- National Center for Advancing Translational Sciences
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD094150)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Keywords
- IGFBP-1, placenta, insulin resistance, gestational diabetes mellitus, early pregnancy, insulin sensitivity, placental transcriptome, GDM risk prediction
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