The Role of Adipokines in Gestational Diabetes Mellitus
Open accessAbstract
Gestational diabetes mellitus (GDM) is a complication of pregnancy that is characterized by impaired glucose tolerance with onset or first recognition during pregnancy. The reported prevalence of GDM varies between 0.6% and 20% of pregnancies depending on screening method, gestational age and the population studied. GDM is characterized by pancreatic β-cell function that is insufficient to meet the body’s insulin needs. Available evidence suggests that β-cell defects in GDM result from the same spectrum of causes that underline hyperglycemia in general, including autoimmune disease, monogenic causes and insulin resistance. Adipokines are proteins secreted from the adipocytes and are believed to have a metabolic influence. Our review suggests that, in GDM, various adipokines, mainly leptin and adiponectin, are dysregulated. These two adipokines might have both prognostic and pathophysiological significance in this disease.
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GDM-associated biomarkers contribute to the intrauterine conditions that predispose the offspring to long-term metabolic and cardiometabolic disorders.
“By influencing placental signaling pathways, nutrient transport, and gene expression, GDM-associated biomarkers contribute to the intrauterine conditions that predispose the offspring to long-term metabolic and cardiometabolic disorders [48].”
From Maternal Overnutrition and Fetal Programming: Long-Term Metabolic, Cognitive, and Epigenetic Consequences (2026) · cites this paper as [48]
The Introduction (page unavailable) reports that people born to mothers with GDM have a higher risk of obesity and type 2 diabetes as adults. The Methods (page unavailable) describe adipokine-related placental signaling, amino acid uptake, and possible in-utero programming of obesity, but treat the programming mechanism as tentative. They do not establish that GDM-associated biomarkers alter gene expression to cause long-term metabolic or cardiometabolic disorders in offspring. (LLM, conf=0.85)
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- Authors
- Al-Badri, M. R., Zantout, M. S., & Azar, S. T.
- Affiliations
- American University of Beirut Medical Center (LB)
- Venue
- Therapeutic Advances in Endocrinology and Metabolism
- Publisher
- SAGE Publications
- Published
- 2015-03-23
- Volume
- 6
- Issue
- 3
- Pages
- 103-108
- ISSN
- 2042-0188 (ISSN-L)
- 2042-0196
- PMC
- PMC4480551
- OpenAlex
- W1969858460
- Semantic Scholar
- 45039e7762af1523eb09b3f1149b2b03ee451e64
- Cited by
- 71
- References
- 22
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 5 · 2022: 5 · 2021: 8 · 2020: 6 · 2019: 8 · 2018: 11 · 2017: 11 · 2016: 6 · 2015: 2
- FWCI
- 11.38
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Therapeutic Advances in Endocrinology and Metabolism (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Keywords
- gestational diabetes mellitus, adipokines, leptin, adiponectin, beta-cell dysfunction, insulin resistance, impaired glucose tolerance, adipocytes
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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