Serum Levels and Placental Expression of NGAL in Gestational Diabetes Mellitus

Objectives. The aim was to investigate neutrophil gelatinase-associated lipocalin (NGAL) levels in the serum and term placentas and its potential role in gestational diabetes mellitus (GDM). Methods. A total of 49 GDM subjects and 39 age-matched women with normal pregnancies were recruited. We exami...

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Main Authors: Xiaoqian Yin, Yan Huo, Li Liu, Yixing Pan, Suxin Liu, Runfang Wang
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2020/8760563
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author Xiaoqian Yin
Yan Huo
Li Liu
Yixing Pan
Suxin Liu
Runfang Wang
author_facet Xiaoqian Yin
Yan Huo
Li Liu
Yixing Pan
Suxin Liu
Runfang Wang
author_sort Xiaoqian Yin
collection DOAJ
description Objectives. The aim was to investigate neutrophil gelatinase-associated lipocalin (NGAL) levels in the serum and term placentas and its potential role in gestational diabetes mellitus (GDM). Methods. A total of 49 GDM subjects and 39 age-matched women with normal pregnancies were recruited. We examined serum concentrations of NGAL and tumor necrosis factor-α (TNF-α) in maternal blood and cord blood and their expression levels in the term placentas and umbilical cord. Results. Serum NGAL levels were significantly higher in GDM patients than in normal pregnant controls both in the maternal blood (4.80 ± 1.99 vs. 3.66 ± 1.13, P=0.001) and the cord blood (4.70 ± 2.08 vs. 3.85 ± 1.44, P=0.027). Moreover, serum NGAL levels exhibited a positive correlation with various parameters of insulin resistance. Maternal serum NGAL levels positively correlated with the NGAL levels found in the cord blood of the control (r = 0.399, P=0.012) and the GDM subjects (r = 0.349, P=0.014). Finally, the expression of NGAL protein levels in the placenta (1.22 ± 0.39 vs. 0.65 ± 0.23, P<0.001) and umbilical cord (0.65 ± 0.23 vs. 0.25 ± 0.10, P<0.001) were higher in GDM women than those noted in the control subjects. In the GDM group, maternal serum NGAL levels exhibited a positive correlation with placental NGAL mRNA and protein levels (r = 0.848, P=0.008; r = 0.636, P=0.011, respectively). Conclusions. NGAL may be an important adipokine involved in GDM and fetal development. The oversecretion of NGAL from the placenta may contribute to the elevated levels of serum NGAL in gestational diabetes mellitus.
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spelling doaj-art-00417322cf51449c863b1f0a60db4d572025-02-03T00:58:41ZengWileyInternational Journal of Endocrinology1687-83371687-83452020-01-01202010.1155/2020/87605638760563Serum Levels and Placental Expression of NGAL in Gestational Diabetes MellitusXiaoqian Yin0Yan Huo1Li Liu2Yixing Pan3Suxin Liu4Runfang Wang5Department of Obstetrics & Gynecology, Hebei General Hospital, Shijiazhuang 050051, ChinaDepartment of Obstetrics & Gynecology, Hebei General Hospital, Shijiazhuang 050051, ChinaDepartment of Obstetrics & Gynecology, Hebei General Hospital, Shijiazhuang 050051, ChinaDepartment of Obstetrics & Gynecology, Hebei General Hospital, Shijiazhuang 050051, ChinaDepartment of Obstetrics & Gynecology, Hebei General Hospital, Shijiazhuang 050051, ChinaDepartment of Obstetrics & Gynecology, Hebei General Hospital, Shijiazhuang 050051, ChinaObjectives. The aim was to investigate neutrophil gelatinase-associated lipocalin (NGAL) levels in the serum and term placentas and its potential role in gestational diabetes mellitus (GDM). Methods. A total of 49 GDM subjects and 39 age-matched women with normal pregnancies were recruited. We examined serum concentrations of NGAL and tumor necrosis factor-α (TNF-α) in maternal blood and cord blood and their expression levels in the term placentas and umbilical cord. Results. Serum NGAL levels were significantly higher in GDM patients than in normal pregnant controls both in the maternal blood (4.80 ± 1.99 vs. 3.66 ± 1.13, P=0.001) and the cord blood (4.70 ± 2.08 vs. 3.85 ± 1.44, P=0.027). Moreover, serum NGAL levels exhibited a positive correlation with various parameters of insulin resistance. Maternal serum NGAL levels positively correlated with the NGAL levels found in the cord blood of the control (r = 0.399, P=0.012) and the GDM subjects (r = 0.349, P=0.014). Finally, the expression of NGAL protein levels in the placenta (1.22 ± 0.39 vs. 0.65 ± 0.23, P<0.001) and umbilical cord (0.65 ± 0.23 vs. 0.25 ± 0.10, P<0.001) were higher in GDM women than those noted in the control subjects. In the GDM group, maternal serum NGAL levels exhibited a positive correlation with placental NGAL mRNA and protein levels (r = 0.848, P=0.008; r = 0.636, P=0.011, respectively). Conclusions. NGAL may be an important adipokine involved in GDM and fetal development. The oversecretion of NGAL from the placenta may contribute to the elevated levels of serum NGAL in gestational diabetes mellitus.http://dx.doi.org/10.1155/2020/8760563
spellingShingle Xiaoqian Yin
Yan Huo
Li Liu
Yixing Pan
Suxin Liu
Runfang Wang
Serum Levels and Placental Expression of NGAL in Gestational Diabetes Mellitus
International Journal of Endocrinology
title Serum Levels and Placental Expression of NGAL in Gestational Diabetes Mellitus
title_full Serum Levels and Placental Expression of NGAL in Gestational Diabetes Mellitus
title_fullStr Serum Levels and Placental Expression of NGAL in Gestational Diabetes Mellitus
title_full_unstemmed Serum Levels and Placental Expression of NGAL in Gestational Diabetes Mellitus
title_short Serum Levels and Placental Expression of NGAL in Gestational Diabetes Mellitus
title_sort serum levels and placental expression of ngal in gestational diabetes mellitus
url http://dx.doi.org/10.1155/2020/8760563
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AT yixingpan serumlevelsandplacentalexpressionofngalingestationaldiabetesmellitus
AT suxinliu serumlevelsandplacentalexpressionofngalingestationaldiabetesmellitus
AT runfangwang serumlevelsandplacentalexpressionofngalingestationaldiabetesmellitus