Pathogenesis of obstetric and perinatal complications in metabolic syndrome

Aim. To describe a pathogenetic rationale for obstetric and perinatal complications associated with metabolic syndrome. Materials and Methods. This is a descriptive review based on original research and review articles on obstetric and perinatal complications in the context of metabolic syndrome, pu...

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Main Authors: K. A. Gulenkova, A. A. Orazmuradov, E. V. Mukovnikova, M. B. Khamoshina
Format: Article
Language:Russian
Published: Kemerovo State Medical University 2025-06-01
Series:Фундаментальная и клиническая медицина
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Online Access:https://fcm.kemsmu.ru/jour/article/view/1021
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author K. A. Gulenkova
A. A. Orazmuradov
E. V. Mukovnikova
M. B. Khamoshina
author_facet K. A. Gulenkova
A. A. Orazmuradov
E. V. Mukovnikova
M. B. Khamoshina
author_sort K. A. Gulenkova
collection DOAJ
description Aim. To describe a pathogenetic rationale for obstetric and perinatal complications associated with metabolic syndrome. Materials and Methods. This is a descriptive review based on original research and review articles on obstetric and perinatal complications in the context of metabolic syndrome, published between 2016 and 2025 and indexed in PubMed, ScienceDirect, and eLibrary databases. The following research methods were employed: internet-based analysis, content analysis, historical method, and descriptive-analytical approach. Results. Obesity and metabolic syndrome have a negative impact on maternal and fetal outcomes. Adipose tissue functions as an active endocrine organ that regulates vascular, metabolic, and inflammatory processes across multiple organ systems, thereby affecting obstetric and perinatal outcomes. Conclusion. The obesity epidemic has drawn attention to adipose tissue as a critical regulator of systemic nutrient and energy homeostasis. In metabolic syndrome, adipose tissue must adapt to excessive lipid load through a variety of strategies, including increasing adipocyte size and number, altering immune cell composition, and reshaping lipid metabolism. Failure to adequately adapt to increased nutritional load results in adipose tissue dysfunction which triggers a cascade of lipotoxic effects on other organs, leading to insulin resistance, diabetes mellitus, and related metabolic complications. Adipose tissue dysfunction is significantly accelerated by the additional metabolic load imposed by pregnancy
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institution Kabale University
issn 2500-0764
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publishDate 2025-06-01
publisher Kemerovo State Medical University
record_format Article
series Фундаментальная и клиническая медицина
spelling doaj-art-e99074a3eab043bb9ecf1a6045200b822025-08-20T03:42:39ZrusKemerovo State Medical UniversityФундаментальная и клиническая медицина2500-07642542-09412025-06-01102678110.23946/2500-0764-2025-10-2-67-81477Pathogenesis of obstetric and perinatal complications in metabolic syndromeK. A. Gulenkova0A. A. Orazmuradov1E. V. Mukovnikova2M. B. Khamoshina3Peoples' Friendship University of Russia named after Patrice LumumbaPeoples' Friendship University of Russia named after Patrice LumumbaPeoples' Friendship University of Russia named after Patrice LumumbaPeoples' Friendship University of Russia named after Patrice LumumbaAim. To describe a pathogenetic rationale for obstetric and perinatal complications associated with metabolic syndrome. Materials and Methods. This is a descriptive review based on original research and review articles on obstetric and perinatal complications in the context of metabolic syndrome, published between 2016 and 2025 and indexed in PubMed, ScienceDirect, and eLibrary databases. The following research methods were employed: internet-based analysis, content analysis, historical method, and descriptive-analytical approach. Results. Obesity and metabolic syndrome have a negative impact on maternal and fetal outcomes. Adipose tissue functions as an active endocrine organ that regulates vascular, metabolic, and inflammatory processes across multiple organ systems, thereby affecting obstetric and perinatal outcomes. Conclusion. The obesity epidemic has drawn attention to adipose tissue as a critical regulator of systemic nutrient and energy homeostasis. In metabolic syndrome, adipose tissue must adapt to excessive lipid load through a variety of strategies, including increasing adipocyte size and number, altering immune cell composition, and reshaping lipid metabolism. Failure to adequately adapt to increased nutritional load results in adipose tissue dysfunction which triggers a cascade of lipotoxic effects on other organs, leading to insulin resistance, diabetes mellitus, and related metabolic complications. Adipose tissue dysfunction is significantly accelerated by the additional metabolic load imposed by pregnancyhttps://fcm.kemsmu.ru/jour/article/view/1021metabolic syndromeobesitypathogenesispreeclampsiagestational diabetes mellitusepigeneticsperinatal mortality
spellingShingle K. A. Gulenkova
A. A. Orazmuradov
E. V. Mukovnikova
M. B. Khamoshina
Pathogenesis of obstetric and perinatal complications in metabolic syndrome
Фундаментальная и клиническая медицина
metabolic syndrome
obesity
pathogenesis
preeclampsia
gestational diabetes mellitus
epigenetics
perinatal mortality
title Pathogenesis of obstetric and perinatal complications in metabolic syndrome
title_full Pathogenesis of obstetric and perinatal complications in metabolic syndrome
title_fullStr Pathogenesis of obstetric and perinatal complications in metabolic syndrome
title_full_unstemmed Pathogenesis of obstetric and perinatal complications in metabolic syndrome
title_short Pathogenesis of obstetric and perinatal complications in metabolic syndrome
title_sort pathogenesis of obstetric and perinatal complications in metabolic syndrome
topic metabolic syndrome
obesity
pathogenesis
preeclampsia
gestational diabetes mellitus
epigenetics
perinatal mortality
url https://fcm.kemsmu.ru/jour/article/view/1021
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AT aaorazmuradov pathogenesisofobstetricandperinatalcomplicationsinmetabolicsyndrome
AT evmukovnikova pathogenesisofobstetricandperinatalcomplicationsinmetabolicsyndrome
AT mbkhamoshina pathogenesisofobstetricandperinatalcomplicationsinmetabolicsyndrome