Biomarkers of Gestational Diabetes Mellitus: Mechanisms, Advances, and Clinical Utility.

Q3 Medicine
Thyparambil Aravindakshan Pramodkumar, Wesley Hannah, Ranjit Mohan Anjana, Uma Ram, Mangesh Tiwaskar, Kuppan Gokulakrishnan, Polina V Popova, Viswanathan Mohan
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引用次数: 0

Abstract

Gestational diabetes mellitus (GDM) continues to pose a significant challenge to maternal and fetal health, driving the need for advanced diagnostic and therapeutic strategies. Biomarker discovery has proven essential for early detection, mechanistic insights, and targeted interventions. This review provides an in-depth examination of biomarkers related to GDM, focusing on glucose metabolism, insulin resistance, inflammatory signaling, adipokines, oxidative stress markers, and genetic/epigenetic determinants. We also evaluate novel biomarkers emerging from omics technologies and their translational potential in clinical practice. Additionally, we explore the role of microRNAs and extracellular vesicles as emerging biomarkers that could offer new perspectives on GDM pathophysiology. Integration of these biomarkers into predictive models holds the potential to improve risk assessment and patient health outcomes.

妊娠期糖尿病的生物标志物:机制、进展和临床应用。
妊娠期糖尿病(GDM)继续对孕产妇和胎儿健康构成重大挑战,推动了对先进诊断和治疗策略的需求。生物标志物的发现已被证明对早期发现、机制洞察和有针对性的干预至关重要。本文综述了与GDM相关的生物标志物的深入研究,重点是葡萄糖代谢、胰岛素抵抗、炎症信号、脂肪因子、氧化应激标志物和遗传/表观遗传决定因素。我们还评估了从组学技术中出现的新的生物标志物及其在临床实践中的转化潜力。此外,我们探索了microrna和细胞外囊泡作为新兴生物标志物的作用,可以为GDM病理生理学提供新的视角。将这些生物标记物整合到预测模型中,有可能改善风险评估和患者健康结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
0.80
自引率
0.00%
发文量
509
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