Gestational diabetes & diabetes in pregnancy

Association of fetal FTO gene variants with maternal postload glucose levels in pregnancy

Int J Obes (Lond)Published Genetic association study

Authors' conclusion

FTO risk variants carried by the fetus may indirectly influence maternal metabolism and could be associated with a flatter OGTT curve driven by the reduced 1 h postload PG levels in pregnancy.

Study context

Population
Mother-neonate pairs: prior gestational diabetes mellitus (GDM) case-control study (Hungarian-Austrian set) and HAPO study European ancestry subset (HAPO-EUR); Oral glucose tolerance test (OGTT) at 24–28th gestational week
Comparison
Fetal FTO risk variant carriers vs non-carriers
Outcome
Maternal plasma glucose (PG) levels during OGTT
Follow-up
24-28th gestational week
Methodological detailscase-control (Hungarian-Austrian set), HAPO European ancestry subset, dominant genetic model, adjusted for pre-pregnancy body mass index (BMI) and maternal age, rs8050136 (complete LD with rs9939609) used in HAPO-EUR
  • Case-control (Hungarian-Austrian set)
  • HAPO European ancestry subset
  • Dominant genetic model
  • Adjusted for pre-pregnancy BMI and maternal age
  • rs8050136 (complete LD with rs9939609) used in HAPO-EUR

Main finding

As reported in the abstract

Maternal 60'min PG

ß Hungarian-Austrian, p = 1.97*10-4

−1.39 mmol/L

ß HAPO-EUR, p = 4.36*10-2

−0.18 mmol/L

ß combined, p = 2.11*10-4

−0.33 mmol/L

Observational data: associations, not effects.

Further findings

Incremental area under glucose curve at OGTT

mmol*h/L

ß Hungarian-Austrian, p = 3.83*10-4
−1.70
ß HAPO-EUR, p = 2.91*10-2
−0.23
ß combined, p = 1.61*10-4
−0.39
  • Dominant genetic model

Original publication

Association of fetal FTO gene variants with maternal postload glucose levels in pregnancy. Int J Obes (Lond). Published 28 August 2025. doi:10.1038/s41366-025-01896-1

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