Gestational diabetes & diabetes in pregnancy

Early-Pregnancy Serum Maternal and Placenta-Derived Exosomes Micro-RNAs (miRNAs) Vary Based on Pancreatic β-Cell Function in Gestational Diabetes Mellitus (GDM)

J Clin Endocrinol MetabPublished Prospective nested case-control study

Authors' conclusion

Early serum exosomal miRNAs differ depending on their origin (maternal or placental) and pancreatic β-cell function. This research provides insights into the interactions between maternal and placental exosomal miRNAs and may have implications for identifying potential biomarkers or therapeutic targets for GDM.

Study context

Population
Pregnant women in early pregnancy (<18 weeks of gestation)
Comparison
Women who developed GDM vs normoglycemia, by pancreatic β-cell function
Outcome
Serum maternal and placenta-derived exosome miRNA profiles according to pancreatic β-cell function (HOMA-%β)
Follow-up
<18 weeks of gestation

Main finding

As reported in the abstract

Early-pregnancy serum maternal and placenta-derived exosomes and miRNAs
  • Serum maternal exosome size and concentration modified in GDM and fluctuate according to HOMA-%β index
  • Serum maternal exosomal hsa-miR-149-3p and hsa-miR-455-3p in GDM related to insulin secretion and signaling, lipolysis and adipocytokine signaling
  • Placenta-derived exosomal hsa-miR-3665 and hsa-miR-6727-5p in GDM related to genes of immunological tolerance of pregnancy and pathways associated with placental dysfunction

Observational data: associations, not effects.

Original publication

Early-Pregnancy Serum Maternal and Placenta-Derived Exosomes miRNAs Vary Based on Pancreatic β-Cell Function in GDM. J Clin Endocrinol Metab. Published 21 December 2023. doi:10.1210/clinem/dgad751

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