Gestational diabetes & diabetes in pregnancy

Gut microbiome and serum metabolic alterations in recurrent gestational diabetes mellitus

Diabetes Res Clin PractPublished Prospective cohort study

Authors' conclusion

These findings highlight potential interventions for preventing GDM through modulation of gut microbiota and metabolic byproducts during pregnancy.

Study context

Population
Pregnant women with prior gestational diabetes mellitus (GDM), Beijing, China; fecal and serum samples in first (8–12 weeks) and second trimesters (24–28 weeks)
Participants
70 women
Outcome
Gut microbiome and serum metabolic alterations in recurrent GDM
Methodological details16S rRNA sequencing, untargeted metabolomics, Mendelian randomization analyses
  • 16S rRNA sequencing
  • Untargeted metabolomics
  • Mendelian randomization analyses

Main finding

As reported in the abstract

  • Recurrent GDM: stage-specific microbial dysbiosis, with early enrichment of pro-inflammatory taxa (e.g., Streptococcus, Enterobacter) and depletion of beneficial Bacteroidales, then mid-pregnancy loss of Lactobacillaceae and Desulfovibrio
  • Reduced microbial community cohesion in recurrent GDM (network analysis)
  • Downregulation of caffeine metabolites and lipids in recurrent GDM

Observational data: associations, not effects.

Further findings

Mendelian randomization (MR) analyses (Finnish, Canadian and UK Biobank cohorts)

Taxa that may influence GDM risk, mediated by metabolites such as lipid signaling
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Original publication

Gut microbiome and serum metabolic alterations in recurrent gestational diabetes mellitus. Diabetes Res Clin Pract. Published 11 August 2025. doi:10.1016/j.diabres.2025.112416

Composed by AI from the published abstract and checked against it. How Briefs are made →

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