Circulating progranulin levels in women with gestational diabetes mellitus and healthy controls during and after pregnancy

ObjectiveProgranulin (PGRN) was recently introduced as a novel marker of chronic inflammatory response in obesity and type 2 diabetes capable of directly affecting the insulin signaling pathway. This study aimed to investigate the role of PGRN in gestational diabetes mellitus (GDM), which is regarde...

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Veröffentlicht in:European journal of endocrinology 2012-10, Vol.167 (4), p.561-567
Hauptverfasser: Todoric, Jelena, Handisurya, Ammon, Perkmann, Thomas, Knapp, Bernhard, Wagner, Oswald, Tura, Andrea, Pacini, Giovanni, Esterbauer, Harald, Kautzky-Willer, Alexandra
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container_end_page 567
container_issue 4
container_start_page 561
container_title European journal of endocrinology
container_volume 167
creator Todoric, Jelena
Handisurya, Ammon
Perkmann, Thomas
Knapp, Bernhard
Wagner, Oswald
Tura, Andrea
Pacini, Giovanni
Esterbauer, Harald
Kautzky-Willer, Alexandra
description ObjectiveProgranulin (PGRN) was recently introduced as a novel marker of chronic inflammatory response in obesity and type 2 diabetes capable of directly affecting the insulin signaling pathway. This study aimed to investigate the role of PGRN in gestational diabetes mellitus (GDM), which is regarded as a model for early type 2 diabetes.MethodsPGRN serum levels were measured in 90 pregnant women (45 GDM and 45 normal glucose tolerance (NGT)). In addition, PGRN was measured during a 2-h, 75 g oral glucose tolerance test in 20 pregnant women (ten GDM and ten NGT) and in 16 of them post partum (ten GDM and six NGT).ResultsPGRN concentrations were significantly higher in pregnant women compared with post partum levels (536.79±31.81 vs 241.53±8.86, P
doi_str_mv 10.1530/EJE-12-0060
format Article
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This study aimed to investigate the role of PGRN in gestational diabetes mellitus (GDM), which is regarded as a model for early type 2 diabetes.MethodsPGRN serum levels were measured in 90 pregnant women (45 GDM and 45 normal glucose tolerance (NGT)). In addition, PGRN was measured during a 2-h, 75 g oral glucose tolerance test in 20 pregnant women (ten GDM and ten NGT) and in 16 of them post partum (ten GDM and six NGT).ResultsPGRN concentrations were significantly higher in pregnant women compared with post partum levels (536.79±31.81 vs 241.53±8.86, P&lt;0.001). Multivariate regression analyses showed a strong positive correlation of PGRN with estrogen and progesterone. The insulinogenic index, a marker of early insulin secretion, displayed a positive correlation with PGRN, both during and after pregnancy (R=0.47, P=0.034; R=0.63, P=0.012). HbA1c and the oral glucose insulin sensitivity index showed significant post partum associations with PGRN (R=0.43, P=0.049; R=−0.65, P=0.009).ConclusionsPGRN concentrations are markedly lower after pregnancy regardless of the gestational glucose tolerance state. PGRN levels per se do not discriminate between mild GDM and NGT in pregnant women. Therefore, the development of GDM appears to be due to impaired β-cell function that is not related to PGRN effect.</description><identifier>ISSN: 0804-4643</identifier><identifier>EISSN: 1479-683X</identifier><identifier>DOI: 10.1530/EJE-12-0060</identifier><identifier>PMID: 22802426</identifier><language>eng</language><publisher>Bristol: BioScientifica</publisher><subject>Adult ; Area Under Curve ; Biological and medical sciences ; Case-Control Studies ; Clinical Study ; Diabetes, Gestational - blood ; Diabetes, Gestational - diagnosis ; Diagnosis, Differential ; Endocrinopathies ; Female ; Fundamental and applied biological sciences. Psychology ; Glucose Tolerance Test ; Health ; Humans ; Intercellular Signaling Peptides and Proteins - blood ; Medical sciences ; Postpartum Period - blood ; Postpartum Period - metabolism ; Pregnancy - blood ; Pregnancy - metabolism ; Pregnancy Trimester, Second - blood ; Pregnancy Trimester, Second - metabolism ; Progranulins ; Regression Analysis ; Severity of Illness Index ; Vertebrates: endocrinology</subject><ispartof>European journal of endocrinology, 2012-10, Vol.167 (4), p.561-567</ispartof><rights>2012 European Society of Endocrinology</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b440t-d76fd139ceed864ffb8e3c6984fc3f07e35e41e9e3b5a1cfc0f801f9003b59803</citedby><cites>FETCH-LOGICAL-b440t-d76fd139ceed864ffb8e3c6984fc3f07e35e41e9e3b5a1cfc0f801f9003b59803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=26450309$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22802426$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Todoric, Jelena</creatorcontrib><creatorcontrib>Handisurya, Ammon</creatorcontrib><creatorcontrib>Perkmann, Thomas</creatorcontrib><creatorcontrib>Knapp, Bernhard</creatorcontrib><creatorcontrib>Wagner, Oswald</creatorcontrib><creatorcontrib>Tura, Andrea</creatorcontrib><creatorcontrib>Pacini, Giovanni</creatorcontrib><creatorcontrib>Esterbauer, Harald</creatorcontrib><creatorcontrib>Kautzky-Willer, Alexandra</creatorcontrib><title>Circulating progranulin levels in women with gestational diabetes mellitus and healthy controls during and after pregnancy</title><title>European journal of endocrinology</title><addtitle>Eur J Endocrinol</addtitle><description>ObjectiveProgranulin (PGRN) was recently introduced as a novel marker of chronic inflammatory response in obesity and type 2 diabetes capable of directly affecting the insulin signaling pathway. This study aimed to investigate the role of PGRN in gestational diabetes mellitus (GDM), which is regarded as a model for early type 2 diabetes.MethodsPGRN serum levels were measured in 90 pregnant women (45 GDM and 45 normal glucose tolerance (NGT)). In addition, PGRN was measured during a 2-h, 75 g oral glucose tolerance test in 20 pregnant women (ten GDM and ten NGT) and in 16 of them post partum (ten GDM and six NGT).ResultsPGRN concentrations were significantly higher in pregnant women compared with post partum levels (536.79±31.81 vs 241.53±8.86, P&lt;0.001). Multivariate regression analyses showed a strong positive correlation of PGRN with estrogen and progesterone. The insulinogenic index, a marker of early insulin secretion, displayed a positive correlation with PGRN, both during and after pregnancy (R=0.47, P=0.034; R=0.63, P=0.012). HbA1c and the oral glucose insulin sensitivity index showed significant post partum associations with PGRN (R=0.43, P=0.049; R=−0.65, P=0.009).ConclusionsPGRN concentrations are markedly lower after pregnancy regardless of the gestational glucose tolerance state. PGRN levels per se do not discriminate between mild GDM and NGT in pregnant women. Therefore, the development of GDM appears to be due to impaired β-cell function that is not related to PGRN effect.</description><subject>Adult</subject><subject>Area Under Curve</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Clinical Study</subject><subject>Diabetes, Gestational - blood</subject><subject>Diabetes, Gestational - diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Endocrinopathies</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Glucose Tolerance Test</subject><subject>Health</subject><subject>Humans</subject><subject>Intercellular Signaling Peptides and Proteins - blood</subject><subject>Medical sciences</subject><subject>Postpartum Period - blood</subject><subject>Postpartum Period - metabolism</subject><subject>Pregnancy - blood</subject><subject>Pregnancy - metabolism</subject><subject>Pregnancy Trimester, Second - blood</subject><subject>Pregnancy Trimester, Second - metabolism</subject><subject>Progranulins</subject><subject>Regression Analysis</subject><subject>Severity of Illness Index</subject><subject>Vertebrates: endocrinology</subject><issn>0804-4643</issn><issn>1479-683X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMotlZP3iUXT7I62aTb3aOU-kXBi4K3JZudtJE0W5KsUn-9Ka168zIzzDy8Aw8h5wyu2ZjDzexplrE8AyjggAyZmFRZUfK3QzKEEkQmCsEH5CSEdwCWZjgmgzwvIRd5MSRfU-NVb2U0bkHXvlt46XprHLX4gTbQNH12K0zVxCVdYIgJ7Zy0tDWywYiBrtBaE_tApWvpEqWNyw1VnYu-SwFt77fR25vUEX16ggsnndqckiMtbcCzfR-R17vZy_Qhmz_fP05v51kjBMSsnRS6ZbxSiG1ZCK2bErkqqlJoxTVMkI9RMKyQN2PJlFagS2C6AkiLqgQ-Ile7XOW7EDzqeu3NSvpNzaDeGqyTwZrl9dZgoi929LpvVtj-sj_KEnC5B2RQ0uokTJnwxxViDByqxLEd15guKIMuGm2U_Pf5Nze3jD4</recordid><startdate>20121001</startdate><enddate>20121001</enddate><creator>Todoric, Jelena</creator><creator>Handisurya, Ammon</creator><creator>Perkmann, Thomas</creator><creator>Knapp, Bernhard</creator><creator>Wagner, Oswald</creator><creator>Tura, Andrea</creator><creator>Pacini, Giovanni</creator><creator>Esterbauer, Harald</creator><creator>Kautzky-Willer, Alexandra</creator><general>BioScientifica</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20121001</creationdate><title>Circulating progranulin levels in women with gestational diabetes mellitus and healthy controls during and after pregnancy</title><author>Todoric, Jelena ; Handisurya, Ammon ; Perkmann, Thomas ; Knapp, Bernhard ; Wagner, Oswald ; Tura, Andrea ; Pacini, Giovanni ; Esterbauer, Harald ; Kautzky-Willer, Alexandra</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b440t-d76fd139ceed864ffb8e3c6984fc3f07e35e41e9e3b5a1cfc0f801f9003b59803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Area Under Curve</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Clinical Study</topic><topic>Diabetes, Gestational - blood</topic><topic>Diabetes, Gestational - diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Endocrinopathies</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Glucose Tolerance Test</topic><topic>Health</topic><topic>Humans</topic><topic>Intercellular Signaling Peptides and Proteins - blood</topic><topic>Medical sciences</topic><topic>Postpartum Period - blood</topic><topic>Postpartum Period - metabolism</topic><topic>Pregnancy - blood</topic><topic>Pregnancy - metabolism</topic><topic>Pregnancy Trimester, Second - blood</topic><topic>Pregnancy Trimester, Second - metabolism</topic><topic>Progranulins</topic><topic>Regression Analysis</topic><topic>Severity of Illness Index</topic><topic>Vertebrates: endocrinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Todoric, Jelena</creatorcontrib><creatorcontrib>Handisurya, Ammon</creatorcontrib><creatorcontrib>Perkmann, Thomas</creatorcontrib><creatorcontrib>Knapp, Bernhard</creatorcontrib><creatorcontrib>Wagner, Oswald</creatorcontrib><creatorcontrib>Tura, Andrea</creatorcontrib><creatorcontrib>Pacini, Giovanni</creatorcontrib><creatorcontrib>Esterbauer, Harald</creatorcontrib><creatorcontrib>Kautzky-Willer, Alexandra</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>European journal of endocrinology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Todoric, Jelena</au><au>Handisurya, Ammon</au><au>Perkmann, Thomas</au><au>Knapp, Bernhard</au><au>Wagner, Oswald</au><au>Tura, Andrea</au><au>Pacini, Giovanni</au><au>Esterbauer, Harald</au><au>Kautzky-Willer, Alexandra</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Circulating progranulin levels in women with gestational diabetes mellitus and healthy controls during and after pregnancy</atitle><jtitle>European journal of endocrinology</jtitle><addtitle>Eur J Endocrinol</addtitle><date>2012-10-01</date><risdate>2012</risdate><volume>167</volume><issue>4</issue><spage>561</spage><epage>567</epage><pages>561-567</pages><issn>0804-4643</issn><eissn>1479-683X</eissn><abstract>ObjectiveProgranulin (PGRN) was recently introduced as a novel marker of chronic inflammatory response in obesity and type 2 diabetes capable of directly affecting the insulin signaling pathway. This study aimed to investigate the role of PGRN in gestational diabetes mellitus (GDM), which is regarded as a model for early type 2 diabetes.MethodsPGRN serum levels were measured in 90 pregnant women (45 GDM and 45 normal glucose tolerance (NGT)). In addition, PGRN was measured during a 2-h, 75 g oral glucose tolerance test in 20 pregnant women (ten GDM and ten NGT) and in 16 of them post partum (ten GDM and six NGT).ResultsPGRN concentrations were significantly higher in pregnant women compared with post partum levels (536.79±31.81 vs 241.53±8.86, P&lt;0.001). Multivariate regression analyses showed a strong positive correlation of PGRN with estrogen and progesterone. The insulinogenic index, a marker of early insulin secretion, displayed a positive correlation with PGRN, both during and after pregnancy (R=0.47, P=0.034; R=0.63, P=0.012). HbA1c and the oral glucose insulin sensitivity index showed significant post partum associations with PGRN (R=0.43, P=0.049; R=−0.65, P=0.009).ConclusionsPGRN concentrations are markedly lower after pregnancy regardless of the gestational glucose tolerance state. PGRN levels per se do not discriminate between mild GDM and NGT in pregnant women. Therefore, the development of GDM appears to be due to impaired β-cell function that is not related to PGRN effect.</abstract><cop>Bristol</cop><pub>BioScientifica</pub><pmid>22802426</pmid><doi>10.1530/EJE-12-0060</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Oxford University Press
subjects Adult
Area Under Curve
Biological and medical sciences
Case-Control Studies
Clinical Study
Diabetes, Gestational - blood
Diabetes, Gestational - diagnosis
Diagnosis, Differential
Endocrinopathies
Female
Fundamental and applied biological sciences. Psychology
Glucose Tolerance Test
Health
Humans
Intercellular Signaling Peptides and Proteins - blood
Medical sciences
Postpartum Period - blood
Postpartum Period - metabolism
Pregnancy - blood
Pregnancy - metabolism
Pregnancy Trimester, Second - blood
Pregnancy Trimester, Second - metabolism
Progranulins
Regression Analysis
Severity of Illness Index
Vertebrates: endocrinology
title Circulating progranulin levels in women with gestational diabetes mellitus and healthy controls during and after pregnancy
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