Serum Glycome as a Diagnostic and Prognostic Factor in Gestational Diabetes Mellitus

Gestational diabetes mellitus (GDM) is a risk factor for both mother and fetus/neonate during and after the pregnancy. Inconsistent protocols and cumbersome screening procedures warrant the search for new and easily accessible biomarkers. We investigated a potential of serum N-glycome to differentia...

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Veröffentlicht in:Biochemistry (Moscow) 2024, Vol.89 (1), p.148-158
Hauptverfasser: Radojičić, Ognjen, Pažitná, Lucia, Dobrijević, Zorana, Kundalia, Paras, Kianičková, Kristina, Katrlík, Jaroslav, Marković, Vesna Mandić, Miković, Željko, Nedić, Olgica, Robajac, Dragana
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container_end_page 158
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container_start_page 148
container_title Biochemistry (Moscow)
container_volume 89
creator Radojičić, Ognjen
Pažitná, Lucia
Dobrijević, Zorana
Kundalia, Paras
Kianičková, Kristina
Katrlík, Jaroslav
Marković, Vesna Mandić
Miković, Željko
Nedić, Olgica
Robajac, Dragana
description Gestational diabetes mellitus (GDM) is a risk factor for both mother and fetus/neonate during and after the pregnancy. Inconsistent protocols and cumbersome screening procedures warrant the search for new and easily accessible biomarkers. We investigated a potential of serum N-glycome to differentiate between healthy pregnant women ( n  = 49) and women with GDM ( n  = 53) using a lectin-based microarray and studied the correlation between the obtained data and parameters of glucose and lipid metabolism. Four out of 15 lectins used were able to detect the differences between the control and GDM groups in fucosylation, terminal galactose/N-acetylglucosamine (Gal/GlcNAc), presence of Galα1,4Galβ1,4Glc (Gb3 antigen), and terminal α2,3-sialylation with AUC values above 60%. An increase in the Gb3 antigen and α2,3-sialylation correlated positively with GDM, whereas the amount of fucosylated glycans correlated negatively with the content of terminal Gal/GlcNAc. The content of GlcNAc oligomers correlated with the highest number of blood analytes, indices, and demographic characteristics, but failed to discriminate between the groups. The presence of terminal Gal residues correlated positively with the glucose levels and negatively with the LDL levels in the non-GDM group only. The results suggest fucosylation, terminal galactosylation, and the presence of Gb3 antigen as prediction markers of GDM.
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Inconsistent protocols and cumbersome screening procedures warrant the search for new and easily accessible biomarkers. We investigated a potential of serum N-glycome to differentiate between healthy pregnant women ( n  = 49) and women with GDM ( n  = 53) using a lectin-based microarray and studied the correlation between the obtained data and parameters of glucose and lipid metabolism. Four out of 15 lectins used were able to detect the differences between the control and GDM groups in fucosylation, terminal galactose/N-acetylglucosamine (Gal/GlcNAc), presence of Galα1,4Galβ1,4Glc (Gb3 antigen), and terminal α2,3-sialylation with AUC values above 60%. An increase in the Gb3 antigen and α2,3-sialylation correlated positively with GDM, whereas the amount of fucosylated glycans correlated negatively with the content of terminal Gal/GlcNAc. The content of GlcNAc oligomers correlated with the highest number of blood analytes, indices, and demographic characteristics, but failed to discriminate between the groups. The presence of terminal Gal residues correlated positively with the glucose levels and negatively with the LDL levels in the non-GDM group only. 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subjects Analysis
Antigens
Biochemistry
Biomarkers
Biomedical and Life Sciences
Biomedicine
Bioorganic Chemistry
Blood sugar
Correlation
Demographics
Diabetes in pregnancy
Diabetes mellitus
Diabetes, Gestational - diagnosis
Diabetes, Gestational - metabolism
Diagnosis
Female
Fetuses
Galactose
Gestational diabetes
Glucose
Glucose metabolism
Glycosylation
Health aspects
Health risks
Humans
Infant, Newborn
Lectins
Lectins - metabolism
Life Sciences
Lipid metabolism
Lipids
Low density lipoprotein
Medical diagnosis
Microbiology
N-Acetylglucosamine
Polysaccharides
Pregnancy
Pregnancy complications
Pregnant women
Prognosis
Risk factors
title Serum Glycome as a Diagnostic and Prognostic Factor in Gestational Diabetes Mellitus
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