Increased Circulating IL-32 Is Associated With Placenta Macrophage-derived IL-32 and Gestational Diabetes Mellitus

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OBJECTIVE: Placenta-derived inflammation plays a vital role in the pathophysiology of gestational diabetes mellitus (GDM). IL-32 is a novel pro-inflammatory cytokine and metabolic regulator involved in the development of metabolic disease. We investigated the effect of IL-32 in GDM.

MATERIALS AND METHODS: First-trimester C-reactive protein (CRP) level was monitored in a case-control study of 186 women with GDM and 186 women without. Placental tissue was lysed and analyzed by high-resolution liquid chromatography-tandem mass spectrometry. Circulating level of inflammatory cytokines IL-32, IL-6, and TNF-α were measured by ELISA kits. The expression of placenta-derived macrophages, inflammatory cytokines, and related pathway proteins were assessed by reverse transcriptase-quantitative PCR, western blot, immunohistochemistry, or immunofluorescence.

RESULTS: First-trimester CRP level in peripheral blood was closely associated with glucose and insulin resistance index and was an independent correlation with the development of GDM. High-resolution liquid chromatography-tandem mass spectrometry revealed that placenta-derived CRP expression was dramatically elevated in women with GDM. Interestingly, the expression of placenta-derived IL-32 was also increased and located in the macrophages of placental tissue. Meanwhile, the expression of IL-6, TNF-α, and p-p38 were up-regulated in the placental tissues with GDM. Either IL-6 or TNF-α was colocated with IL-32 in the placental tissue. Importantly, circulating IL-32 throughout pregnancy was increased in GDM and was related to placental-derived IL-32 expression, circulating IL-6, and TNF-α, glucose and insulin resistance index.

CONCLUSION: Increased circulating IL-32 throughout pregnancy was closely associated with placenta macrophage-derived IL-32 expression and GDM. First trimester IL-32 level in peripheral blood may serve to predict the development of GDM.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:109

Enthalten in:

The Journal of clinical endocrinology and metabolism - 109(2024), 2 vom: 18. Jan., Seite 333-343

Sprache:

Englisch

Beteiligte Personen:

Huang, Xinmei [VerfasserIn]
Li, Yue [VerfasserIn]
Tong, Xiaoxu [VerfasserIn]
Wu, Yueyue [VerfasserIn]
Zhang, Rui [VerfasserIn]
Sheng, Li [VerfasserIn]
Xu, Jiong [VerfasserIn]
Yu, Zhiyan [VerfasserIn]
Chen, Zaoping [VerfasserIn]
Sun, Tiange [VerfasserIn]
Wang, Fang [VerfasserIn]
Yang, Qian [VerfasserIn]
Li, Zhangyan [VerfasserIn]
Gao, Cuijun [VerfasserIn]
Ma, Ling [VerfasserIn]
Ding, Heyuan [VerfasserIn]
Zang, Shufei [VerfasserIn]
Yang, Ni [VerfasserIn]
Zhang, Tie-Ning [VerfasserIn]
Liu, Jun [VerfasserIn]

Links:

Volltext

Themen:

Cytokines
Gestational diabetes mellitus
Glucose
IL-32
IY9XDZ35W2
Inflammation
Insulin
Insulin resistance
Interleukin-6
Journal Article
Placental
Tumor Necrosis Factor-alpha

Anmerkungen:

Date Completed 19.01.2024

Date Revised 19.01.2024

published: Print

Citation Status MEDLINE

doi:

10.1210/clinem/dgad531

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362055920