Adipokines as Potential Biomarkers in Pregnancy: A Naturalistic Study of Adipokines in Pregnant Women and Newborns

Maternal obesity is an escalating public health concern that adversely affects pregnancy outcomes. Adipokines play a key role in regulating metabolism and fetal development, but their dynamic changes during pregnancy remain inadequately understood. <b>Objective:</b> This study investigat...

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Main Authors: Cristina Mihaela Ormindean, Răzvan Ciortea, Andrei Mihai Măluțan, Carmen Elena Bucuri, Doru Mihai Diculescu, Cristian Ioan Iuhas, Ciprian Gheorghe Porumb, Vlad Ormindean, Maria Patricia Roman, Ionel Daniel Nati, Viorela Suciu, Alexandru Emil Hăprean, Dan Mihu
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Biomolecules
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Online Access:https://www.mdpi.com/2218-273X/15/5/607
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author Cristina Mihaela Ormindean
Răzvan Ciortea
Andrei Mihai Măluțan
Carmen Elena Bucuri
Doru Mihai Diculescu
Cristian Ioan Iuhas
Ciprian Gheorghe Porumb
Vlad Ormindean
Maria Patricia Roman
Ionel Daniel Nati
Viorela Suciu
Alexandru Emil Hăprean
Dan Mihu
author_facet Cristina Mihaela Ormindean
Răzvan Ciortea
Andrei Mihai Măluțan
Carmen Elena Bucuri
Doru Mihai Diculescu
Cristian Ioan Iuhas
Ciprian Gheorghe Porumb
Vlad Ormindean
Maria Patricia Roman
Ionel Daniel Nati
Viorela Suciu
Alexandru Emil Hăprean
Dan Mihu
author_sort Cristina Mihaela Ormindean
collection DOAJ
description Maternal obesity is an escalating public health concern that adversely affects pregnancy outcomes. Adipokines play a key role in regulating metabolism and fetal development, but their dynamic changes during pregnancy remain inadequately understood. <b>Objective:</b> This study investigates maternal and fetal adipokine variations throughout pregnancy and their associations with maternal body mass index (BMI), abdominal wall thickness, and neonatal outcomes. <b>Methods:</b> A prospective case-control study was conducted involving 74 pregnant women categorized by BMI. Maternal blood samples were collected at mid-pregnancy and delivery, and additional analysis of umbilical-cord blood was performed. Clinical parameters such as BMI, abdominal wall thickness, and fetal growth metrics were also recorded. <b>Results:</b> Adiponectin levels were significantly lower in obese pregnancies, whereas leptin and visfatin levels increased with higher maternal BMI. Umbilical-cord blood leptin levels correlated positively with maternal BMI and neonatal birth weight, while ghrelin levels were reduced in neonates born to obese mothers. Significant adipokine fluctuations were observed between mid-pregnancy and delivery. <b>Conclusions:</b> Maternal obesity is associated with distinct alterations in adipokine profiles. These findings highlight the potential of maternal adipokines, given their links to maternal adiposity, as predictive biomarkers for adverse pregnancy outcomes and long-term metabolic risks in offspring. Further interventional research is warranted to evaluate targeted strategies aimed at improving perinatal metabolic health.
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spelling doaj-art-48a10acd4bcc4cb0b8e18da8daa60e6d2025-08-20T01:56:29ZengMDPI AGBiomolecules2218-273X2025-04-0115560710.3390/biom15050607Adipokines as Potential Biomarkers in Pregnancy: A Naturalistic Study of Adipokines in Pregnant Women and NewbornsCristina Mihaela Ormindean0Răzvan Ciortea1Andrei Mihai Măluțan2Carmen Elena Bucuri3Doru Mihai Diculescu4Cristian Ioan Iuhas5Ciprian Gheorghe Porumb6Vlad Ormindean7Maria Patricia Roman8Ionel Daniel Nati9Viorela Suciu10Alexandru Emil Hăprean11Dan Mihu122nd Department of Obstetrics and Gynaecology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynaecology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynaecology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynaecology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynaecology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynaecology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynaecology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynaecology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynaecology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynaecology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynaecology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynaecology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania2nd Department of Obstetrics and Gynaecology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaMaternal obesity is an escalating public health concern that adversely affects pregnancy outcomes. Adipokines play a key role in regulating metabolism and fetal development, but their dynamic changes during pregnancy remain inadequately understood. <b>Objective:</b> This study investigates maternal and fetal adipokine variations throughout pregnancy and their associations with maternal body mass index (BMI), abdominal wall thickness, and neonatal outcomes. <b>Methods:</b> A prospective case-control study was conducted involving 74 pregnant women categorized by BMI. Maternal blood samples were collected at mid-pregnancy and delivery, and additional analysis of umbilical-cord blood was performed. Clinical parameters such as BMI, abdominal wall thickness, and fetal growth metrics were also recorded. <b>Results:</b> Adiponectin levels were significantly lower in obese pregnancies, whereas leptin and visfatin levels increased with higher maternal BMI. Umbilical-cord blood leptin levels correlated positively with maternal BMI and neonatal birth weight, while ghrelin levels were reduced in neonates born to obese mothers. Significant adipokine fluctuations were observed between mid-pregnancy and delivery. <b>Conclusions:</b> Maternal obesity is associated with distinct alterations in adipokine profiles. These findings highlight the potential of maternal adipokines, given their links to maternal adiposity, as predictive biomarkers for adverse pregnancy outcomes and long-term metabolic risks in offspring. Further interventional research is warranted to evaluate targeted strategies aimed at improving perinatal metabolic health.https://www.mdpi.com/2218-273X/15/5/607maternal obesityadipokinespregnancyfetal developmentleptinadiponectin
spellingShingle Cristina Mihaela Ormindean
Răzvan Ciortea
Andrei Mihai Măluțan
Carmen Elena Bucuri
Doru Mihai Diculescu
Cristian Ioan Iuhas
Ciprian Gheorghe Porumb
Vlad Ormindean
Maria Patricia Roman
Ionel Daniel Nati
Viorela Suciu
Alexandru Emil Hăprean
Dan Mihu
Adipokines as Potential Biomarkers in Pregnancy: A Naturalistic Study of Adipokines in Pregnant Women and Newborns
Biomolecules
maternal obesity
adipokines
pregnancy
fetal development
leptin
adiponectin
title Adipokines as Potential Biomarkers in Pregnancy: A Naturalistic Study of Adipokines in Pregnant Women and Newborns
title_full Adipokines as Potential Biomarkers in Pregnancy: A Naturalistic Study of Adipokines in Pregnant Women and Newborns
title_fullStr Adipokines as Potential Biomarkers in Pregnancy: A Naturalistic Study of Adipokines in Pregnant Women and Newborns
title_full_unstemmed Adipokines as Potential Biomarkers in Pregnancy: A Naturalistic Study of Adipokines in Pregnant Women and Newborns
title_short Adipokines as Potential Biomarkers in Pregnancy: A Naturalistic Study of Adipokines in Pregnant Women and Newborns
title_sort adipokines as potential biomarkers in pregnancy a naturalistic study of adipokines in pregnant women and newborns
topic maternal obesity
adipokines
pregnancy
fetal development
leptin
adiponectin
url https://www.mdpi.com/2218-273X/15/5/607
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