Evaluation of Visceral Adipokines: Omentin, Vaspin, and Visfatin in Patients with Gestational Diabetes Mellitus

Background: Gestational diabetes mellitus (GDM) is a common metabolic disorder characterized by glucose intolerance that develops during pregnancy. The underlying pathophysiological mechanisms of GDM involve complex interactions between genetic, environmental, and hormonal factors...

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Main Authors: Mehmet Yilmaz, Serif Aksin, Nizamettin Bozbay, Deniz Balsak, Yasmin Aboalhasan, Fatma Zehra Kurnuç, Leyla Seyhan, Ibrahim Batmaz
Format: Article
Language:English
Published: IMR Press 2024-11-01
Series:Clinical and Experimental Obstetrics & Gynecology
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Online Access:https://www.imrpress.com/journal/CEOG/51/11/10.31083/j.ceog5111250
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author Mehmet Yilmaz
Serif Aksin
Nizamettin Bozbay
Deniz Balsak
Yasmin Aboalhasan
Fatma Zehra Kurnuç
Leyla Seyhan
Ibrahim Batmaz
author_facet Mehmet Yilmaz
Serif Aksin
Nizamettin Bozbay
Deniz Balsak
Yasmin Aboalhasan
Fatma Zehra Kurnuç
Leyla Seyhan
Ibrahim Batmaz
author_sort Mehmet Yilmaz
collection DOAJ
description Background: Gestational diabetes mellitus (GDM) is a common metabolic disorder characterized by glucose intolerance that develops during pregnancy. The underlying pathophysiological mechanisms of GDM involve complex interactions between genetic, environmental, and hormonal factors, including adipokines secreted by visceral adipose tissue. Omentin, vaspin, and visfatin are adipokines believed to influence insulin sensitivity and inflammation, though their precise relationship with GDM remains unclear. This study aimed to examine the association between these adipokines and GDM. Methods: This single-center, prospective controlled cohort study included 87 pregnant patients diagnosed with GDM via an oral glucose tolerance test (OGTT) between the 24th and 28th weeks of gestation, along with 87 control subjects without GDM. Serum levels of omentin, vaspin, and visfatin were measured using enzyme-linked immunosorbent assay (ELISA), and their association with GDM was analyzed. Results: Our results demonstrated that omentin levels were significantly higher in the GDM group compared to the control group (p = 0.012), while no significant differences were observed in vaspin and visfatin levels (p > 0.05). An omentin cut-off value of 29.0 ng/mL predicted GDM with 59.1% sensitivity and 59.1% specificity, suggesting its potential as a biomarker for GDM. Conclusions: This study underscores the unique role of omentin in GDM, in contrast to the non-significant changes observed in vaspin and visfatin levels. The elevated omentin levels in GDM patients suggest its potential as a biomarker for diagnosing and managing GDM. Further research is needed to elucidate the mechanisms through which omentin contributes to the pathophysiology of GDM. Clinical Trial Registration: NCT05463237, https://clinicaltrials.gov/study/NCT05463237.
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series Clinical and Experimental Obstetrics & Gynecology
spelling doaj-art-97e64a99f99446dd94e4910a41a5a5cb2024-11-30T03:06:43ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632024-11-01511125010.31083/j.ceog5111250S0390-6663(24)02487-4Evaluation of Visceral Adipokines: Omentin, Vaspin, and Visfatin in Patients with Gestational Diabetes MellitusMehmet Yilmaz0Serif Aksin1Nizamettin Bozbay2Deniz Balsak3Yasmin Aboalhasan4Fatma Zehra Kurnuç5Leyla Seyhan6Ibrahim Batmaz7Obstetrics and Gynecology Department, Mardin Artuklu University Faculty of Medicine, 47100 Mardin, TurkeyObstetrics and Gynecology Department, Mardin Artuklu University Faculty of Medicine, 47100 Mardin, TurkeyDepartment of Perinatology, Selcuk University Faculty of Medicine, 42005 Konya, TurkeyObstetrics and Gynecology Department, Mardin Artuklu University Faculty of Medicine, 47100 Mardin, TurkeyObstetrics and Gynecology Department, Siirt Training and Research Hospital, 56100 Siirt, TurkeyObstetrics and Gynecology Department, Siirt Training and Research Hospital, 56100 Siirt, TurkeyInternal Medicine Department, Siirt Training and Research Hospital, 56100 Siirt, TurkeyObstetrics and Gynecology Department, Mardin Artuklu University Faculty of Medicine, 47100 Mardin, TurkeyBackground: Gestational diabetes mellitus (GDM) is a common metabolic disorder characterized by glucose intolerance that develops during pregnancy. The underlying pathophysiological mechanisms of GDM involve complex interactions between genetic, environmental, and hormonal factors, including adipokines secreted by visceral adipose tissue. Omentin, vaspin, and visfatin are adipokines believed to influence insulin sensitivity and inflammation, though their precise relationship with GDM remains unclear. This study aimed to examine the association between these adipokines and GDM. Methods: This single-center, prospective controlled cohort study included 87 pregnant patients diagnosed with GDM via an oral glucose tolerance test (OGTT) between the 24th and 28th weeks of gestation, along with 87 control subjects without GDM. Serum levels of omentin, vaspin, and visfatin were measured using enzyme-linked immunosorbent assay (ELISA), and their association with GDM was analyzed. Results: Our results demonstrated that omentin levels were significantly higher in the GDM group compared to the control group (p = 0.012), while no significant differences were observed in vaspin and visfatin levels (p > 0.05). An omentin cut-off value of 29.0 ng/mL predicted GDM with 59.1% sensitivity and 59.1% specificity, suggesting its potential as a biomarker for GDM. Conclusions: This study underscores the unique role of omentin in GDM, in contrast to the non-significant changes observed in vaspin and visfatin levels. The elevated omentin levels in GDM patients suggest its potential as a biomarker for diagnosing and managing GDM. Further research is needed to elucidate the mechanisms through which omentin contributes to the pathophysiology of GDM. Clinical Trial Registration: NCT05463237, https://clinicaltrials.gov/study/NCT05463237.https://www.imrpress.com/journal/CEOG/51/11/10.31083/j.ceog5111250gestational diabetes mellituspregnancyomentinvaspinvisfatin
spellingShingle Mehmet Yilmaz
Serif Aksin
Nizamettin Bozbay
Deniz Balsak
Yasmin Aboalhasan
Fatma Zehra Kurnuç
Leyla Seyhan
Ibrahim Batmaz
Evaluation of Visceral Adipokines: Omentin, Vaspin, and Visfatin in Patients with Gestational Diabetes Mellitus
Clinical and Experimental Obstetrics & Gynecology
gestational diabetes mellitus
pregnancy
omentin
vaspin
visfatin
title Evaluation of Visceral Adipokines: Omentin, Vaspin, and Visfatin in Patients with Gestational Diabetes Mellitus
title_full Evaluation of Visceral Adipokines: Omentin, Vaspin, and Visfatin in Patients with Gestational Diabetes Mellitus
title_fullStr Evaluation of Visceral Adipokines: Omentin, Vaspin, and Visfatin in Patients with Gestational Diabetes Mellitus
title_full_unstemmed Evaluation of Visceral Adipokines: Omentin, Vaspin, and Visfatin in Patients with Gestational Diabetes Mellitus
title_short Evaluation of Visceral Adipokines: Omentin, Vaspin, and Visfatin in Patients with Gestational Diabetes Mellitus
title_sort evaluation of visceral adipokines omentin vaspin and visfatin in patients with gestational diabetes mellitus
topic gestational diabetes mellitus
pregnancy
omentin
vaspin
visfatin
url https://www.imrpress.com/journal/CEOG/51/11/10.31083/j.ceog5111250
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