IRS-1 gene polymorphism and DNA damage in pregnant women with diabetes or mild gestational hyperglycemia


Autoria(s): Gelaleti, Rafael B.; Damasceno, Debora C.; Salvadori, Daisy M. F.; Marcondes, Joao Paulo C.; Lima, Paula H. O.; Morceli, Glilciane; Calderon, Iracema M. P.; Rudge, Marilza V. C.
Contribuinte(s)

Universidade Estadual Paulista (UNESP)

Data(s)

21/10/2015

21/10/2015

02/04/2015

Resumo

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Processo FAPESP: 2008/06642-6

Processo FAPESP: 2008/06480-6

Background: Pregnant women with mild gestational hyperglycemia present a high risk for hypertension and obesity, and appear to reproduce the model of metabolic syndrome in pregnancy, including hyperinsulinemia and insulin resistance. Diabetic patients have a higher frequency of the IRS-1 Gly972Arg variant and this polymorphism is directly related to insulin resistance and subsequent hyperglycemia. In diabetes, hyperglycemia and other associated factors generate reactive oxygen species that increase DNA damage. The aims of this study were to evaluate the presence of the IRS-1 Arg972 polymorphism in pregnant women with diabetes or mild gestational hyperglycemia, and in their newborns. Additionally, we evaluated the level of primary DNA damage in lymphocytes of Brazilian pregnant women and the relationship between the amount of genetic damage and presence of the polymorphism.Methods: A based on the oral glucose tolerance test (OGTT) results and on glycemic profiles (GP), as follows: nondiabetic group, mild gestational hyperglycemia (MGH) and diabetic group. Eighty-five newborns were included in the study. Maternal peripheral blood samples and umbilical cord blood samples (5-10 mL) were collected for genotyping by PCR-RFLP and for comet assays.Results: The prevalence of genotype Gly/Arg in pregnant women groups was not statistically significant. In newborns, the frequency of Gly/Arg was significantly higher in the MGH and diabetic groups than in the non-diabetic group. Taken together, groups IIA and IIB (IIA + IIB; diabetes) presented lower amounts of DNA damage than the non-diabetic group (p = 0.064). No significant association was detected between genetic damage and the presence of the Arg972 genotype in pregnant women.Conclusion: The polymorphism was more prevalent in newborns of diabetic and MGH women. We believe that it is necessary to increase the number of subjects to be examined in order to better determine the biological role of the Arg972 polymorphism in these patients. Despite being classified as low-risk, pregnant women with mild gestational hyperglycemia characterize a population of maternal and perinatal adverse outcomes, and that, together with their newborns, require better monitoring by professionals and health services.

Formato

1-8

Identificador

http://www.dmsjournal.com/content/7/1/30

Diabetology & Metabolic Syndrome. London: Biomed Central Ltd, v. 7, p. 8, 2015.

1758-5996

http://hdl.handle.net/11449/128352

http://dx.doi.org/10.1186/s13098-015-0026-3

WOS:000352591500001

WOS000352591500001.pdf

Idioma(s)

eng

Publicador

Biomed Central Ltd

Relação

Diabetology &metabolic Syndrome

Direitos

openAccess

Palavras-Chave #Diabetes #Mild gestational hyperglycemia #Pregnancy #Newborn #Polymorphism #DNA damage
Tipo

info:eu-repo/semantics/article