Therapeutic Advances in Endocrinology and Metabolism,
Год журнала:
2024,
Номер
15
Опубликована: Янв. 1, 2024
The
term
metabolic-associated
fatty
liver
disease
(MAFLD),
with
a
global
prevalence
estimated
at
38.77%,
has
gradually
replaced
the
traditional
concept
of
non-alcoholic
(NAFLD).
Compared
to
general
population,
incidence
MAFLD
is
notably
higher
among
pregnant
women,
posing
potential
risks
both
maternal
and
neonatal
health.
This
review
summarizes
latest
research
on
MAFLD,
focusing
its
association
pregnancy
complications.
Additionally,
it
provides
comparative
analysis
previous
studies
NAFLD,
presenting
comprehensive
perspective
for
clinical
management.
Findings
suggest
that
women
face
risk
gestational
hypertension
cesarean
delivery
compared
those
while
diabetes
mellitus
remains
similar
between
two
conditions.
associated
an
increased
likelihood
delivering
large-for-gestational-age
infants
heightened
preterm
birth
low
weight.
Current
treatment
strategies
focus
lifestyle
modifications,
such
as
dietary
adjustments
physical
activity.
However,
there
urgent
need
development
safe
effective
pharmacological
treatments,
particularly
tailored
toward
women.
Future
should
delve
deeper
into
causal
relationships
complications
explore
optimal
therapeutic
approaches
improve
outcomes
mothers
their
infants.
Cardiovascular Diabetology,
Год журнала:
2025,
Номер
24(1)
Опубликована: Март 20, 2025
Abstract
Background
This
study
aims
to
identify
early
metabolomic
biomarkers
of
gestational
diabetes
mellitus
(GDM)
and
evaluate
their
association
with
hepatic
steatosis.
Methods
We
compared
maternal
serum
profiles
between
women
who
developed
GDM
(
n
=
118)
matched
controls
during
the
first
(10–14
weeks)
second
(24–28
trimesters
using
ultra-performance
liquid
chromatography
coupled
mass
spectrometry.
Mediation
analysis
was
performed
mediating
role
metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
in
relationship
metabolites
subsequent
development
GDM.
A
refined
prediction
model
predict
established
clinical
factors
selected
metabolites.
Results
Significant
alterations
circulating
metabolites,
including
amino
acids,
bile
phospholipids,
were
observed
group
pregnancy.
revealed
that
several
glycocholic
acid
(proportion
mediated
(PM)
31.9%),
butanoyl
carnitine
(PM
25.7%),
uric
22.4%),
had
significant
indirect
effects
on
incidence
by
The
composed
trimester
demonstrated
higher
performance
predicting
than
solely
(AUC,
0.85
vs.
0.63,
p
<
0.001).
Conclusions
Women
exhibited
altered
from
pregnancy,
which
showed
a
correlation
GDM,
MASLD
as
mediator.
Selected
may
serve
predictive
markers
potential
targets
for
risk
assessment
intervention
Graphical
abstract
Research
insights
What
is
currently
known
about
this
topic?
Gestational
common
pregnancy
complication
health
risks.
Early
identification
at
high
crucial
timely
improved
outcomes.
key
research
question?
are
associated
development?
Does
mediate
specific
risk?
new?
phosphatidylethanolamines,
phosphatidylinositols
sera
later
significantly
risk,
mediation
proportions
ranging
9.7
31.9%.
development.
How
might
influence
practice?
These
results
provide
new
into
highlight
MASLD.
comprehensive
approach
contribute
models
targeted
interventions
prevention.
Nutrients,
Год журнала:
2025,
Номер
17(10), С. 1730 - 1730
Опубликована: Май 20, 2025
Both
metabolic
dysfunction-associated
fatty
liver
disease
(MAFLD)
and
gestational
diabetes
mellitus
(GDM)
during
pregnancy
are
emerging
as
an
adverse
synergistic
relationship
of
growing
concern.
This
narrative
review
focuses
on
the
maternal
fetal
consequences
associated
with
women
who
have
MAFLD
and/or
GDM
pregnancy,
including
exploration
long-term
cardiometabolic
risks
for
postpartum
childhood
health.
We
conclude
that
implementation
a
life
course
approach
to
management
these
high-risk
remains
paramount.
Journal of Clinical Medicine,
Год журнала:
2024,
Номер
13(8), С. 2360 - 2360
Опубликована: Апрель 18, 2024
Helicobacter
pylori
infection,
a
significant
global
burden
beyond
the
gastrointestinal
tract,
has
long
been
implicated
in
various
systemic
pathologies.
Rising
evidence
suggests
that
bacterium's
intricate
relationship
with
immune
system
and
its
potential
to
induce
chronic
inflammation
impact
diverse
pathophysiological
processes
pregnant
women
may
turn
affect
incidence
of
several
adverse
pregnancy
neonate
outcomes.
which
linked
metabolic
syndrome
other
disorders
by
provoking
pericyte
dysfunction,
hyperhomocysteinemia,
galectin-3,
atrial
fibrillation,
gut
dysbiosis,
mast
cell
activation
pathologies,
also
contribute
neonatal
Together
increasing
our
biological
understanding
individual
collective
involvement
infection-related
concurrent
cells
maternal,
fetus,
health
outcomes,
present
narrative
review
foster
related
research
endeavors
offer
novel
therapeutic
approaches
informed
clinical
practice
interventions
mitigate
relevant
risks
this
critical
topic
among
their
offspring.
JHEP Reports,
Год журнала:
2024,
Номер
6(4), С. 101033 - 101033
Опубликована: Фев. 23, 2024
Background
and
AimsAdverse
pregnancy
outcomes
(APOs)
can
worsen
cardiometabolic
risk
factors
in
women,
raising
their
likelihood
of
developing
diseases
at
a
young
age
after
initial
pregnancy.
Nevertheless,
there
is
limited
data
on
the
newly
metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
women
who
have
had
APOs.
This
study
aimed
to
evaluate
new-onset
MASLD
experiencing
APOs.MethodsSingleton
pregnant
underwent
national
health
screenings
one
year
before
delivery
were
included
this
study.
APOs
defined
as
presence
least
followings:
hypertensive
disorders
(HDP),
gestational
diabetes
mellitus
(GDM),
preterm
birth,
low
birth
weight,
placental
abruption.
The
primary
outcome
was
based
APOs.ResultsAmong
80,037
participants,
9,320
(11.6%)
experienced
during
Women
an
increased
even
adjustments
for
various
covariates
(adjusted
OR,
1.58;
95%
CI,
1.45–1.72).
In
particular,
either
HDP
or
GDM
showed
significantly
(aOR,
2.20;
1.81–2.67
aOR,
1.83;
1.65–2.03
GDM).
Moreover,
tendency
toward
according
number
(P<0.001
trend
odds).ConclusionsAPOs
associated
with
delivery.
Specifically,
only
identified
MASLD.Impact
implicationsThis
nationwide
cohort
confirms
that
postpartum
history
adverse
are
(MASLD).
These
findings
may
bring
us
step
closer
understanding
exact
mechanisms
underlying
such
important
association
between
prior
cardiovascular
(CVD)
among
women.
bidirectional
highlights
importance
considering
assessing
CVD
It
suggests
need
monitoring
lifestyle
interventions
reduce
subsequent
complications.
International Journal of Translational Medicine,
Год журнала:
2024,
Номер
4(4), С. 782 - 809
Опубликована: Дек. 9, 2024
Sex
differences
are
a
complex
and
crucial
variable
in
developing
progressing
metabolic
cardiovascular
disease
pathophysiology
clinical
outcomes.
The
female
sex,
compared
to
the
male
is
protected
from
disturbances
their
resulting
events.
However,
peculiar
life
phases
associated
with
females,
such
as
puberty,
pregnancy,
premenopausal
menopausal
stages,
all
different
risks
for
development
of
(CVD).
Metabolic
dysfunction-associated
steatotic
liver
(MASLD),
condition
hepatic
steatosis,
at
least
one
feature
syndrome
an
increased
risk
MASLD
its
progression
CVD
differs
between
men
women.
Differences
several
factors,
including
formyl
peptide
receptor
(FPR)
2,
adipose
tissue
distribution,
pyruvate
kinase
(LPK),
ketone
body
production,
may
underlie
sex
MASLD-induced
CVD.
Understanding
specific
factors
involved
sexes
crucial.
This
knowledge
will
provide
important
insights
into
mechanisms
responsible
complications
can
potentially
lead
therapeutics
targeted
explicitly
each
offering
new
hope
fight
against
bioRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2023,
Номер
unknown
Опубликована: Ноя. 12, 2023
Summary
The
maternal
body
helps
in
providing
nutrients
and
degrading
toxic
metabolites
instead
of
the
fetal
body;
disruptions
these
mechanisms
affect
normal
development.
Sterol
27-hydroxylase
(
Cyp27a1
)
is
involved
alternative
pathway
bile
acid
synthesis,
which
enhanced
during
pregnancy.
However,
its
role
development
remains
unclear.
Here,
we
demonstrate
that
activity
essential
for
progression
pregnancy
organ
formation.
Depletion
reduced
rate
litter
size.
Newborn
mice
died
respiratory
distress
syndrome
resulting
from
absence
mature
alveolar
epithelial
cells.
These
phenotypes
were
caused
by
7α-hydroxycholesterol
(7α-HC)
accumulating
-deficient
mice.
Mechanistically,
7α-HC
destabilized
Fau
protein,
mediating
ribosome
assembly,
downregulation
poor
polysome
formation,
lower
protein
impaired
lung
maturation.
Overall,
this
study
revealed
an
mechanism
securing
a
metabolite
body.