2021, Number 1
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Revista Cubana de Obstetricia y Ginecología 2021; 47 (1)
Evolution of leptin levels and correlation with lipidic profile and insulin during normal pregnancy
Osorio JH, Quenan YE
Language: Spanish
References: 25
Page: 1-12
PDF size: 430.78 Kb.
ABSTRACT
Introduction: The lipid tissue has an endocrine function, among others. It synthesizes adipocytokines that interfere pregnancy and their lack of control generates diseases. Weight gain during pregnancy generates changes in metabolisms, which directly influences on the embryo development.
Objective: To determine the behavior of the leptin level during normal pregnancy and the correlation with lipidic profile and insulin.
Methods: Fasting blood samples were taken from 73 pregnant women with normal pregnancies, the average age of 22 years, during the first, second and third trimesters, at San Marcos Hospital in Chinchiná, Colombia, from November 2017 to June 2018. Leptin levels and lipid profile, as well as insulin in blood, were determined.
Results: A statistically significant difference was obtained between the trimesters, in the values of leptin, insulin and lipid profile. A statistically significant and proportional linear association was found between insulin and cholesterol levels, and leptin levels with HDL cholesterol, but its association is very low. The rest of the variables are not correlated.
Conclusions: During normal pregnancy, leptin values are elevated, with an upward trend towards the third trimester. There is hyperinsulinemia during pregnancy, which is accentuated during the second and third trimesters. Hypertriglyceridemia occurs during pregnancy, predominantly during the second and third trimesters. No correlation was found between the behavior of leptin levels during pregnancy with the other metabolites analyzed.
REFERENCES
Herrera E, Desoye G. Maternal and fetal lipid metabolism under normal and gestational diabetic conditions. Horm Mol Biol Clin Investig. 2016;26(2):109-27. DOI: https://doi.org/10.1515/hmbci-2015-0025
Mission JF, Marshall NE, Caughey AB. Obesity in pregnancy: a big problem and getting bigger. Obstet Gynecol Surv. 2013;68:389–99. DOI: https://doi.org/10.1097/ogx.0b013e31828738ce
Kapoor N, Sankaran S. Diabetes in pregnancy: a review of current evidence. Curr Opin Obstet Gynecol. 2007;19:586-90. DOI: https://doi.org/10.1097/GCO.0b013e3282f20aad
NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based in measurement studies with 19·2 million participants. Lancet. 2016;387(10026):1377-96. DOI: https://doi.org/10.1016/S0140-6736(16)30054-X.
Adamczak M, Wiecek A. The adipose tissue as an endocrine organ. Semin Nephrol. 2013;33(1):2-13. DOI: https://doi.org/10.1016/j.semnephrol.2012.12.008
Madi SRC, Garcia RMR, Souza VC, Rombaldi RL, Araújo BF, Madi JM. Effect of Obesity on Gestational and Perinatal Outcomes. Efeito da obesidade sobre os resultados gestacionais e perinatais. Rev Bras Ginecol Obstet. 2017;39(7):330-6. DOI: https://doi.org/10.1055/s-0037-1603826
Rodríguez M, Tovar A, Del Prado M, Torres N. Mecanismos moleculares de acción de los ácidos grasos poliinsaturados y sus beneficios en la salud. Rev Invest Clin. 2005;57(3):457-72. [acceso 20/07/2020]. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0034-83762005000300010&lng=es
Considine RV, Sinha MK, Heiman ML, Kriauciunas A, StephensTW, NyceMR, et al. Serum immunoreactive leptin concentrations in normal weight and obese humans. N Engl J Med. 1996;334:292-5. DOI: https://doi.org/10.1056/nejm1996020133405039
Pérez‐Pérez A, Toro A, Vilariño‐García T, Maymó J, Guadix P, Dueñas J. Leptin action in normal and pathological pregnancies. J Cell Mol Med. 2018;22(2):716–27. DOI: https://doi.org/10.1111/jcmm.13369
Dos Santos E, Duval F, Vialard F, Dieudonné MN. The roles of leptin and adiponectin at the fetal-maternal interface in humans. Horm Mol Biol Clin Investig. 2015;24(1):47-63. DOI: https://doi.org/10.1515/hmbci-2015-0031
Muoio DM, Lynis DG. Peripheral metabolic actions of leptin. Best Pract Res Clin Endocrinol Metab. 2002;16:653-66. DOI: https://doi.org/10.1053/beem.2002.0223
Nogues P, Dos Santos E, Jammes H, Berveiller P, Arnould L, Vialard F, et al. Maternal obesity influences expression and DNA methylation of the adiponectin and leptin systems in human third-trimester placenta. Clin Epigenetics. 2019;11(1):20. DOI: https://doi.org/10.1186/s13148-019-0612-6
Vitoratos N, Salamalekis E, Kassanos D, Loghis C, Panayotopoulos N, Kouskouni E, et al. Maternal plasma leptin levels and their relationship to insulin and glucose in gestational-onset diabetes. Gynecol Obstet Invest. 2001;51(1):17–21. DOI: https://doi.org/10.1159/000052884
Solis-Paredes M, Espino y Sosa S, Estrada-Gutierrez G, Nava-Salazar S, Ortega-Castillo V, Rodriguez-Bosch M, et al. Maternal and Fetal Lipid and Adipokine Profiles and Their Association with Obesity. Int J Endocrinol. 2016:7015626. DOI: https://doi.org/10.1155/2016/7015626
Lim CC, Mahmood T. Obesity in pregnancy. Best Pract Res Clin Obstet Gynaecol. 2015;29(3):309-19. DOI: https://doi.org/10.1016/j.bpobgyn.2014.10.008
Salvatores M, Gennarelli G, Menato G, Massobrio M. Leptin as a possible marker of augmented metabolic risk during pregnancy. Minerva Ginecol. 2006;58:1-10. [acceso 20/07/2020]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/16498365/
Navas C, González D. Niveles séricos de leptina y adiponectina y su relación con el índice de masa corporal en el segundo y tercer trimestre de embarazo. MedULA. 2015;24(2):82. [acceso 20/07/2020]. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=6435570
Lecke S, Morsch D, Spritzer P. Leptin and adiponectin in the female life course. Braz J Med Biol Res. 2011;44(5):381-87. DOI: https://doi.org/10.1590/S0100-879X2011007500035
Noreña I, Pardo MP, Mockus I. Niveles séricos de adipocitocinas y resistencia a la insulina en el primer trimestre de gestación en adolescentes y su relación con el peso del recién nacido. Biomédica. 2018;38(3),427-36. DOI: https://doi.org/10.7705/biomedica.v38i4.4035
Osorio JH. Metabolismo de los Lípidos durante el Embarazo. Rev Colom Obstet Ginecol. 2000;51(2):113-17. DOI: https://doi.org/10.18597/rcog.692
Ywaskewycz-Benítez LR, Bonneau GA, Castillo-Rascón MS, López DL, Pedrozo WR. Perfil lipídico por trimestre de gestación en una población de mujeres adultas. Rev Chil Obstet Ginecol. 2010;75(4):227-33. DOI: http://dx.doi.org/10.4067/S0717-75262010000400003
Chiefari E, Arcidiacono B, Foti D, Brunetti A. Gestational diabetes mellitus: an updated overview. J Endocrinol Invest. 2017;10. DOI: http://dx.doi.org/10.1007/s40618-016-0607-5
Hadden DR, McLaughlin C. Normal and abnormal maternal metabolism during pregnancy. Semin Fetal Neonatal Med. 2009;14(2):66–71. DOI: http://dx.doi.org/10.1016/j.siny.2008.09.004
Geraghty AA, Alberdi G, O'Sullivan EJ, O'Brien EC, Crosbie B, Twomey PJ, et al. Maternal and fetal blood lipid concentrations during pregnancy differ by maternal body mass index: findings from the ROLO study. BMC Pregnancy Childbirth. 2017;17(1):360. DOI: http://dx.doi.org/10.1186/s12884-017-1543-x
Alvarez-Aguilar C, Mondragón-Jiménez L, Ramírez-Enríquez J, Gómez A, Paniagua R, Amato D. Hiperleptinemia como factor de riesgo en hipertensión arterial asociada a obesidad. Med clin. 2004;123(20):766-9. DOI: http://dx.doi.org/10.1157/13069809