The Gut Microbiota in Women Suffering from Gestational Diabetes Mellitus with the Failure of Glycemic Control by Lifestyle Modification

Gestational diabetes mellitus (GDM) is prevalent worldwide, leading to a high risk of significant morbidity for both the mother and offspring with complications. Increasing evidences suggest that gut microbiota plays a role in the pathogenesis of GDM. Lifestyle modification is the cornerstones of GD...

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Main Authors: Guangyong Ye, Long Zhang, Min Wang, Yunbo Chen, Silan Gu, Keyi Wang, Jianhang Leng, Yujia Gu, Xinyou Xie
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2019/6081248
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author Guangyong Ye
Long Zhang
Min Wang
Yunbo Chen
Silan Gu
Keyi Wang
Jianhang Leng
Yujia Gu
Xinyou Xie
author_facet Guangyong Ye
Long Zhang
Min Wang
Yunbo Chen
Silan Gu
Keyi Wang
Jianhang Leng
Yujia Gu
Xinyou Xie
author_sort Guangyong Ye
collection DOAJ
description Gestational diabetes mellitus (GDM) is prevalent worldwide, leading to a high risk of significant morbidity for both the mother and offspring with complications. Increasing evidences suggest that gut microbiota plays a role in the pathogenesis of GDM. Lifestyle modification is the cornerstones of GDM treatment. However, a number of patients whose blood glucose is not controlled by lifestyle modification still require exogenous insulin to control blood glucose. No observational study is available about the relationship between the gut microbiota in GDM patients and lifestyle modifications. Thus, we investigated the differences in gut microbiota between GDM patients with successful glycemic control (GDM1) and failure of glycemic control (GDM2) by lifestyle modifications. We sequenced the V3-V4 regions of 16S ribosomal ribonucleic acid (rRNA) gene from stool samples of 52 singleton pregnant women with 24–28 weeks of gestation. Our results showed that Blautia, Eubacterium_hallii_group, and Faecalibacterium in the gut microbiota showed significant differences among the normoglycemic mother, GDM1, and GDM2 groups, respectively. The combined diagnostic performance of Blautia, Eubacterium_hallii_group, and Faecalibacterium in differentiating GDM2 from GDM was considered as the most reasonable identification indicator. Gut bacteria may participate in the pathological development of GDM2 through the peroxisome proliferator-activated receptor (PPAR) signaling pathway. These results indicated that Blautia, Eubacterium_hallii_group, and Faecalibacterium had important characteristic changes in the gut microbiota of women with GDM2.
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spelling doaj-art-b82f83ec07e34ee8b565c4afeb8290812025-02-03T01:11:13ZengWileyJournal of Diabetes Research2314-67452314-67532019-01-01201910.1155/2019/60812486081248The Gut Microbiota in Women Suffering from Gestational Diabetes Mellitus with the Failure of Glycemic Control by Lifestyle ModificationGuangyong Ye0Long Zhang1Min Wang2Yunbo Chen3Silan Gu4Keyi Wang5Jianhang Leng6Yujia Gu7Xinyou Xie8Women’s Hospital, Zhejiang University School of Medicine, ChinaWomen’s Hospital, Zhejiang University School of Medicine, ChinaWomen’s Hospital, Zhejiang University School of Medicine, ChinaThe First Affiliated Hospital, Zhejiang University School of Medicine, ChinaThe First Affiliated Hospital, Zhejiang University School of Medicine, ChinaCentral Laboratory, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, ChinaCentral Laboratory, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, ChinaWomen’s Hospital, Zhejiang University School of Medicine, ChinaDepartment of Clinical Laboratory, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, ChinaGestational diabetes mellitus (GDM) is prevalent worldwide, leading to a high risk of significant morbidity for both the mother and offspring with complications. Increasing evidences suggest that gut microbiota plays a role in the pathogenesis of GDM. Lifestyle modification is the cornerstones of GDM treatment. However, a number of patients whose blood glucose is not controlled by lifestyle modification still require exogenous insulin to control blood glucose. No observational study is available about the relationship between the gut microbiota in GDM patients and lifestyle modifications. Thus, we investigated the differences in gut microbiota between GDM patients with successful glycemic control (GDM1) and failure of glycemic control (GDM2) by lifestyle modifications. We sequenced the V3-V4 regions of 16S ribosomal ribonucleic acid (rRNA) gene from stool samples of 52 singleton pregnant women with 24–28 weeks of gestation. Our results showed that Blautia, Eubacterium_hallii_group, and Faecalibacterium in the gut microbiota showed significant differences among the normoglycemic mother, GDM1, and GDM2 groups, respectively. The combined diagnostic performance of Blautia, Eubacterium_hallii_group, and Faecalibacterium in differentiating GDM2 from GDM was considered as the most reasonable identification indicator. Gut bacteria may participate in the pathological development of GDM2 through the peroxisome proliferator-activated receptor (PPAR) signaling pathway. These results indicated that Blautia, Eubacterium_hallii_group, and Faecalibacterium had important characteristic changes in the gut microbiota of women with GDM2.http://dx.doi.org/10.1155/2019/6081248
spellingShingle Guangyong Ye
Long Zhang
Min Wang
Yunbo Chen
Silan Gu
Keyi Wang
Jianhang Leng
Yujia Gu
Xinyou Xie
The Gut Microbiota in Women Suffering from Gestational Diabetes Mellitus with the Failure of Glycemic Control by Lifestyle Modification
Journal of Diabetes Research
title The Gut Microbiota in Women Suffering from Gestational Diabetes Mellitus with the Failure of Glycemic Control by Lifestyle Modification
title_full The Gut Microbiota in Women Suffering from Gestational Diabetes Mellitus with the Failure of Glycemic Control by Lifestyle Modification
title_fullStr The Gut Microbiota in Women Suffering from Gestational Diabetes Mellitus with the Failure of Glycemic Control by Lifestyle Modification
title_full_unstemmed The Gut Microbiota in Women Suffering from Gestational Diabetes Mellitus with the Failure of Glycemic Control by Lifestyle Modification
title_short The Gut Microbiota in Women Suffering from Gestational Diabetes Mellitus with the Failure of Glycemic Control by Lifestyle Modification
title_sort gut microbiota in women suffering from gestational diabetes mellitus with the failure of glycemic control by lifestyle modification
url http://dx.doi.org/10.1155/2019/6081248
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