Role of T-Cell Polarization and Inflammation and Their Modulation by n-3 Fatty Acids in Gestational Diabetes and Macrosomia

Th (T helper) cells are differentiated into either Th1 or Th2 phenotype. It is generally considered that Th1 phenotype is proinflammatory, whereas Th2 phenotype exerts anti-inflammatory or protective effects. Gestational diabetes mellitus (GDM) has been associated with a decreased Th1 phenotype, whe...

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Main Authors: A. Hichami, O. Grissa, I. Mrizak, C. Benammar, N. A. Khan
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Nutrition and Metabolism
Online Access:http://dx.doi.org/10.1155/2016/3124960
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author A. Hichami
O. Grissa
I. Mrizak
C. Benammar
N. A. Khan
author_facet A. Hichami
O. Grissa
I. Mrizak
C. Benammar
N. A. Khan
author_sort A. Hichami
collection DOAJ
description Th (T helper) cells are differentiated into either Th1 or Th2 phenotype. It is generally considered that Th1 phenotype is proinflammatory, whereas Th2 phenotype exerts anti-inflammatory or protective effects. Gestational diabetes mellitus (GDM) has been associated with a decreased Th1 phenotype, whereas macrosomia is marked with high expression of Th1 cytokines. Besides, these two pathological situations are marked with high concentrations of inflammatory mediators like tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6), known to play a pivotal role in insulin resistance. Dietary n-3 polyunsaturated fatty acids (n-3 PUFAs) may exert a beneficial effect by shifting Th1/Th2 balance to a Th2 phenotype and increasing insulin sensitivity. In this paper, we shed light on the role of T-cell malfunction that leads to an inflammatory and pathophysiological state, related to insulin resistance in GDM and macrosomia. We will also discuss the nutritional management of these pathologies by dietary n-3 polyunsaturated fatty acids (PUFAs).
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spelling doaj-art-e9f572985f2244e085337acaed58bacc2025-02-03T01:00:51ZengWileyJournal of Nutrition and Metabolism2090-07242090-07322016-01-01201610.1155/2016/31249603124960Role of T-Cell Polarization and Inflammation and Their Modulation by n-3 Fatty Acids in Gestational Diabetes and MacrosomiaA. Hichami0O. Grissa1I. Mrizak2C. Benammar3N. A. Khan4INSERM U866, Université de Bourgogne, 21000 Dijon, FranceINSERM U866, Université de Bourgogne, 21000 Dijon, FranceINSERM U866, Université de Bourgogne, 21000 Dijon, FranceINSERM U866, Université de Bourgogne, 21000 Dijon, FranceINSERM U866, Université de Bourgogne, 21000 Dijon, FranceTh (T helper) cells are differentiated into either Th1 or Th2 phenotype. It is generally considered that Th1 phenotype is proinflammatory, whereas Th2 phenotype exerts anti-inflammatory or protective effects. Gestational diabetes mellitus (GDM) has been associated with a decreased Th1 phenotype, whereas macrosomia is marked with high expression of Th1 cytokines. Besides, these two pathological situations are marked with high concentrations of inflammatory mediators like tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6), known to play a pivotal role in insulin resistance. Dietary n-3 polyunsaturated fatty acids (n-3 PUFAs) may exert a beneficial effect by shifting Th1/Th2 balance to a Th2 phenotype and increasing insulin sensitivity. In this paper, we shed light on the role of T-cell malfunction that leads to an inflammatory and pathophysiological state, related to insulin resistance in GDM and macrosomia. We will also discuss the nutritional management of these pathologies by dietary n-3 polyunsaturated fatty acids (PUFAs).http://dx.doi.org/10.1155/2016/3124960
spellingShingle A. Hichami
O. Grissa
I. Mrizak
C. Benammar
N. A. Khan
Role of T-Cell Polarization and Inflammation and Their Modulation by n-3 Fatty Acids in Gestational Diabetes and Macrosomia
Journal of Nutrition and Metabolism
title Role of T-Cell Polarization and Inflammation and Their Modulation by n-3 Fatty Acids in Gestational Diabetes and Macrosomia
title_full Role of T-Cell Polarization and Inflammation and Their Modulation by n-3 Fatty Acids in Gestational Diabetes and Macrosomia
title_fullStr Role of T-Cell Polarization and Inflammation and Their Modulation by n-3 Fatty Acids in Gestational Diabetes and Macrosomia
title_full_unstemmed Role of T-Cell Polarization and Inflammation and Their Modulation by n-3 Fatty Acids in Gestational Diabetes and Macrosomia
title_short Role of T-Cell Polarization and Inflammation and Their Modulation by n-3 Fatty Acids in Gestational Diabetes and Macrosomia
title_sort role of t cell polarization and inflammation and their modulation by n 3 fatty acids in gestational diabetes and macrosomia
url http://dx.doi.org/10.1155/2016/3124960
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