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Increased DNA Damage is Related to Maternal Blood Glucose Levels in the Offspring of Women With Diabetes and Mild Gestational Hyperglycemia

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Abstract

Objective

This study aimed at correlating maternal blood glucose levels with DNA damage levels in the offspring of women with diabetes or mild gestational hyperglycemia (MGH).

Methodology

Based on oral glucose tolerance test results and glycemic profiles, 56 pregnant women were allocated into 3 groups: nondiabetes, MGH, and diabetes. The offspring of these women (56 infants) were also evaluated. Maternal peripheral blood and umbilical cord blood samples were collected and processed for biochemical and DNA damage analysis by the comet assay.

Results

A positive correlation between maternal blood glucose mean and increased offspring DNA damage levels was observed. Hyperglycemia played a role in offspring DNA damage, but other diabetes-induced complications were also involved.

Conclusion

Increased maternal blood glucose levels can lead to increased offspring DNA damage levels. Therefore, the monitoring, control, and treatment of pregnant women with diabetes and MGH are highly important to ensure a risk-free pregnancy and healthy infants.

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References

  1. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2014;37(suppl 1):S81–S90.

    Article  Google Scholar 

  2. Metzger BE, Coustan DR. The organizing committee. Summary and recommendations of the Fourth International Workshop-Conference on Gestational Diabetes Mellitus. Diabetes Care. 1998;21(suppl 2):B161–B167.

    PubMed  Google Scholar 

  3. Köck K, Köck F, Klein K, Bancher-Todesca D, Helmer H. Diabetes mellitus and the risk of preterm birth with regard to the risk of spontaneous preterm birth. J Matern Fetal Neonatal Med. 2010;23(9):1004–1008.

    Article  PubMed  Google Scholar 

  4. Rudge MV, Calderon IM, Ramos MD, Abbade JF, Rugolo LM. Perinatal outcome of pregnancies complicated by diabetes and maternal daily hyperglycemia not related to diabetes. A retrospective 10-year analysis. Gynecol Obstet Invest. 2000;50(2):108–112.

    Article  CAS  PubMed  Google Scholar 

  5. Negrato CA, Jovanovic L, Tambascia MA, et al. Mild gestational hyperglycaemia as a risk factor for metabolic syndrome in pregnancy and adverse perinatal outcomes. Diabetes Metab Res Rev. 2008;24(4):324–330.

    Article  PubMed  Google Scholar 

  6. Silva MRG, Calderon IMP, Gonçalves LC, Aragon FF, Padovani CR, Pimenta WP. Ocorrência de diabetes melito em mulheres com hiperglicemia em gestação prévia. Rev Saúde Pública. 2003;37(3):345–350.

    Article  PubMed  Google Scholar 

  7. Rudge MVC, Calderon IMP, Ramos MD, Suetake H, Peraçoli JC. Investigação diagnóstica do diabetes na gestação. Rev Bras Ginecol Obst. 1996;18:21–26.

    Google Scholar 

  8. Rudge MVC, Calderon IMP, Ramos MD, et al. Hiperglicemia materna diária diagnosticada pelo perfil glicêmico: um problema de saúde pública materno e perinatal. Rev Bras Ginecol Obstet. 2005;27(11):691–697.

    Article  Google Scholar 

  9. Dinçer Y, Akçay T, Ilkova H, Alademir Z, Ozbay G. DNA damage and antioxidant defense in peripheral leukocytes of patients with type 1 diabetes mellitus. Mutat Res. 2003;527(1–2):49–55.

    Article  PubMed  Google Scholar 

  10. Pitozzi V, Giovannelli L, Bardini G, Rotella CM, Dolara P. Oxidative DNA damage in peripheral blood cells in type 2 diabetes mellitus: higher vulnerability of polymorphonuclear leukocytes. Mutat Res. 2003;28(1–2):129–133.

    Article  Google Scholar 

  11. Anderson D, Yu T, Wright J, Ioannides C. An examination of DNA strand breakage in the comet assay and antioxidant capacity in diabetic patients. Mutat Res. 1998;398(1–2):151–161.

    Article  CAS  PubMed  Google Scholar 

  12. Lima PHO, Sinzato YK, Gelaleti RB, et al. Genotoxicity evaluation in severe or mild diabetic pregnancy in laboratory animals. Exp Clin Endocrinol Diabetes. 2012;119(7):408–413.

    Google Scholar 

  13. Gilmer MDG, Beard RW, Brooke FM, Oakley NW. Carbohydrate metabolism in pregnancy. Part I. Diurnal plasma glucose profile in normal and diabetic women. Br Med J. 1975;3(5980):399–402.

    Article  Google Scholar 

  14. Rudge MVC, Calderon IMP, Ramos MD, et al. Perspectiva perinatal decorrente do rígido controle pré-natal em gestações complicadas pelo diabete. RBGO. 1995;17:26–32.

    Google Scholar 

  15. Collins AR, Raslová K, Smorovská MP, et al. DNA damage in diabetes: correlation with a clinical marker. Free Rad Biol Med. 1998;25(3):373–377.

    Article  CAS  PubMed  Google Scholar 

  16. Blasiak J, Arabski M, Krupa R, et al. DNA damage and repair in type 2 diabetes mellitus. Mutat Res. 2004;554(1–2):297–304.

    Article  CAS  PubMed  Google Scholar 

  17. Dandona P, Thusu K, Cook S, et al. Oxidative damage to DNA in diabetes mellitus. Lancet. 1996;347(8999):444–445.

    Article  CAS  PubMed  Google Scholar 

  18. Moreira RO, Campos SC, Soldera AL. Type 2 diabetes mellitus and Alzheimer’s disease: from physiopathology to treatment implications [published online ahead of print July 18, 2013]. Diabetes Metab Res Rev. doi: 10.1002/dmrr/2442.

  19. Gelaleti RB, Damasceno DC, Lima PHO, et al. Oxidative DNA damage in diabetic and mild gestational hyperglycemic pregnant women. Diabetol Metab Syndrome. 2015;7:1.

    Article  CAS  Google Scholar 

  20. Mandal D, Manda S, Rakshi A, Dey RP, Biswas SC, Banerjee A. Maternal obesity and pregnancy outcome: a prospective analysis. J Assoc Physicians India. 2011;59:486–489.

    PubMed  Google Scholar 

  21. Bautista-Castaño I, Henriquez-Sanchez P, Alemán-Perez N, et al. Maternal obesity in early pregnancy and risk of adverse outcomes. PLoS One. 2013;8(11):e80410.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Eslamian L, Akbari S, Marsoosi V, Jamal A. Effect of different maternal metabolic characteristics on fetal growth in women with gestational diabetes mellitus. Iran J Reprod Med. 2013;11(4): 325–334.

    CAS  PubMed  PubMed Central  Google Scholar 

  23. Son GH, Kwon JY, Kim YH, Park YW. Maternal serum triglycerides as predictive factors for large-for-gestational age newborns in women with gestational diabetes mellitus. Acta Obstet Gynecol Scand. 2010;89(5):700–704.

    Article  CAS  PubMed  Google Scholar 

  24. Sarikabadayi YU, Aydemir O, Aydemir C, et al. Umbilical cord oxidative stress in infants of diabetic mothers and its relation to maternal hyperglycemia. J Pediatr Endocrinol Metab. 2011; 24(9–10):671–674.

    CAS  PubMed  Google Scholar 

  25. Van Leeuwen M, Prins SM, de Valk HW, Evers IM, Visser GH, Mol BW. Gestational diabetes mellitus: treatment reduces the risk of complications. Ned Tijdschr Geneeskd. 2011;155: A2291.

    PubMed  Google Scholar 

  26. Bukhari SA, Rajoka MI, Nagra SA, Rehman ZU. Plasma homocysteine and DNA damage profiles in normal and obese subjects in the Pakistani population. Mol Biol Rep. 2010;37(1): 289–295.

    Article  CAS  PubMed  Google Scholar 

  27. Yildiz A, Gür M, Yilmaz R, et al. Lymphocyte DNA damage and total antioxidant status in patients with white-coat hypertension and sustained hypertension. Turk Kardiyol Dern Ars. 2008; 36(4):231–238.

    PubMed  Google Scholar 

  28. Minamino T, Orimo M, Shimizu I, et al. A crucial role for adipose tissue p53 in the regulation of insulin resistance. Nat Med. 2009; 15(9):1082–1987.

    Article  CAS  PubMed  Google Scholar 

  29. Gür M, Elbasan Z, Yıldıray Şahin D, et al. DNA damage and oxidative status in newly diagnosed, untreated, dipper and non-dipper hypertensive patients. Hypertens Res. 2013;36(2): 166–171.

    Article  PubMed  Google Scholar 

  30. Song F, Jia W, Yao Y, et al. Oxidative stress, antioxidant status and DNA damage in patients with impaired glucose regulation and newly diagnosed Type 2 diabetes. Clin Sci. 2007;112(12): 599–606.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Rafael Bottaro Gelaleti MSc.

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Gelaleti, R.B., Damasceno, D.C., Santos, D.P. et al. Increased DNA Damage is Related to Maternal Blood Glucose Levels in the Offspring of Women With Diabetes and Mild Gestational Hyperglycemia. Reprod. Sci. 23, 318–323 (2016). https://doi.org/10.1177/1933719115602766

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