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.
Similar content being viewed by others
References
American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2014;37(suppl 1):S81–S90.
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.
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.
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.
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.
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.
Rudge MVC, Calderon IMP, Ramos MD, Suetake H, Peraçoli JC. Investigação diagnóstica do diabetes na gestação. Rev Bras Ginecol Obst. 1996;18:21–26.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Dandona P, Thusu K, Cook S, et al. Oxidative damage to DNA in diabetes mellitus. Lancet. 1996;347(8999):444–445.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
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
Published:
Issue Date:
DOI: https://doi.org/10.1177/1933719115602766