Abstract
Aim
Galanin is a neuroendocrine peptide with diverse biological actions in humans. Here, we evaluated plasma galanin levels in pregnant women with intrauterine growth restriction (IUGR) to elucidate the mechanism underlying the causal link between regulatory neuropeptides and IUGR.
Material and methods
This prospective case–control study evaluated 40 IUGR pregnancies and 35 healthy body mass index (BMI) and age-matched second and third-trimester pregnant women at Istanbul Teaching and Research Hospital. Serums galanin levels were determined using an enzyme-linked immunosorbent assay (ELISA) kit according to the manufacturer’s procedure.
Results
Median serum galanin levels were lower in the IUGR group (9.59 pg/ml) than in the control group (12.1 pg/ml), although statically insignificant. Galanin levels were significantly higher in the control group with a BMI ≥ 30 than in those with a BMI < 30; the IUGR group exhibited no significant difference. Galanin levels were higher in the control group premature births than in term pregnancies; the difference was insignificant in the IUGR group. Thus, IUGR minimally impacts circulating maternal galanin levels, indicating that while galanin might affect IUGR pathogenesis, it negligibly contributes to disease progression.
Conclusion
The lack of correlation between galanin levels and maternal BMI and preterm pregnancies suggests a blunted neuropeptide response to hormonal stimulus in IUGR pregnancies, compared with the positive association with maternal BMI and negative association with healthy preterm pregnancies.
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Availability of data and materials
The data that support the findings of this study are available from the corresponding author upon reasonable request.
Abbreviations
- IUGR:
-
Intrauterine growth restriction
- BMI :
-
Body mass index
- ELISA :
-
Enzyme-linked immunosorbent assay
- GW :
-
Gestational weeks
- FBW :
-
Fetal birth weight
- GH:
-
Growth hormone
- GDM :
-
Gestational diabetes mellitus.
References
Fang P, Yu M, Shi M et al (2020) Galanin peptide family regulation of glucose metabolism. Front Neuroendocrinol 56:100801. https://doi.org/10.1016/j.yfrne.2019.100801
Mills EG, Izzi-Engbeaya C, Abbara A et al (2021) Functions of galanin, spexin and kisspeptin in metabolism, mood and behaviour. Nat Rev Endocrinol 17(2):97–113. https://doi.org/10.1038/s41574-020-00438-1
Lang R, Gundlach AL, Holmes FE et al (2015) Physiology, signaling, and pharmacology of galanin peptides and receptors: three decades of emerging diversity. Pharmacol Rev 67(1):118–175
Poon K, Barson JR, Fagan SE et al (2012) Developmental changes in embryonic hypothalamic neurons during prenatal fat exposure. Am J Physiol Endocrinol Metab 1 303(3):E432–41. https://doi.org/10.1152/ajpendo.00238.2012
Caniçais C, Vasconcelos S, Ramalho C et al (2021) Deregulation of imprinted genes expression and epigenetic regulators in placental tissue from intrauterine growth restriction. J Assist Reprod Genet 38(4):791–801. https://doi.org/10.1007/s10815-020-02047-3
Vrontakis ME, Schroedter IC, Cosby H et al (1992) Expression and secretion of galanin during pregnancy in the rat. Endocrinology 130(1):458–464. https://doi.org/10.1210/endo.130.1.1370152
Kleine B, Wolfahrt S, Lotsch M et al (2001) Expression of galanin in human placenta. Mol Hum Reprod 7(4):379–385. https://doi.org/10.1093/molehr/7.4.379
Bhide SA, Puranik SS (2005) Galanin immunohistochemistry and electron microscopic studies in developing human fetal mammillary bodies. J Chem Neuroanat 29(4):289–295. https://doi.org/10.1016/j.jchemneu.2005.03.004
Dimas A, Politi A, Papaioannou G et al (2022) The gestational effects of maternal appetite axis molecules on fetal growth, metabolism and long-term metabolic health: a systematic review. Int J Mol Sci 23:695. https://doi.org/10.3390/ijms23020695
Huizinga CT, Oudejans CB, Delemarre-Van de Waal HA (2001) Decreased galanin mRNA levels in growth hormone-releasing hormone neurons after perinatally induced growth retardation. J Endocrinol 170(3):521–528. https://doi.org/10.1677/joe.0.1700521
Bellinger L, Sculley DV, Langley-Evans SC (2006) Exposure to undernutrition in fetal life determines fat distribution, locomotor activity and food intake in ageing rats. Int J Obes (Lond) 30(5):729–738. https://doi.org/10.1038/sj.ijo.0803205
Nergiz S, Altınkaya ÖS, Küçük M et al (2014) Circulating galanin and IL-6 concentrations in gestational diabetes mellitus. Gynecol Endocrinol 30(3):236–240
Zhang Z, Fang P, Shi M et al (2015) Association between circulating levels of galanin and pre-pregnancy body mass index in patients with gestational diabetes mellitus. Eat Behav 19:57–60
Stergiou E, Diamanti E, Agakidis C et al (2012) Effect of gestational diabetes and intrauterine growth restriction on the offspring’s circulating galanin at birth. J Clin Endocrinol Metab 97(2):E238–E242. https://doi.org/10.1210/jc.2011-1855
Karagianni E, Bili E, Goulis DG et al (2018) Association between birth weight and galanin concentrations in maternal plasma, amniotic fluid and umbilical cord blood in normal pregnancies and pregnancies complicated by gestational diabetes. J Preg Child Health 5:392. https://doi.org/10.4172/2376-127X.1000392
Zamłyński J, Chudek J, Olejek A et al (2007) Galanin concentrations in maternal circulation, amniotic fluid and umbilical cord blood during term labor: relationship with maternal body mass and neonatal birth weight. Gynecol Endocrinol 23(5):295–299. https://doi.org/10.1080/09513590701281405
Bili E, Venetis C, Athanatos D et al (2013) Galanin in the amniotic fluid and neonatal birth weight: a prospective observational study. J Matern Fetal Neonatal Med 26(13):1316–1320. https://doi.org/10.3109/14767058.2013.783802
Bili E, Karagianni E, Goulis DG et al (2017) Galanin in pregnancy: is there an association with birth weight and gestational diabetes? J Matern Fetal Neonatal Med 30(23):2812–2817. https://doi.org/10.1080/14767058.2016.1263990
Fang P, Bo P, Shi M et al (2013) Circulating galanin levels are increased in patients with gestational diabetes mellitus. Clin Biochem 46(9):831–833. https://doi.org/10.1016/j.clinbiochem.2012.12.013
Sandoval-Alzate HF, Agudelo-Zapata Y, González-Clavijo AM et al (2016) Serum galanin levels in young healthy lean and obese non-diabetic men during an oral glucose tolerance test. Sci Rep 6:31661. https://doi.org/10.1038/srep31661
Guerby P, Tasta O, Swiader A et al (2021) Role of oxidative stress in the dysfunction of the placental endothelial nitric oxide synthase in preeclampsia. Redox Biol 40:101861. https://doi.org/10.1016/j.redox.2021.101861
Acknowledgements
We thank Isıl Turan Bakırcı M.D. from Perinatology Department.
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N.A., S.S., and B.S.K wrote the paper and analyzed data; B.S.K. provided essential materials; Y.A. and B.S.K. conducted research; S.S. and N.A. performed statistical analysis; B.S.K. designed research and had primary responsibility for final content. All authors read and approved the final manuscript.
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All participants were given informed consent to the clinical study following the Declaration of Helsinki protocol and the research was approved by the clinical research ethics committee of Istanbul Teaching and Research Hospital (No: 2143, approved in: 10/01/2020). Corresponding e-mail address: ieahetilckurul®gmail.com.
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Kılıç, B.Ş., Atakul, N., Selek, Ş. et al. Maternal neuropeptide galanin levels in pregnancies with intra-uterine growth restriction (IUGR): neurohormonal regulation of fetal weight. Ir J Med Sci 192, 1259–1264 (2023). https://doi.org/10.1007/s11845-022-03132-5
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DOI: https://doi.org/10.1007/s11845-022-03132-5