2003
DOI: 10.1053/plac.2002.0913
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Foetal and Placental Weights in Relation to Maternal Characteristics in Gestational Diabetes

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Cited by 155 publications
(114 citation statements)
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“…Concentrations of leptin in human cord blood correlate with placental size. This is in agreement with the role of leptin in regulating placental growth, which potentially leads to placental hypertrophy under conditions of leptin overproduction, such as the placenta of women with gestational diabetes (GDM) [99,100]. Increased leptin and LEPR expression in placenta from GDM patients have been well described [86,101].…”
Section: Role Of Leptin In Placentationsupporting
confidence: 79%
See 1 more Smart Citation
“…Concentrations of leptin in human cord blood correlate with placental size. This is in agreement with the role of leptin in regulating placental growth, which potentially leads to placental hypertrophy under conditions of leptin overproduction, such as the placenta of women with gestational diabetes (GDM) [99,100]. Increased leptin and LEPR expression in placenta from GDM patients have been well described [86,101].…”
Section: Role Of Leptin In Placentationsupporting
confidence: 79%
“…This may be relevant in gestational diabetes [6,86,112,127], a state of greater insulin resistance and hyperinsulinemia than normal pregnancies. In this line, numerous studies have reported that circulating leptin levels, as well as placental leptin and LEPR expression are significantly higher in pregnant women with GDM compared to healthy control women with uncomplicated pregnancy [128,129], providing, at least, a molecular mechanism for the placenta overgrowth previously observed in GDM [99,100]. Others common complications of pregnancy, such as type 1 diabetes mellitus (T1DM) and preeclampsia are also associated with an increase in the concentration of leptin in the maternal blood as well as an increase in placental leptin gene expression [130,131].…”
Section: Role Of Leptin In Pregnancymentioning
confidence: 86%
“…However, both in diet controlled and drug controlled cases of GDM were also found to deliver with large placentas and macrosomic babies [25,26]. The increased baby weight as found in the present study may be one of the consequence of the placental weight and also intrinsic placental dysregulation factors such as glucose transport during pregnancy [27] which is statistically related by strong association with one another and is concordant with other authors [28,29].…”
Section: Control (N=48) Range (Mini-maxi) Gdm (N=48) Range (Mini-maxisupporting
confidence: 91%
“…However, maternal hyperinsulinemia might increase transplacental glucose transport to the fetus (378). Maternal hyperinsulinemia and hyperglycemia could thus cause fetal hyperglycemia with attendant hyperinsulinemia (235) and later increases in fetal weight in offspring of mothers with gestational diabetes (511). On the other hand, insulin clearly does cross the gut wall in the early postnatal development in rodents (213,349) such that elevations in maternal milk insulin levels can be absorbed by the offspring as potential mediators of obesity development in later life (176).…”
Section: Insulinmentioning
confidence: 99%