2020
DOI: 10.1038/s41387-020-0107-8
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Stress adaptation is associated with insulin resistance in women with gestational diabetes mellitus

Abstract: Aim: Oxidative stress is known to increase the risk of insulin resistance (IR). The aim of this study was to investigate the association between stress hormones and IR in women with gestational diabetes mellitus (GDM), in an attempt to gain insights into the pathogenesis of GDM. Methods: Recruited in this study were 70 GDM women and 70 healthy pregnant women as control. Malondialdehyde (MDA), superoxide dismutase (SOD), glutathione (GSH), plasma epinephrine (E), noradrenaline (NE), glucagon, and cortisol level… Show more

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Cited by 35 publications
(25 citation statements)
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“…Stress-induced inflammation may cause the development of insulin resistance [ 65 , 66 , 67 ]. Stress activates the hypothalamic–pituitary–adrenal axis, renin–angiotensin system pathway, and sympathoadrenal system, all of which are involved in the production of pro-inflammatory cytokines, resulting in the negative downregulation of insulin signaling by either phosphorylating insulin resistance serine residues or inhibiting Akt, resulting in insulin resistance.…”
Section: Ca Vs Hyperglycemia and Insulin Resistancementioning
confidence: 99%
“…Stress-induced inflammation may cause the development of insulin resistance [ 65 , 66 , 67 ]. Stress activates the hypothalamic–pituitary–adrenal axis, renin–angiotensin system pathway, and sympathoadrenal system, all of which are involved in the production of pro-inflammatory cytokines, resulting in the negative downregulation of insulin signaling by either phosphorylating insulin resistance serine residues or inhibiting Akt, resulting in insulin resistance.…”
Section: Ca Vs Hyperglycemia and Insulin Resistancementioning
confidence: 99%
“…IR is closely associated with reduced oxidative stress in GMD. Oxidative stress is considered to be involved in the induction of IR ( 30 32 ). Therefore, TrxR1 can decrease IR by suppressing oxidative stress.…”
Section: Discussionmentioning
confidence: 99%
“…This suggests that uterine artery CSE deficiency could promote preeclampsia via higher oxidative stress and eNOS inactivation. Furthermore, diabetes is a preeclampsia risk factor associated with decreased serum GSH and elevated serum homocysteine [ 64 , 65 ]; homocysteine may increase vascular stiffness in post-menopausal women as well [ 66 ]. Hyperglycemia also suppresses CSE protein expression in hepatocytes and peripheral blood mononuclear cells [ 67 ].…”
Section: Discussionmentioning
confidence: 99%