Metabolomic profiles and microbiota of GDM offspring: The key for future perspective?

Gestational diabetes mellitus (GDM), or any degree of glucose intolerance recognized for the first time during pregnancy, is one of the diseases that most frequently aggravates the course of gestation. Missed or late diagnosis and inadequate treatment are associated with high maternal and fetal morb...

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Main Authors: Angelica Dessì (Author), Chiara Tognazzi (Author), Alice Bosco (Author), Roberta Pintus (Author), Vassilios Fanos (Author)
Format: Book
Published: Frontiers Media S.A., 2022-10-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Angelica Dessì  |e author 
700 1 0 |a Chiara Tognazzi  |e author 
700 1 0 |a Alice Bosco  |e author 
700 1 0 |a Roberta Pintus  |e author 
700 1 0 |a Vassilios Fanos  |e author 
245 0 0 |a Metabolomic profiles and microbiota of GDM offspring: The key for future perspective? 
260 |b Frontiers Media S.A.,   |c 2022-10-01T00:00:00Z. 
500 |a 2296-2360 
500 |a 10.3389/fped.2022.941800 
520 |a Gestational diabetes mellitus (GDM), or any degree of glucose intolerance recognized for the first time during pregnancy, is one of the diseases that most frequently aggravates the course of gestation. Missed or late diagnosis and inadequate treatment are associated with high maternal and fetal morbidity, with possible short- and long-term repercussions. Estimates on the prevalence of GDM are alarming and increasing by about 30% in the last 10-20 years. In addition, there is the negative influence of the SARS-CoV-2 emergency on the glycemic control of pregnant women, making the matter increasingly topical. To date, knowledge on the metabolic maturation of newborns is still incomplete. However, in light of the considerable progress of the theory of "developmental origins of health and disease," the relevant role of the intrauterine environment cannot be overlooked. In fact, due to the high plasticity of the early stages of development, some detrimental metabolic alterations during fetal growth, including maternal hyperglycemia, are associated with a higher incidence of chronic diseases in adult life. In this context, metabolomic analysis which allows to obtain a detailed phenotypic portrait through the dynamic detection of all metabolites in cells, tissues and different biological fluids could be very useful for the early diagnosis and prevention of complications. Indeed, if the diagnostic timing is optimized through the identification of specific metabolites, the detailed understanding of the altered metabolic pathway could also allow better management and more careful monitoring, also from a nutritional profile, of the more fragile children. In this context, a further contribution derives from the analysis of the intestinal microbiota, the main responsible for the fecal metabolome, given its alteration in pregnancies complicated by GDM and the possibility of transmission to offspring. The purpose of this review is to analyze the available data regarding the alterations in the metabolomic profile and microbiota of the offspring of mothers with GDM in order to highlight future prospects for reducing GDM-related complications in children of mothers affected by this disorder. 
546 |a EN 
690 |a GDM 
690 |a metabolomics 
690 |a microbiota 
690 |a microbiome 
690 |a obesity 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n Frontiers in Pediatrics, Vol 10 (2022) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fped.2022.941800/full 
787 0 |n https://doaj.org/toc/2296-2360 
856 4 1 |u https://doaj.org/article/33cc314ce05e41c7b9e8d1b3b59e40b9  |z Connect to this object online.