Altered Maternal Serum Dynamic Thiol-Disulfide Interchange Reactions in Pregnant Women with Gestational Diabetes Mellitus

OBJECTIVE: We aimed to evaluate the alteration of dynamic thiol/disulfide homeostasis which basically shows the oxidative stress in body in pregnant women with gestational diabetes mellitus (GDM) by using a newly developed and automated analysis method. STUDY DESIGN: Study population consisted of b...

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Main Authors: Melahat Yıldırım, Esengül Türkyılmaz, Büşra Demir Cendek, Gülcan Dauletkazin, Murat Alışık, Pervin Baran, Ayşegül Cinkaya, Ayşe Filiz Avşar Yavuz
Format: Article
Language:English
Published: Medical Network 2016-12-01
Series:Gynecology Obstetrics & Reproductive Medicine
Subjects:
Online Access:http://gorm.com.tr/index.php/GORM/article/view/71
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author Melahat Yıldırım
Esengül Türkyılmaz
Büşra Demir Cendek
Gülcan Dauletkazin
Murat Alışık
Pervin Baran
Ayşegül Cinkaya
Ayşe Filiz Avşar Yavuz
author_facet Melahat Yıldırım
Esengül Türkyılmaz
Büşra Demir Cendek
Gülcan Dauletkazin
Murat Alışık
Pervin Baran
Ayşegül Cinkaya
Ayşe Filiz Avşar Yavuz
author_sort Melahat Yıldırım
collection DOAJ
description OBJECTIVE: We aimed to evaluate the alteration of dynamic thiol/disulfide homeostasis which basically shows the oxidative stress in body in pregnant women with gestational diabetes mellitus (GDM) by using a newly developed and automated analysis method. STUDY DESIGN: Study population consisted of body mass index and gestational age-matched pregnant women. Patients were subdivided into 3 groups based on their response to glucose challenge test (GCT) and oral glucose tolerance test (OGTT) results: (1) control group (normal GCT test results n= 87); (2) Impaired glucose tolerance (IGT) group ( n= 37); (3) GDM group (n=25). Maternal serum thiol and disulphide levels were compared among three groups. RESULTS: Maternal serum thiol values were found decreased and maternal serum disulphide levels were increased in GDM groups were compared to control and IGT groups (Thiols for controls: 398.19±30.49 µmol/L, for IGT group 395.92±35.52 µmol/L, and for GDM group 371.89±41.14 µmol/L p= 0.002). Disulphides for controls; 17.47±4.38 µmol/L, for IGT; 19.27±3.34 µmol/L, for GDM group; 25.46±4.21 µmol/L, (p=0.001). Disulphide/thiol ratio was found to be increased in GDM group comparing to other groups (Disulphide/thiol ratio: 0.044±0.012 for controls, 0.049±0.009 for IGT group, 0.068±0.0103 for GDM group p=0.001) CONCLUSION: Thiol- disulphide balance has shifted to the oxidative side in pregnant women with GDM. So blood glucose regulation is extremely crucial for reducing the oxidative stress which may lead to damages to vital organs of a mother or possibly to development of a fetus in women with GDM.
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spelling doaj.art-68fb7968564243b98282c85c2eebefcf2023-02-15T16:18:22ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512016-12-0122312913410.21613/GORM.2016.71432Altered Maternal Serum Dynamic Thiol-Disulfide Interchange Reactions in Pregnant Women with Gestational Diabetes MellitusMelahat Yıldırım0Esengül Türkyılmaz1Büşra Demir Cendek2Gülcan Dauletkazin3Murat Alışık4Pervin Baran5Ayşegül Cinkaya6Ayşe Filiz Avşar Yavuz7Yıldırım Beyazıt University Department of Obstetrics and Gynecology Bilkent, AnkaraAtatürk Training and Research Hospital Department of Obstetrics and Gynecology, Bilkent, AnkaraEtlik Zübeyde Hanım Women's Health and Education Hospital Department of Obstetrics and Gynecology, AnkaraAtatürk Training and Research Hospital Department of Obstetrics and Gynecology, Bilkent, AnkaraAtaturk Training and Research Hospital Department of Biochemistry Bilkent, AnkaraAtaturk Training and Research Hospital Department of Biochemistry Bilkent, AnkaraAtatürk Training and Research Hospital Department of Obstetrics and Gynecology, Bilkent, AnkaraYıldırım Beyazit University Department of Obstetrics and Gynecology Bilkent, AnkaraOBJECTIVE: We aimed to evaluate the alteration of dynamic thiol/disulfide homeostasis which basically shows the oxidative stress in body in pregnant women with gestational diabetes mellitus (GDM) by using a newly developed and automated analysis method. STUDY DESIGN: Study population consisted of body mass index and gestational age-matched pregnant women. Patients were subdivided into 3 groups based on their response to glucose challenge test (GCT) and oral glucose tolerance test (OGTT) results: (1) control group (normal GCT test results n= 87); (2) Impaired glucose tolerance (IGT) group ( n= 37); (3) GDM group (n=25). Maternal serum thiol and disulphide levels were compared among three groups. RESULTS: Maternal serum thiol values were found decreased and maternal serum disulphide levels were increased in GDM groups were compared to control and IGT groups (Thiols for controls: 398.19±30.49 µmol/L, for IGT group 395.92±35.52 µmol/L, and for GDM group 371.89±41.14 µmol/L p= 0.002). Disulphides for controls; 17.47±4.38 µmol/L, for IGT; 19.27±3.34 µmol/L, for GDM group; 25.46±4.21 µmol/L, (p=0.001). Disulphide/thiol ratio was found to be increased in GDM group comparing to other groups (Disulphide/thiol ratio: 0.044±0.012 for controls, 0.049±0.009 for IGT group, 0.068±0.0103 for GDM group p=0.001) CONCLUSION: Thiol- disulphide balance has shifted to the oxidative side in pregnant women with GDM. So blood glucose regulation is extremely crucial for reducing the oxidative stress which may lead to damages to vital organs of a mother or possibly to development of a fetus in women with GDM.http://gorm.com.tr/index.php/GORM/article/view/71Gestational diabetes mellitus, Oxidative stress, Thiol/disulphide exchange, Antioxidants
spellingShingle Melahat Yıldırım
Esengül Türkyılmaz
Büşra Demir Cendek
Gülcan Dauletkazin
Murat Alışık
Pervin Baran
Ayşegül Cinkaya
Ayşe Filiz Avşar Yavuz
Altered Maternal Serum Dynamic Thiol-Disulfide Interchange Reactions in Pregnant Women with Gestational Diabetes Mellitus
Gynecology Obstetrics & Reproductive Medicine
Gestational diabetes mellitus, Oxidative stress, Thiol/disulphide exchange, Antioxidants
title Altered Maternal Serum Dynamic Thiol-Disulfide Interchange Reactions in Pregnant Women with Gestational Diabetes Mellitus
title_full Altered Maternal Serum Dynamic Thiol-Disulfide Interchange Reactions in Pregnant Women with Gestational Diabetes Mellitus
title_fullStr Altered Maternal Serum Dynamic Thiol-Disulfide Interchange Reactions in Pregnant Women with Gestational Diabetes Mellitus
title_full_unstemmed Altered Maternal Serum Dynamic Thiol-Disulfide Interchange Reactions in Pregnant Women with Gestational Diabetes Mellitus
title_short Altered Maternal Serum Dynamic Thiol-Disulfide Interchange Reactions in Pregnant Women with Gestational Diabetes Mellitus
title_sort altered maternal serum dynamic thiol disulfide interchange reactions in pregnant women with gestational diabetes mellitus
topic Gestational diabetes mellitus, Oxidative stress, Thiol/disulphide exchange, Antioxidants
url http://gorm.com.tr/index.php/GORM/article/view/71
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