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Poveda NE, Garcés MF, Darghan AE, Jaimes SAB, Sánchez EP, Díaz-Cruz LA, Garzón-Olivares CD, Parra-Pineda MO, Bautista-Charry AA, Müller EÁ, Alzate HFS, Acosta LMM, Sanchez E, Ruíz-Parra AI, Caminos JE. Triglycerides/Glucose and Triglyceride/High-Density Lipoprotein Cholesterol Indices in Normal and Preeclamptic Pregnancies: A Longitudinal Study. Int J Endocrinol 2018; 2018:8956404. [PMID: 30158976 PMCID: PMC6109518 DOI: 10.1155/2018/8956404] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2018] [Revised: 06/10/2018] [Accepted: 07/10/2018] [Indexed: 11/28/2022] Open
Abstract
Metabolic changes have been correlated with adverse pregnancy outcomes. The aim of the present study is to determine the TyG and TG/HDL-c indices in a cohort of healthy pregnant (n = 142), preeclamptic (n = 18), and healthy nonpregnant women (n = 56). Preeclamptic women were selected from the same cohort. Pregnant women were followed during three periods of pregnancy and postpartum. The results showed a significant increase in the values of TyG and TG/HDL-c (p < 0.01) as pregnancy progresses, without significant differences between healthy and preeclamptic women. TyG and TG/HDL-c indices are significantly low in nonpregnant and three months' postpartum women when compared with each gestational period studied. TyG and TG/HDL-c indices are positively correlated with HOMA-IR in the early and middle pregnancy (p < 0.05). Multiple linear regression using the TyG and TG/HDL-c indices as dependent variables showed that TyG index was significantly associated with HOMA-IR, gestational age, HDL-c, TC, LDL, fasting insulin, and mean BP (p < 0.001); meanwhile, TG/HDL-c index was only associated with HOMA-IR (p < 0.0242) and gestational age (p < 0.001). In conclusion, the TyG and TG/HDL-c indices could be useful in monitoring insulin resistance during pregnancy.
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Affiliation(s)
- Natalia Elvira Poveda
- Department of Physiology, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia
| | - María Fernanda Garcés
- Department of Physiology, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia
| | - Aquiles Enrique Darghan
- Department of Physiology, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia
| | | | - Estefania Pulido Sánchez
- Department of Physiology, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia
| | - Luz Amparo Díaz-Cruz
- Department of Obstetrics and Gynecology, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia
| | | | - Mario Orlando Parra-Pineda
- Department of Obstetrics and Gynecology, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia
| | | | - Edith Ángel Müller
- Department of Obstetrics and Gynecology, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia
| | | | | | - Elizabeth Sanchez
- Department of Physiology, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia
| | - Ariel Iván Ruíz-Parra
- Department of Obstetrics and Gynecology, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia
| | - Jorge Eduardo Caminos
- Department of Physiology, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia
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Garcés MF, Vallejo SA, Sanchez E, Palomino-Palomino MA, Leal LG, Ángel-Muller E, Díaz-Cruz LA, Ruíz-Parra AI, González-Clavijo AM, Castaño JP, Abba M, Lacunza E, Diéguez C, Nogueiras R, Caminos JE. Longitudinal analysis of maternal serum Follistatin concentration in normal pregnancy and preeclampsia. Clin Endocrinol (Oxf) 2015; 83:229-35. [PMID: 25565002 DOI: 10.1111/cen.12715] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2014] [Revised: 11/30/2014] [Accepted: 12/31/2014] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Follistatin (FST) is a regulator of the biological activity of activin A (Act A), binding and blocking it, which could contribute to the modulation of its pro-inflammatory activity during pregnancy. We sought to investigate, in this nested case-control study, FST serum levels during normal pregnancy and correlate it with the FST profile in preeclamptic pregnant women, normal pregnant women followed 3 months postpartum and eumenorrheic nonpregnant women throughout the menstrual cycle. SUBJECTS AND METHODS Follistatin serum levels determined by ELISA, biochemical and anthropometric variables were measured in normal pregnant (n = 28) and preeclamptic (n = 20) women during three periods of gestation. In addition, FST serum levels were measured in a subset of normal pregnant women (n = 13) followed 3 months postpartum and in eumenorrheic nonpregnant women (n = 20) during the follicular and luteal phases of the menstrual cycle. RESULTS Follistatin serum levels in the eumenorrheic nonpregnant and postpartum group were significantly lower when compared to levels throughout gestation (P < 0·01). Serum FST levels increased in each period of pregnancy analysed, being significantly higher towards the end of gestation (P < 0·01). FST levels were lower in late pregnancy in preeclamptic women compared to normal pregnant women (P < 0·05). Finally, FST levels were higher in the luteal phase when compared with the follicular phase of the menstrual cycle (P < 0·05). CONCLUSIONS These analyses would permit the consideration that changes in FST levels during pregnancy contribute to the control of the Act A system.
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Affiliation(s)
- María F Garcés
- Department of Physiology, School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia
| | - Sergio A Vallejo
- Department of Physiology, School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia
| | - Elizabeth Sanchez
- Department of Physiology, School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia
| | | | - Luis G Leal
- Department of Physiology, School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia
| | - Edith Ángel-Muller
- Department of Obstetrics and Gynecology, School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia
| | - Luz A Díaz-Cruz
- Department of Obstetrics and Gynecology, School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia
| | - Ariel Iván Ruíz-Parra
- Department of Obstetrics and Gynecology, School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia
| | | | - Justo P Castaño
- Department of Cell Biology, Physiology and Immunology, University of Córdoba, Reina Sofía University Hospital, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Spain
| | - Martin Abba
- CINIBA, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
| | - Ezequiel Lacunza
- CINIBA, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, La Plata, Argentina
| | - Carlos Diéguez
- Department of Physiology (CIMUS), School of Medicine-Instituto de Investigaciones Sanitarias (IDIS), University of Santiago de Compostela, Santiago de Compostela, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Spain
| | - Rubén Nogueiras
- Department of Physiology (CIMUS), School of Medicine-Instituto de Investigaciones Sanitarias (IDIS), University of Santiago de Compostela, Santiago de Compostela, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Spain
| | - Jorge E Caminos
- Department of Physiology, School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia
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