PMID- 32326243 OWN - NLM STAT- MEDLINE DCOM- 20210222 LR - 20210222 IS - 2073-4409 (Electronic) IS - 2073-4409 (Linking) VI - 9 IP - 4 DP - 2020 Apr 21 TI - Association of Proteins Modulating Immune Response and Insulin Clearance During Gestation with Antenatal Complications in Patients with Gestational or Type 2 Diabetes Mellitus. LID - 10.3390/cells9041032 [doi] LID - 1032 AB - BACKGROUND: The purpose of the study is to establish and quantitatively assess protein markers and their combination in association with insulin uptake that may be have value for early prospective recognition of diabetic fetopathy (DF) as a complication in patients with diabetes mellitus during gestation. METHODS: Proteomic surveying and accurate quantitative measurement of selected proteins from plasma samples collected from the patients with gestational diabetes mellitus (GDM) and type 2 diabetes mellitus (T2DM) who gave birth of either healthy or affected by maternal diabetes newborns was performed using mass spectrometry. RESULTS: We determined and quantitatively measured several proteins, including CRP, CEACAM1, CNDP1 and Ig-family that were significantly differed in patients that gave birth of newborns with signs of DF. We found that patients with newborns associated with DF are characterized by significantly decreased CEACAM1 (113.18 +/- 16.23 ng/mL and 81.09 +/- 10.54 ng/mL in GDM and T2DM, p < 0.005) in contrast to control group (515.6 +/- 72.14 ng/mL, p < 0.005). On the contrary, the concentration of CNDP1 was increased in DF-associated groups and attained 49.3 +/- 5.18 ng/mL and 37.7 +/- 3.34 ng/mL (p < 0.005) in GDM and T2DM groups, respectively. Among other proteins, dramatically decreased concentration of IgG4 and IgA2 subclasses of immunoglobulins were noticed. CONCLUSION: The combination of the measured markers may assist (AUC = 0.893 (CI 95%, 0.785-0.980) in establishing the clinical finding of the developing DF especially in patients with GDM who are at the highest risk of chronic insulin resistance. FAU - Kopylov, Arthur T AU - Kopylov AT AUID- ORCID: 0000-0002-7199-372X AD - Department of Pathology, Institute of General Pathology and Pathophysiology, 125315 Moscow, Russia. AD - Department of Proteomic Researches, Institute of Biomedical Chemistry, 119121 Moscow, Russia. FAU - Kaysheva, Anna L AU - Kaysheva AL AUID- ORCID: 0000-0003-4472-2016 AD - Department of Proteomic Researches, Institute of Biomedical Chemistry, 119121 Moscow, Russia. FAU - Papysheva, Olga AU - Papysheva O AD - Perinatal Center, Sergey S. Yudin 7th State Clinical Hospital, 115446 Moscow, Russia. FAU - Gribova, Iveta AU - Gribova I AD - Nikolay E. Bauman 29th State Clinical Hospital, 110020 Moscow, Russia. AD - "Biopharm-Test" Limited Liability Company, 121170 Moscow, Russia. FAU - Kotaysch, Galina AU - Kotaysch G AD - Nikolay E. Bauman 29th State Clinical Hospital, 110020 Moscow, Russia. FAU - Kharitonova, Lubov AU - Kharitonova L AD - Nikolay I. Pirogov Medical University, 117997 Moscow, Russia. FAU - Mayatskaya, Tatiana AU - Mayatskaya T AD - Nikolay I. Pirogov Medical University, 117997 Moscow, Russia. FAU - Krasheninnikova, Anna AU - Krasheninnikova A AD - Department of Pathology, Institute of General Pathology and Pathophysiology, 125315 Moscow, Russia. FAU - Morozov, Sergey G AU - Morozov SG AD - Department of Pathology, Institute of General Pathology and Pathophysiology, 125315 Moscow, Russia. AD - Nikolay E. Bauman 29th State Clinical Hospital, 110020 Moscow, Russia. LA - eng PT - Journal Article DEP - 20200421 PL - Switzerland TA - Cells JT - Cells JID - 101600052 RN - 0 (Insulin) RN - 0 (Proteins) SB - IM MH - Adult MH - Calibration MH - Cluster Analysis MH - Diabetes Mellitus, Type 2/*immunology MH - Diabetes, Gestational/*immunology MH - Female MH - Gene Ontology MH - Humans MH - *Immunity MH - Infant, Newborn MH - Insulin/*metabolism MH - Models, Biological MH - Pregnancy MH - Proteins/*metabolism MH - ROC Curve PMC - PMC7226479 OTO - NOTNLM OT - carnosine OT - diabetic fetopathy OT - gestational diabetes mellitus OT - immunoglobulins OT - insulin resistance OT - type 2 diabetes mellitus COIS- The authors declare no conflict of interest. EDAT- 2020/04/25 06:00 MHDA- 2021/02/23 06:00 PMCR- 2020/04/01 CRDT- 2020/04/25 06:00 PHST- 2020/03/14 00:00 [received] PHST- 2020/04/16 00:00 [revised] PHST- 2020/04/19 00:00 [accepted] PHST- 2020/04/25 06:00 [entrez] PHST- 2020/04/25 06:00 [pubmed] PHST- 2021/02/23 06:00 [medline] PHST- 2020/04/01 00:00 [pmc-release] AID - cells9041032 [pii] AID - cells-09-01032 [pii] AID - 10.3390/cells9041032 [doi] PST - epublish SO - Cells. 2020 Apr 21;9(4):1032. doi: 10.3390/cells9041032.