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Diagnostics
Article . 2025 . Peer-reviewed
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Diagnostics
Article . 2025
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PubMed Central
Article . 2025
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Maresin-1 and S-Equol as Emerging Metabolic Biomarkers in Gestational Diabetes-Associated Inflammation

Authors: Seyda Yavuzkir; Derya Kardas Cinar; Ahmet Cinar; Furkan Bildirici; Suleyman Aydin;

Maresin-1 and S-Equol as Emerging Metabolic Biomarkers in Gestational Diabetes-Associated Inflammation

Abstract

Background/Objectives: The most prevalent metabolic condition during pregnancy is gestational diabetes mellitus (GDM), typically diagnosed in the second or third trimester and absent prior to gestation, with a reported prevalence ranging between 1% and 14%. Although the pathogenesis of GDM is thought to involve increased insulin resistance, impaired beta-cell function and mass, and a heightened inflammatory state, the underlying pathophysiological mechanisms remain incompletely understood. Thus, the purpose of this study was to look into any possible relationships between GDM and particular inflammatory biomarkers (Maresin-1 [MaR-1], high-sensitivity-C-reactive protein [Hs-CRP]) as well as microbiota-derived metabolites (Trimethylamine-N-oxide [TMAO], S-Equol, and Indoxyl Sulfate [IS]). Methods: A total of 44 pregnant women were enrolled in this study, comprising 22 women with GDM and 22 healthy pregnant controls. Venous blood samples were collected, and serum levels of TMAO, IS, Hs-CRP, MaR-1, and S-Equol were quantified using enzyme-linked immunosorbent assay (ELISA). Results: Serum levels of MaR-1 and S-Equol were significantly reduced in the GDM group compared to healthy controls (p < 0.05). In contrast, no statistically significant differences were observed in the levels of TMAO, IS, or Hs-CRP between the GDM and control groups (p > 0.05). Conclusions: The observed reductions in MaR-1 and S-Equol levels among GDM patients suggest a potential role for these anti-inflammatory mediators in the inflammatory processes associated with GDM. That is, these findings imply that the advantages of using these MaR-1 and S-Equol could be predictive for GDM.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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