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Title:Maternal gut microbiota in gestational diabetes mellitus and fetal macrosomia : is there an association?
Authors:ID Pašić, Lejla (Author)
ID Molan, Katja (Author)
ID Pongrac Barlovič, Draženka (Author)
ID Starčič Erjavec, Marjanca (Author)
ID Žgur-Bertok, Darja (Author)
ID Ambrožič, Jerneja (Author)
Files:URL https://www.mdpi.com/2227-9059/13/12/2941
 
.pdf RAZ_Pasic_Lejla_2025.pdf (4,13 MB)
MD5: 9D9AD89C7A90B877F471483080C96F12
 
Language:English
Work type:Unknown
Typology:1.01 - Original Scientific Article
Organization:UNM FZV - University of Novo mesto - Faculty of Health Sciences
Abstract:Background/Objectives: Gestational diabetes mellitus (GDM) is associated with altered maternal gut microbiota and increased risk of large-for-gestational age (LGA) births. The contribution of gut microbiota to fetal overgrowth in GDM, independent of glycemic control, remains unclear. Methods: In this pilot longitudinal study, the gut microbiota of 18 women with GDM was followed from the second (2T) to the third trimester (3T). Maternal fecal samples were analyzed by 16S rRNA gene sequencing, and associations between microbial profiles and infant birth weight were examined. In addition, these associations were adjusted for pre-pregnancy body mass index (BMI) and gestational weight gain (GWG). Results: Maternal gut microbiota of LGA infants exhibited consistently lower microbial diversity, a reduced Bacillota/Bacteroidota ratio, and enrichment of pro-inflammatory taxa including Prevotella, Sutterella, and Bilophila. Short-chain fatty acids (SCFAs)-producing genera such as Acinetobacter, Odoribacter, Faecalibacterium, and Lachnoclostridium were depleted. Although Bilophila was identified as a third-trimester biomarker with LEfSE approach, its association with LGA disappeared after adjusting for BMI and GWG. Conversely, Nitrospirota, Polaromonas, Acinetobacter, and Aeromonas correlated negatively with LGA even after BMI and GWG adjustment. Conclusions: These findings suggest that specific maternal microbiota signatures, together with pre-pregnancy adiposity, influence fetal overgrowth in GDM and may serve as early biomarkers or targets for preventive interventions.
Keywords:gut microbiota, gestational diabetes, large for gestational age infants, gestational weight gain
Publication date:01.01.2025
Year of publishing:2025
Number of pages:str. 1-17
Numbering:Vol. 13, iss. 12, [article no.] 2941
PID:20.500.12556/ReVIS-12633 New window
COBISS.SI-ID:260546051 New window
UDC:616.379-008.64-055.26
ISSN on article:2227-9059
DOI:10.3390/biomedicines13122941 New window
Note:Soavtorji: Katja Molan, Draženka Pongrac Barlovič, Marjanca Starčič Erjavec, Darja Žgur Bertok, Jerneja Ambrožič Avguštin; Nasl. z nasl. zaslona; Opis vira z dne 9. 12. 2025;
Publication date in ReVIS:09.12.2025
Views:406
Downloads:5
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Record is a part of a journal

Title:Biomedicines
Shortened title:Biomedicines
Publisher:MDPI AG
ISSN:2227-9059
COBISS.SI-ID:523006745 New window

Document is financed by a project

Funder:ARIS - Slovenian Research and Innovation Agency
Project number:P1-0198
Name:Molekularno-biološke raziskave mikroorganizmov

Secondary language

Language:Slovenian
Keywords:črevesna mikrobiota, gestacijski diabetes, velik otrok za gestacijsko starost, pridobitev teže med nosečnostjo


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