Cargando…
Association between microbial composition, diversity, and function of the maternal gastrointestinal microbiome with impaired glucose tolerance on the glucose challenge test
Over the last two decades, the incidence of gestational diabetes (GDM) has almost doubled resulting in almost 9% of pregnant women diagnosed with GDM. Occurring more frequently than GDM is impaired glucose tolerance (IGT), also known as pre-diabetes, but it has been understudied during pregnancy res...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9803092/ https://www.ncbi.nlm.nih.gov/pubmed/36584051 http://dx.doi.org/10.1371/journal.pone.0271261 |
_version_ | 1784861801386606592 |
---|---|
author | Dreisbach, Caitlin Prescott, Stephanie Alhusen, Jeanne Dudley, Donald Trinchieri, Giorgio Siega-Riz, Anna Maria |
author_facet | Dreisbach, Caitlin Prescott, Stephanie Alhusen, Jeanne Dudley, Donald Trinchieri, Giorgio Siega-Riz, Anna Maria |
author_sort | Dreisbach, Caitlin |
collection | PubMed |
description | Over the last two decades, the incidence of gestational diabetes (GDM) has almost doubled resulting in almost 9% of pregnant women diagnosed with GDM. Occurring more frequently than GDM is impaired glucose tolerance (IGT), also known as pre-diabetes, but it has been understudied during pregnancy resulting in a lack of clinical recommendations of maternal and fetal surveillance. The purpose of this retrospective, cross-sectional study was to examine the association between microbial diversity and function of the maternal microbiome with IGT while adjusting for confounding variables. We hypothesized that reduced maternal microbial diversity and increased gene abundance for insulin resistance function will be associated with IGT as defined by a value greater than 140 mg/dL on the glucose challenge test. In the examination of microbial composition between women with IGT and those with normal glucose tolerance (NGT), we found five taxa which were significantly different. Taxa higher in participants with impaired glucose tolerance were Ruminococcacea (p = 0.01), Schaalia turicensis (p<0.05), Oscillibacter (p = 0.03), Oscillospiraceae (p = 0.02), and Methanobrevibacter smithii (p = 0.04). When we further compare participants who have IGT by their pre-gravid BMI, five taxa are significantly different between the BMI groups, Enterobacteriaceae, Dialister micraerophilus, Campylobacter ureolyticus, Proteobacteria, Streptococcus Unclassified (species). All four metrics including the Shannon (p<0.00), Simpson (p<0.00), Inverse Simpson (p = 0.04), and Chao1 (p = 0.04), showed a significant difference in alpha diversity with increased values in the impaired glucose tolerance group. Our study highlights the important gastrointestinal microbiome changes in women with IGT during pregnancy. Understanding the role of the microbiome in regulating glucose tolerance during pregnancy helps clinicians and researchers to understand the importance of IGT as a marker for adverse maternal and neonatal outcomes. |
format | Online Article Text |
id | pubmed-9803092 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-98030922022-12-31 Association between microbial composition, diversity, and function of the maternal gastrointestinal microbiome with impaired glucose tolerance on the glucose challenge test Dreisbach, Caitlin Prescott, Stephanie Alhusen, Jeanne Dudley, Donald Trinchieri, Giorgio Siega-Riz, Anna Maria PLoS One Research Article Over the last two decades, the incidence of gestational diabetes (GDM) has almost doubled resulting in almost 9% of pregnant women diagnosed with GDM. Occurring more frequently than GDM is impaired glucose tolerance (IGT), also known as pre-diabetes, but it has been understudied during pregnancy resulting in a lack of clinical recommendations of maternal and fetal surveillance. The purpose of this retrospective, cross-sectional study was to examine the association between microbial diversity and function of the maternal microbiome with IGT while adjusting for confounding variables. We hypothesized that reduced maternal microbial diversity and increased gene abundance for insulin resistance function will be associated with IGT as defined by a value greater than 140 mg/dL on the glucose challenge test. In the examination of microbial composition between women with IGT and those with normal glucose tolerance (NGT), we found five taxa which were significantly different. Taxa higher in participants with impaired glucose tolerance were Ruminococcacea (p = 0.01), Schaalia turicensis (p<0.05), Oscillibacter (p = 0.03), Oscillospiraceae (p = 0.02), and Methanobrevibacter smithii (p = 0.04). When we further compare participants who have IGT by their pre-gravid BMI, five taxa are significantly different between the BMI groups, Enterobacteriaceae, Dialister micraerophilus, Campylobacter ureolyticus, Proteobacteria, Streptococcus Unclassified (species). All four metrics including the Shannon (p<0.00), Simpson (p<0.00), Inverse Simpson (p = 0.04), and Chao1 (p = 0.04), showed a significant difference in alpha diversity with increased values in the impaired glucose tolerance group. Our study highlights the important gastrointestinal microbiome changes in women with IGT during pregnancy. Understanding the role of the microbiome in regulating glucose tolerance during pregnancy helps clinicians and researchers to understand the importance of IGT as a marker for adverse maternal and neonatal outcomes. Public Library of Science 2022-12-30 /pmc/articles/PMC9803092/ /pubmed/36584051 http://dx.doi.org/10.1371/journal.pone.0271261 Text en https://creativecommons.org/publicdomain/zero/1.0/This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 (https://creativecommons.org/publicdomain/zero/1.0/) public domain dedication. |
spellingShingle | Research Article Dreisbach, Caitlin Prescott, Stephanie Alhusen, Jeanne Dudley, Donald Trinchieri, Giorgio Siega-Riz, Anna Maria Association between microbial composition, diversity, and function of the maternal gastrointestinal microbiome with impaired glucose tolerance on the glucose challenge test |
title | Association between microbial composition, diversity, and function of the maternal gastrointestinal microbiome with impaired glucose tolerance on the glucose challenge test |
title_full | Association between microbial composition, diversity, and function of the maternal gastrointestinal microbiome with impaired glucose tolerance on the glucose challenge test |
title_fullStr | Association between microbial composition, diversity, and function of the maternal gastrointestinal microbiome with impaired glucose tolerance on the glucose challenge test |
title_full_unstemmed | Association between microbial composition, diversity, and function of the maternal gastrointestinal microbiome with impaired glucose tolerance on the glucose challenge test |
title_short | Association between microbial composition, diversity, and function of the maternal gastrointestinal microbiome with impaired glucose tolerance on the glucose challenge test |
title_sort | association between microbial composition, diversity, and function of the maternal gastrointestinal microbiome with impaired glucose tolerance on the glucose challenge test |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9803092/ https://www.ncbi.nlm.nih.gov/pubmed/36584051 http://dx.doi.org/10.1371/journal.pone.0271261 |
work_keys_str_mv | AT dreisbachcaitlin associationbetweenmicrobialcompositiondiversityandfunctionofthematernalgastrointestinalmicrobiomewithimpairedglucosetoleranceontheglucosechallengetest AT prescottstephanie associationbetweenmicrobialcompositiondiversityandfunctionofthematernalgastrointestinalmicrobiomewithimpairedglucosetoleranceontheglucosechallengetest AT alhusenjeanne associationbetweenmicrobialcompositiondiversityandfunctionofthematernalgastrointestinalmicrobiomewithimpairedglucosetoleranceontheglucosechallengetest AT dudleydonald associationbetweenmicrobialcompositiondiversityandfunctionofthematernalgastrointestinalmicrobiomewithimpairedglucosetoleranceontheglucosechallengetest AT trinchierigiorgio associationbetweenmicrobialcompositiondiversityandfunctionofthematernalgastrointestinalmicrobiomewithimpairedglucosetoleranceontheglucosechallengetest AT siegarizannamaria associationbetweenmicrobialcompositiondiversityandfunctionofthematernalgastrointestinalmicrobiomewithimpairedglucosetoleranceontheglucosechallengetest |