B Lymphocytes Are Predictors of Insulin Resistance in Women with Gestational Diabetes Mellitus

Author:

Zhuang Yan1,Zhang Jin1,Li Yiwei1,Gu Hongqin1,Zhao Jinyan1,Sun Ya1,Wang Rencheng1,Zhang Chunyan1,Chen Wen1,Weng Jianrong1,Qi Lan1,Lu Huifang1,Zhang Jiarong1,Liu Qin2,He Yinyan1,Xu Xianming1

Affiliation:

1. Department of Obstetrics and Gynecology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, No. 100, Haining Road, Shanghai 200080, China

2. The Wistar Institution, 19104, Philadelphia, United States

Abstract

Backgroud: The present study aimed to investigate the association between immune cells and gestational diabetes mellitus (GDM) and identify a reasonable predictor of insulin resistance in women with GDM. Objective: The clinical and biochemical characteristics of 124 women with GDM and 168 healthy pregnant women were compared. Methods: The percentage of immune cells in the blood of the subjects was analyzed by flow cytometry. Pearson’s correlation analysis revealed the correlation between the percentage of B lymphocytes and insulin resistance. A cutoff point was determined for the percentage of B lymphocytes, based on insulin resistance, using receiver operating characteristic (ROC) curves. Results: Compared to the healthy pregnant women, the percentages of B lymphocytes and IgA produced by B-cells were significantly different in women with GDM. The percentage of B lymphocytes was positively related to insulin resistance.The number of 14.05% of B lymphocytes was an optimal cutoff point that predicted the insulin resistance in women with GDM. Conclusion: The percentage of B lymphocytes was positively associated with insulin resistance, and hence, might serve as an appropriate predictor of insulin resistance in women with GDM.

Funder

Shanghai Talent Development Foundation of China

Shanghai Natural Science Foundation of China

Publisher

Bentham Science Publishers Ltd.

Subject

Immunology and Allergy,Endocrinology, Diabetes and Metabolism

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