Longitudinal clinical and proteomic diabetes signatures in women with a history of postgestational diabetes
We characterized the longitudinal serum protein signatures of women 6 and 10 years after having gestational diabetes mellitus (GDM) to identify factors associated with the development of type 2 diabetes mellitus (T2D) and prediabetes in this at-risk post-GDM population, aiming to discover potential biomarkers for early diagnosis and prevention of T2D. Our study identified 75 T2D-associated serum proteins and 23 prediabetes-associated proteins, some of which were validated in an independent T2D cohort. Machine learning (ML) performed on the longitudinal proteomics highlighted protein signatures associated with progression to post-GDM diabetes. We also proposed prognostic biomarker candidates that were differentially regulated in healthy participants at 6 years postpartum who later progressed to having T2D. Our longitudinal study revealed T2D risk factors for post-GDM populations who are relatively young and healthy, providing insights for clinical decisions and early lifestyle interventions.
Authors
- Rick B. Vega
- Benjamin Challis (ORCID: https://orcid.org/0000-0002-1130-2851)
- Ventzislava A. Hristova (ORCID: https://orcid.org/0000-0003-0427-5696)
- Lawrence Middleton (ORCID: https://orcid.org/0009-0002-2789-7244)
- David Baker (ORCID: https://orcid.org/0000-0002-8872-8711)
- Agneta Holmäng
- Dimitrios Vitsios (ORCID: https://orcid.org/0000-0002-8939-5445)
- Heaseung Sophia Chung (ORCID: https://orcid.org/0000-0003-1165-8388)
- Sonja Y. Hess (ORCID: https://orcid.org/0000-0002-5904-9816)
- Kristina Wallenius (ORCID: https://orcid.org/0000-0002-3231-2733)
- Ulrika Andersson‐Hall (ORCID: https://orcid.org/0000-0003-3722-3454)
- Manik Garg (ORCID: https://orcid.org/0000-0003-0453-2058)
Institutions
- AstraZeneca (United Kingdom) (GB)
- Bioscience Research (US)
- AstraZeneca (Netherlands) (NL)
- AstraZeneca (Japan) (JP)
- AstraZeneca (Finland) (FI)
- AstraZeneca (Sweden) (SE)
- AstraZeneca (United States) (US)
- University of Gothenburg (SE)
Publication Details
- Journal
- JCI Insight
- Published
- 2024-11-26
- DOI
- https://doi.org/10.1172/jci.insight.183213
- Citations
- 2
- Primary Topic
- Gestational Diabetes Research and Management
- Type
- article
- Field-Weighted Citation Impact
- 1.17
Funders
- Amgen
- AstraZeneca
- Göteborgs Universitet
- Emil och Wera Cornells Stiftelse
- Sahlgrenska Akademin