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      Gene coexpression network analysis identified potential biomarkers in gestational diabetes mellitus progression

      research-article
      1 , , 1
      Molecular Genetics & Genomic Medicine
      John Wiley and Sons Inc.
      GDM, gene module, GEO, GSEA, WGCNA

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          Abstract

          Background

          Gestational diabetes mellitus (GDM) is one of the most common problems during pregnancy. Lack of international consistent diagnostic procedures has limit improvement of current therapeutic effectiveness. Here, we aimed to screen potential gene biomarkers that might play vital roles in GDM progression for assistance of its diagnostic and treatment.

          Methods

          Gene expression profiles in four GDM placentae at first trimester, four GDM placentae at second trimester, and four normal placentae were obtained from the publicly available Gene Expression Omnibus (GEO). Weighted gene coexpression network analysis (WGCNA) indicated two gene modules, that is, black and brown module, that was significantly positively and negatively correlated with GDM progression time points, respectively. Additionally, a significant positive correlation between module membership (MM) and degree in protein–protein interaction network of brown module genes was observed.

          Results

          KIF2C, CENPE, CCNA2, AURKB, MAD2L1, CCNB2, CDC20, PLK1, CCNB1, and CDK1 all have degree larger than 50 and MM larger than 0.9, so they might be valuable biomarkers in GDM. Gene set enrichment analysis inferred tight relations between carbohydrate metabolism or steroid biosynthesis‐related processes and GDM progression.

          Conclusions

          All in all, our study should provide several novel references for GDM diagnosis and therapeutic.

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          Most cited references29

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          Steroid-induced diabetes: a clinical and molecular approach to understanding and treatment.

          Since the advent of glucocorticoid therapy for autoimmune disease in the 1940s, their widespread application has led to the concurrent therapy-limiting discovery of many adverse metabolic side effects. Unanticipated hyperglycemia associated with the initiation of glucocorticoids often leads to preventable hospital admissions, prolonged hospital stays, increased risks for infection and reduced graft function in solid organ transplant recipients. Challenges in managing steroid-induced diabetes stem from wide fluctuations in post-prandial hyperglycemia and the lack of clearly defined treatment protocols. The mainstay of treatment is insulin therapy coincident with meals. This article aims to review the pathogenesis, risk factors, diagnosis and treatment principles unique to steroid-induced diabetes.
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            Gestational diabetes mellitus.

            Gestational diabetes mellitus, defined as diabetes diagnosed during pregnancy that is not clearly overt diabetes, is becoming more common as the epidemic of obesity and type 2 diabetes continues. Newly proposed diagnostic criteria will, if adopted universally, further increase the prevalence of this condition. Much controversy surrounds the diagnosis and management of gestational diabetes.
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              Diabetes mellitus--advances and challenges in human β-cell proliferation.

              The treatment of diabetes mellitus represents one of the greatest medical challenges of our era. Diabetes results from a deficiency or functional impairment of insulin-producing β cells, alone or in combination with insulin resistance. It logically follows that the replacement or regeneration of β cells should reverse the progression of diabetes and, indeed, this seems to be the case in humans and rodents. This concept has prompted attempts in many laboratories to create new human β cells using stem-cell strategies to transdifferentiate or reprogramme non-β cells into β cells or to discover small molecules or other compounds that can induce proliferation of human β cells. This latter approach has shown promise, but has also proven particularly challenging to implement. In this Review, we discuss the physiology of normal human β-cell replication, the molecular mechanisms that regulate the cell cycle in human β cells, the upstream intracellular signalling pathways that connect them to cell surface receptors on β cells, the epigenetic mechanisms that control human β-cell proliferation and unbiased approaches for discovering novel molecules that can drive human β-cell proliferation. Finally, we discuss the potential and challenges of implementing strategies that replace or regenerate β cells.
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                Author and article information

                Contributors
                xiaominzhaotj@yeah.net
                Journal
                Mol Genet Genomic Med
                Mol Genet Genomic Med
                10.1002/(ISSN)2324-9269
                MGG3
                Molecular Genetics & Genomic Medicine
                John Wiley and Sons Inc. (Hoboken )
                2324-9269
                25 November 2018
                January 2019
                : 7
                : 1 ( doiID: 10.1002/mgg3.2019.7.issue-1 )
                : e00515
                Affiliations
                [ 1 ] Department of Obstetrics Tianjin Central Obstetrics and Gynecology Hospital Tianjin China
                Author notes
                [*] [* ] Correspondence

                Xiaomin Zhao, Department of Obstetrics, Tianjin Central Obstetrics and Gynecology Hospital, Tianjin, China.

                Email: xiaominzhaotj@ 123456yeah.net

                Author information
                http://orcid.org/0000-0003-1146-6001
                Article
                MGG3515
                10.1002/mgg3.515
                6382444
                30474315
                2d8eb3c2-b469-44f7-a47e-d550be10b81b
                © 2018 The Authors. Molecular Genetics & Genomic Medicine published by Wiley Periodicals, Inc.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 05 September 2018
                : 14 October 2018
                : 25 October 2018
                Page count
                Figures: 4, Tables: 2, Pages: 9, Words: 11680
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                mgg3515
                January 2019
                Converter:WILEY_ML3GV2_TO_NLMPMC version:5.5.9 mode:remove_FC converted:20.02.2019

                gdm,gene module,geo,gsea,wgcna
                gdm, gene module, geo, gsea, wgcna

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