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Alterations in the Gut Microbiota in Pregnant Women with Pregestational Type 2 Diabetes Mellitus

Yuan Ren, Lilan Hao, Juntao Liu, Pei Wang, Qiuxia Ding, Chen Chen, Yingna Song

2023mSystems19 citationsDOIOpen Access PDF

Abstract

The incidence of pregestational type 2 diabetes mellitus (PGDM) is increasing, with high rates of serious adverse maternal and neonatal outcomes that are strongly correlated with hyperglycemia. Recent studies have shown that type 2 diabetes mellitus is associated with gut microbial dysbiosis; however, the gut microbiome composition and its associations with the metabolic features of patients with PGDM remain largely unknown. In this study, we investigated the changes in the gut microbiota composition in pregnant women with and without PGDM. We identified differential taxa that may be correlated with maternal metabolic statuses during pregnancy. Additionally, we observed that the number of taxonomic and microbial networks of gut bacteria were distinctly reduced in women with hyperglycemia as their pregnancies progressed. These results extend our understanding of the associations between the gut microbial composition, PGDM-related metabolic changes, and pregnancy outcomes.

Topics & Concepts

RoseburiaGut floraBiologyBacteroidesMicrobiologyLachnospiraceaeEubacteriumPrevotellaBacteroidaceaeVeillonellaPhysiologyImmunologyStreptococcusFirmicutesBacteria16S ribosomal RNAGeneticsGestational Diabetes Research and ManagementBariatric Surgery and OutcomesObesity and Health Practices