| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 5561600 | Reproductive Toxicology | 2017 | 12 Pages |
â¢Diabetes mellitus in gestation can affect the fetus and the pregnant woman.â¢Many teratological factors might be involved in the mechanisms of diabetes mellitus-induced congenital malformation.â¢The cardiotoxic effect of hyperglycaemia with hyperketonemia was investigated using chick embryonic cardiomyocytes and stem cell derived cardiomyocytes.â¢Adverse effects were recorded in both systems.â¢This study also supports the recommendation of using antioxidants during pregnancy to prevent DNA damage by the production of ROS.
Diabetes mellitus during pregnancy is a considerable medical challenge, since it is related to âaugmented morbidity and mortality concerns for both the fetus âand the pregnant woman. Records show that the etiology of diabetic âembryopathy is complicated, as many teratological factors might be involved âin the mechanisms of diabetes mellitus-induced congenital malformation. âIn this study, the potential cardiotoxic effect of hyperglycemia with hyperketonemia was investigated by using two in vitro models; primary chick embryonic cardiomyocytes and stem cell derived cardiomyocytes, where adverse effects were recorded in both systems. The cells were evaluated by changes in beating activity, cell activity, protein content, ROS production, DNA damage and differentiating stem cell migration. The diabetic formulae used produced an increase in DNA damage and a decline in cell migration in mouse embryonic stem cells. These results provide an additional insight into adverse effects during gestational diabetes mellitus and a recommendation for expectant mothers and maternity staff to monitor glycaemic levels months ahead of conception. This study also supports the recommendation of using antioxidants during pregnancy to prevent DNA damage by the production of ROS, which might result in heart defects as well as other developmental anomalies.
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