American Journal of Obstetrics & Gynecology
Volume 201, Issue 4 , Pages 402.e1-402.e5 , October 2009

Elevated first-trimester uric acid concentrations are associated with the development of gestational diabetes

Presented as a poster at the 29th Annual Meeting of the Society for Maternal-Fetal Medicine, San Diego, CA, Jan. 28-31, 2009.

  • S. Katherine Laughon, MD, MS

      Affiliations

    • Department of Obstetrics, Gynecology and Reproductive Services, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • Corresponding Author InformationReprints: S. Katherine Laughon, MD, MS, NICHD/National Institutes of Health, Division of Epidemiology, Statistics and Prevention Research, Building 6100, Room 7B03, Bethesda, MD 20892
  • ,
  • Janet Catov, PhD

      Affiliations

    • Department of Obstetrics, Gynecology and Reproductive Services, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • Department of Epidemiology, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • Magee-Womens Research Institute, University of Pittsburgh, Pittsburgh, PA
  • ,
  • Traci Provins

      Affiliations

    • Magee-Womens Research Institute, University of Pittsburgh, Pittsburgh, PA
  • ,
  • James M. Roberts, MD

      Affiliations

    • Department of Obstetrics, Gynecology and Reproductive Services, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • Department of Epidemiology, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • Magee-Womens Research Institute, University of Pittsburgh, Pittsburgh, PA
  • ,
  • Robin E. Gandley, PhD

      Affiliations

    • Department of Obstetrics, Gynecology and Reproductive Services, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • Department of Environmental and Occupational Health, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • Magee-Womens Research Institute, University of Pittsburgh, Pittsburgh, PA

Received 26 February 2009 ,Revised 1 June 2009 ,Accepted 30 June 2009.

References 

  1. Modan M, Halkin H, Karasik A, Lusky A. Elevated serum uric acid–a facet of hyperinsulinemia. Diabetologia. 1987;30:713–718
  2. Nakagawa T, Tuttle KR, Short RA, Johnson RJ. Hypothesis: fructose-induced hyperuricemia as a causal mechanism for the epidemic of the metabolic syndrome. Nat Clin Pract Nephrol. 2005;1:80–86
  3. Masuo K, Kawaguchi H, Mikami H, Ogihara T, Tuck ML. Serum uric acid and plasma norepinephrine concentrations predict subsequent weight gain and blood pressure elevation. Hypertension. 2003;42:474–480
  4. Choi HK, Ford ES. Prevalence of the metabolic syndrome in individuals with hyperuricemia. Am J Med. 2007;120:442–447
  5. Coutinho Tde A, Turner ST, Peyser PA, Bielak LF, Sheedy PF, Kullo IJ. Associations of serum uric acid with markers of inflammation, metabolic syndrome, and subclinical coronary atherosclerosis. Am J Hypertens. 2007;20:83–89
  6. Dehghan A, van Hoek M, Sijbrands EJ, Hofman A, Witteman JC. High serum uric acid as a novel risk factor for type 2 diabetes. Diabetes Care. 2008;31:361–362
  7. Weisz B, Cohen O, Homko CJ, Schiff E, Sivan E. Elevated serum uric acid levels in gestational hypertension are correlated with insulin resistance. Am J Perinatol. 2005;22:139–144
  8. Gungor ES, Danisman N, Mollamahmutoglu L. Relationship between serum uric acid, creatinine, albumin and gestational diabetes mellitus. Clin Chem Lab Med. 2006;44:974–977
  9. Anastasiou E, Lekakis JP, Alevizaki M, et al. Impaired endothelium-dependent vasodilatation in women with previous gestational diabetes. Diabetes Care. 1998;21:2111–2115
  10. Carpenter MW, Coustan DR. Criteria for screening tests for gestational diabetes. Am J Obstet Gynecol. 1982;144:768–773
  11. Dooley SL, Metzger BE, Cho N, Liu K. The influence of demographic and phenotypic heterogeneity on the prevalence of gestational diabetes mellitus. Int J Gynaecol Obstet. 1991;35:13–18
  12. Powers RW, Bodnar LM, Ness RB, et al. Uric acid concentrations in early pregnancy among preeclamptic women with gestational hyperuricemia at delivery. Am J Obstet Gynecol. 2006;194:160
  13. Yoo TW, Sung KC, Shin HS, et al. Relationship between serum uric acid concentration and insulin resistance and metabolic syndrome. Circ J. 2005;69:928–933
  14. Nakanishi N, Okamoto M, Yoshida H, Matsuo Y, Suzuki K, Tatara K. Serum uric acid and risk for development of hypertension and impaired fasting glucose or type II diabetes in Japanese male office workers. Eur J Epidemiol. 2003;18:523–530
  15. Lind T, Godfrey KA, Otun H, Philips PR. Changes in serum uric acid concentrations during normal pregnancy. Br J Obstet Gynaecol. 1984;91:128–132
  16. Feig DI, Kang DH, Johnson RJ. Uric acid and cardiovascular risk. N Engl J Med. 2008;359:1811–1821
  17. Cook S, Hugli O, Egli M, et al. Clustering of cardiovascular risk factors mimicking the human metabolic syndrome X in eNOS null mice. Swiss Med Wkly. 2003;133:360–363
  18. Roy D, Perreault M, Marette A. Insulin stimulation of glucose uptake in skeletal muscles and adipose tissues in vivo is NO dependent. Am J Physiol. 1998;274:E692–E699
  19. Sautin YY, Nakagawa T, Zharikov S, Johnson RJ. Adverse effects of the classic antioxidant uric acid in adipocytes: NADPH oxidase-mediated oxidative/nitrosative stress. Am J Physiol Cell Physiol. 2007;293:C584–C596
  20. Furukawa S, Fujita T, Shimabukuro M, et al. Increased oxidative stress in obesity and its impact on metabolic syndrome. J Clin Invest. 2004;114:1752–1761
  21. Di Cianni G, Lencioni C, Volpe L, et al. C-reactive protein and metabolic syndrome in women with previous gestational diabetes. Diabetes Metab Res Rev. 2007;23:135–140

 Funding was provided by Grant NIH P01 HD030367 for the Pregnancy Exposures and Preeclampsia Prevention Study and by the University of Pittsburgh Clinical and Translational Science Award UL1 RR024153 for Magee-Womens Hospital Clinical and Translational Research Center.

 Cite this article as: Laughon SK, Catov J, Provins T, et al. Elevated first-trimester uric acid concentrations are associated with the development of gestational diabetes. Am J Obstet Gynecol 2009;201:402.e1-5.

PII: S0002-9378(09)00760-1

doi: 10.1016/j.ajog.2009.06.065

American Journal of Obstetrics & Gynecology
Volume 201, Issue 4 , Pages 402.e1-402.e5 , October 2009