MicroRNA Profiling in HIV-Infected South African Women with Gestational Diabetes Mellitus

2019 ◽  
Vol 23 (4) ◽  
pp. 499-505 ◽  
Author(s):  
Carmen Pheiffer ◽  
Stephanie Dias ◽  
Paul Rheeder ◽  
Sumaiya Adam
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
South African ◽  
African Women ◽  
Microrna Profiling ◽  
South African Women

scholarly journals Altered Genome-Wide DNA Methylation in Peripheral Blood of South African Women with Gestational Diabetes Mellitus

2019 ◽  
Vol 20 (23) ◽  
pp. 5828 ◽  
Author(s):  
Stephanie Dias ◽  
Sumaiya Adam ◽  
Paul Rheeder ◽  
Johan Louw ◽  
Carmen Pheiffer
Keyword(s):  
Diabetes Mellitus ◽  
Dna Methylation ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
South African ◽  
Peripheral Blood ◽  
African Women ◽  
Genome Wide ◽  
South African Women ◽  
Methylation Patterns

Increasing evidence implicate altered DNA methylation in the pathophysiology of gestational diabetes mellitus (GDM). This exploratory study probed the association between GDM and peripheral blood DNA methylation patterns in South African women. Genome-wide DNA methylation profiling was conducted in women with (n = 12) or without (n = 12) GDM using the Illumina Infinium HumanMethylationEPIC BeadChip array. Functional analysis of differentially methylated genes was conducted using Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses. A total of 1046 CpG sites (associated with 939 genes) were differentially methylated between GDM and non-GDM groups. Enriched pathways included GDM-related pathways such as insulin resistance, glucose metabolism and inflammation. DNA methylation of the top five CpG loci showed distinct methylation patterns in GDM and non-GDM groups and was correlated with glucose concentrations. Of these, one CpG site mapped to the calmodulin-binding transcription activator 1 (CAMTA1) gene, which have been shown to regulate insulin production and secretion and may offer potential as an epigenetic biomarker in our population. Further validation using pyrosequencing and conducting longitudinal studies in large sample sizes and in different populations are required to investigate their candidacy as biomarkers of GDM.

scholarly journals Adiponectin DNA methylation in South African women with gestational diabetes mellitus: Effects of HIV infection

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248694
Author(s):  
Stephanie Dias ◽  
Sumaiya Adam ◽  
Yoonus Abrahams ◽  
Paul Rheeder ◽  
Carmen Pheiffer
Keyword(s):  
Diabetes Mellitus ◽  
Dna Methylation ◽  
Gestational Diabetes ◽  
Hiv Infection ◽  
Gestational Diabetes Mellitus ◽  
South African ◽  
African Women ◽  
Potential Biomarker ◽  
South African Women ◽  
The Impact

DNA methylation is increasingly recognized as a potential biomarker of metabolic disease. However, there is limited information on the impact of human immunodeficiency virus (HIV) infection on the candidacy of DNA methylation to serve as molecular biomarkers. This study investigated the effect of HIV infection on DNA methylation patterns in the peripheral blood of South African women with (n = 95) or without (n = 191) gestational diabetes mellitus (GDM). DNA methylation levels at eight CpG sites in the adiponectin gene (ADIPOQ) promoter were measured using bisulfite conversion and pyrosequencing. Differences between HIV negative (-) and positive (+) women were observed. In HIV- women, methylation at CpG -3400 was lower in GDM+ women compared to those with normoglycemia (8.5-fold; p = 0.004), and was associated with higher fasting glucose (β-co-efficient = 0.973; p = 0.006) and lower adiponectin (β-co-efficient = -0.057; p = 0.014) concentrations. These associations were not observed in HIV+ women. In silico analysis showed that Transcription Factor AP2-alpha is able to bind to the altered CpG site, suggesting that CpG -3400 may play a functional role in the regulation of ADIPOQ expression. Our findings show that DNA methylation differs by HIV status, suggesting that HIV infection needs to be taken into consideration in studies exploring DNA methylation as a biomarker of GDM in high HIV prevalence settings.

scholarly journals Burden, risk factors and maternal and offspring outcomes of gestational diabetes mellitus (GDM) in sub-Saharan Africa (SSA): a systematic review and meta-analysis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Barnabas Kahiira Natamba ◽  
Arthur Araali Namara ◽  
Moffat Joha Nyirenda
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Meta Analysis ◽  
Previous History ◽  
Sub Saharan Africa ◽  
African Women ◽  
History Of ◽  
Sub Saharan

Abstract Background The burden, determinants and outcomes of gestational diabetes mellitus (GDM) in sub-Saharan Africa are not known. We summarized existing evidence on the prevalence, risk factors and complications of GDM in the region. Methods PubMed was searched from inception to January 31st 2019. Studies were included if carried out in any of the sub-Saharan Africa countries and were available as abstracts or full texts. Interventional studies and those only including qualitative data were excluded. We employed random effects modelling to estimate the pooled GDM prevalence and risk ratios (RRs) for risk factors and outcomes of GDM and their 95%CI. Results 283 papers were identified in the initial search, 33 of which met the inclusion criteria. Data on GDM burden suggest a pooled prevalence of 9% (95%CI, 7–12%). Family history of type 2 diabetes and previous history of GDM, macrosomia, stillbirth and abortion were important risk factors of GDM. In addition, being overweight or obese, over 25 years of age or hypertensive increased the risk of GDM. In terms of complications, GDM more than doubles the risk macrosomia (RR; 95%CI: 2.2; 1.1–4.4). Conclusions There is a high burden of gestational diabetes mellitus in sub-Saharan Africa, but more studies are needed to document locally important risk factors as well as maternal and offspring outcomes. Interventions to reduce obesity among older African women might lead to reduced risk of GDM in sub-Saharan Africa.

Translation, Cross-Cultural Adaptation and Validation of the Gestational Diabetes Mellitus Knowledge Questionnaire in the Western Cape, South Africa

2021 ◽  
Author(s):  
Lorisha Manas ◽  
Tawanda Chivese ◽  
Ankia Coetzee ◽  
Madga Conradie ◽  
Linzette Deidre Morris
Keyword(s):  
Diabetes Mellitus ◽  
South Africa ◽  
High Risk ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
South African ◽  
Antenatal Clinic ◽  
Validity And Reliability ◽  
Knowledge Questionnaire ◽  
Culturally Adapted

Abstract Background. Gestational diabetes mellitus (GDM) is a major public health concern. The International Diabetes Federation estimated that the global prevalence of hyperglycemia in pregnancy is 16.2%. In South Africa, the most recent prevalence of GDM ranges between 9.1-25.8%. Serious adverse events associated with GDM can be mitigated by lifestyle modifications and education. Good comprehension of GDM, and improved understanding has been shown to translate into better glycemic control and reduces peri-natal complications. Assessing the knowledge base of mothers with GDM, whether in a country like South Africa, or any other similar country, is therefore imperative in bridging the gap and improving their understanding and control of their condition. Objective. To ascertain the validity and reliability of translated, cross-culturally adapted South African English, Afrikaans and isiXhosa versions of the Malaysian GDM Knowledge Questionnaire (M-GDMKQ). Methods. This mixed-method study was conducted prospectively within a high-risk antenatal clinic setting. The study consisted of three phases. Women ≥18-years, with GDM who were able to read basic level English, Afrikaans or isiXhosa; and attended the high-risk antenatal clinic throughout the index pregnancy were consecutively sampled and stratified into three language groups across phases. Results. The cross-culturally adapted English, Afrikaans and isiXhosa South African GDMKQ demonstrated reasonable face and content validity. Kappa values ranged between Kappa (SE), -0.03 (0.18) to 0.89 (0.13) for the English version, Kappa (SE), -0.07 (0.18) to 0.53 (0.13) for the Afrikaans version and Kappa (SE), 0.28 (0.18) to 0.87 (0.17) for the isiXhosa version respectively. Cronbach alpha for the individual questions ranged from 0.31 to 0.90, while correlation between overall scores was rho=0.79 (p<0.001). Conclusion. While the translated and cross-culturally adaptation South African English, Afrikaans and isiXhosa versions of the GDMKQ were found to be feasible, acceptable and easy to comprehend, more research is required to confirm validity and reliability.

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