Abstract
IntroductionGestational diabetes mellitus (GDM) is a common pregnancy-related complication that can seriously endanger the health of the mother and child. Studies have reported that offspring have varying sensitivities to high blood sugar in utero based on their sex. However, the underlying pathogenesis of metabolic diseases is still largely unknown. Therefore, this study aims to study the metabolic influence and mechanism of gestational diabetes on male and female offspring, which is beneficial in preventing or reducing the possibility of metabolic diseases among the offspring of mothers with GDM through long-term medical monitoring.MethodsResearch samples meeting the experimental ideas were evaluated and selected from GEO database. After sample pretreatment, enrichment analysis was performed using R software to further enrich the differentially expressed genes (DEGs), and further research on the biological processes and molecular pathways related to these genes was conducted through GO analysis and KEGG analysis. Following this, a protein–protein interaction (PPI) network of the DEGs in the STRING database was constructed and then refined using Cytoscape software. The CytoHubba software was then used to screen out the top 10 hub genes. At last, Gene set enrichment analysis (GSEA) was performed using GSEA software (v. 4.0) to further understand the molecular mechanism of the disease.ResultsA total of 718 different genes were selected from GSE150621, including 454 and 264 genes with up-regulated and down-regulated expressions, which were statistically significant. Based on the data from the STRING database, the top 10 genes with the highest degree of connectivity, including OAS1, OAS2, OAS3, RSAD2, MX1, IFIT1, IFIT2, IFIT3, XAF1, and ISG15, were selected. The relative expression levels of IFIT1, OSA1, and ISG15 are relevant to the prognosis of GDM patients and the potential occurrence of some metabolic diseases in their offspring.ConclusionsThe accumulation of OAS1, IFIT1, and ISG15 genes suggests that a chronic inflammatory response is a requisite part of the GDM process. However, this is not clearly related to the metabolic mechanisms of different gender offspring of mothers with GDM; therefore, this is subject to further research.