Published online Dec 5, 2025. doi: 10.4331/wjbc.v16.i4.111104
Revised: August 12, 2025
Accepted: November 7, 2025
Published online: December 5, 2025
Processing time: 164 Days and 12 Hours
Gestational diabetes mellitus (GDM) is a metabolic disorder causing hyper
To investigate the impact of CD36 gene polymorphisms [rs1761667 (G/A) and rs75326924 (C/T)] and mRNA expression in GDM women.
The case-control study involved a total of 400 pregnant women, (200 healthy controls and 200 GDM cases). The study of CD36 gene polymorphisms G/A (rs1761667) and C/T (rs75326924)) were determined by polymerase chain re
The study revealed statistically significant association (P < 0.05) in anthropometric/biochemical parameters (age, gestational age, body mass index, fasting prandial glucose, post-prandial glucose, triglyceride, low-density lipoprotein) between GDM cases and healthy controls. CD36 G/A(rs1761667) and CD36 C/T (rs75326924) polymorphisms were significantly associated with GDM cases. The heterozygous genotypes (GA and CT) of both variants showed significant association (P = 0.0001 and P = 0.0025, odds ratio = 2.683 and 2.022 respectively). Allele frequency of ‘T’ allele in CD36 C/T (rs75326924) polymorphism was also found to be significant (P = 0.0046). CD36 gene was upregulated in individuals with GDM as compared to healthy controls (P = 0.0001). However, the upregulation of gene expression was not significantly associated with the genotypes of CD36 G/A (rs1761667) and CD36 C/T (rs75326924) polymorphisms.
Heterozygous genotypes GA and CT of CD36 gene variants and expression are linked to GDM, potentially serving as predictive biomarkers for GDM susceptibility; further exploration needed in diverse ethnic communities.
Core Tip: Gestational diabetes mellitus (GDM) is a metabolic disorder causing hyperglycemia during pregnancy. GDM is associated with adverse feto-maternal outcomes, type-2-diabetes mellitus (T2DM), GDM-recurrence, future obesity. Insulin-resistance is a physiological trait associated with progressing pregnancy that provides an adequate nutritional supply for the mother and fetus. Disruptions in this mechanism might facilitate onset of GDM. CD36-transmembrane glycoprotein receptor, contributes to fatty-acid absorption. Genetic alterations in CD36 gene can modulate expression of genes along these pathways to mitigate the diabetic effect during pregnancy. The integration of genotyping-expression studies will be crucial for advancing investigation in GDM treatment.
