Adiponectin and leptin levels in mothers, fetuses, and neonates with intrauterine growth restriction compared to those with appropriate gestational age - Report - MDSpire

Adiponectin and leptin levels in mothers, fetuses, and neonates with intrauterine growth restriction compared to those with appropriate gestational age

  • By

  • Nuzhat Parveen

  • Naveed Iqbal

  • Abdelrahim Awadelkarim Abdelrahman Mohamed

  • Syed Monowar Alam Shahid

  • Rania Abdeen Hussain Abdalla

  • Gamal Eldin Mohamed Osman Elhussein

  • Mohammad Asim Azhar

  • Mohd. Saleem

  • Mohd Shahid Khan

  • May 26, 2026

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Levels of Adiponectin and Leptin in Mothers, Fetuses, and Newborns with IUGR

Overview

This study evaluates adiponectin and leptin levels in mothers, fetuses, and newborns affected by intrauterine growth restriction (IUGR) compared to those with appropriate-for-gestational-age (AGA) pregnancies.

Background

Intrauterine growth restriction (IUGR) is a critical condition linked to increased risks of perinatal complications and long-term health issues. Adipokines, particularly adiponectin and leptin, are important in regulating fetal growth and metabolism.

Data Highlights

GroupAdiponectin LevelsLeptin Levels
IUGR Maternal BloodReducedComparable
IUGR Umbilical Cord BloodNo significant differenceIncreased
IUGR Neonatal BloodReducedDecreased

Key Findings

  • Adiponectin levels were reduced in maternal and neonatal peripheral blood in the IUGR group.
  • No significant difference in adiponectin levels was observed in umbilical cord blood between IUGR and AGA groups.
  • Leptin levels were increased in umbilical cord blood but decreased in neonatal peripheral blood in IUGR pregnancies.
  • Maternal leptin levels were comparable between IUGR and AGA groups.
  • Placental analysis showed downregulation of ADIPOQ and altered expression of LEP and WFS1 in IUGR.
  • Increased DNA methylation of ADIPOQ and LEP genes was associated with reduced gene expression in placental tissue from IUGR pregnancies.

Clinical Implications

The findings suggest that monitoring adipokine levels may provide insights into the metabolic environment of pregnancies affected by IUGR. Understanding the epigenetic regulation of adipokines could inform future research into potential biomarkers for early diagnosis and management of IUGR.

Conclusion

IUGR is associated with distinct alterations in adipokine profiles and significant epigenetic changes in placental tissue, highlighting the complexity of metabolic regulation in fetal growth restriction.

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  5. Small-for-Gestational-Age Fetus and a Growth Restricted Fetus, Investigation and Care (Green-top Guideline No. 31) | RCOG
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