Evidence map›Paper›PMID 41295285›Full record

ArticleMetabolites2025

Melatonin and Inflammatory Cytokines as Modulators of the Interaction Between Gestational Diabetes Mellitus and Pregnancy-Specific Urinary Incontinence.

Danielle Cristina Honório França, Eduardo Luzia França, Adenilda Cristina Honório-França, Kênia Maria Rezende Silva, Adriele Ataídes de Queiroz, Tassiane Cristina Morais, Emanuelle Carolina Honorio França, Carolina Neiva Frota de Carvalho, Danny Laura Gomes Fagundes-Triches, Angélica Mércia Pascon Barbosa and 3 more

Abstract read
In one paragraph

Article in Metabolites, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Danielle Cristina Honório FrançaDepartment of Gynecology and Obstetrics, Botucatu Medical School (FMB), São Paulo State University (UNESP), Botucatu 18618-687, Brazil.ORCID 0000-0002-4921-4064
Eduardo Luzia FrançaInstitute of Biological and Health Science, Federal University of Mato Grosso (UFMT), Barra do Garças 78605-091, Brazil.ORCID 0000-0002-1854-5397
Adenilda Cristina Honório-FrançaInstitute of Biological and Health Science, Federal University of Mato Grosso (UFMT), Barra do Garças 78605-091, Brazil.
Kênia Maria Rezende SilvaInstitute of Biological and Health Science, Federal University of Mato Grosso (UFMT), Barra do Garças 78605-091, Brazil.
Adriele Ataídes de QueirozInstitute of Biological and Health Science, Federal University of Mato Grosso (UFMT), Barra do Garças 78605-091, Brazil.
Tassiane Cristina MoraisSchool of Sciences, Santa Casa de Misericórdia de Vitória (EMESCAM), Vitória 29045-402, Brazil.ORCID 0000-0002-5101-2883
Emanuelle Carolina Honorio FrançaInstitute of Biological and Health Science, Federal University of Mato Grosso (UFMT), Barra do Garças 78605-091, Brazil.
Carolina Neiva Frota de CarvalhoDepartment of Gynecology and Obstetrics, Botucatu Medical School (FMB), São Paulo State University (UNESP), Botucatu 18618-687, Brazil.
Danny Laura Gomes Fagundes-TrichesInstitute of Biological and Health Science, Federal University of Mato Grosso (UFMT), Barra do Garças 78605-091, Brazil.
Angélica Mércia Pascon BarbosaDepartment of Gynecology and Obstetrics, Botucatu Medical School (FMB), São Paulo State University (UNESP), Botucatu 18618-687, Brazil.
Iracema de Mattos Paranhos CalderonDepartment of Gynecology and Obstetrics, Botucatu Medical School (FMB), São Paulo State University (UNESP), Botucatu 18618-687, Brazil.ORCID 0000-0003-4761-4336
Luis SobreviaDepartment of Gynecology and Obstetrics, Botucatu Medical School (FMB), São Paulo State University (UNESP), Botucatu 18618-687, Brazil.ORCID 0000-0001-5802-2243
Marilza Vieira Cunha RudgeDepartment of Gynecology and Obstetrics, Botucatu Medical School (FMB), São Paulo State University (UNESP), Botucatu 18618-687, Brazil.

Funding

Coordenação de Aperfeicoamento de Pessoal de Nível Superior Code 001Fondo Nacional de Desarrollo Científico y Tecnológico 1190316Fundação de Amparo à Pesquisa do Estado de São Paulo 2016/01743-5National Council for Scientific and Technological Development 305116/2018-5; 312511/2023-0 and 312841/2023-0
6 · The paper itself

Abstract

backgroundThe pathogenesis of developing gestational diabetes mellitus (GDM) integrated with pregnancy-specific urinary incontinence (PSUI) may be related to immunological and hormonal factors. Inflammatory cytokines influence the function and regulation of the urinary tract, and changes in melatonin concentration are a predisposing factor for smooth muscle dysfunction and cystometric changes.

objectiveThis study examines the influence of melatonin, MT1 and MT2 receptors, and inflammatory cytokines in the blood and urine of pregnant women with GDM and PSUI.

methodsTwo hundred sixty-nine pregnant women were approached during the diagnostic investigation of GDM and answered a specifically structured questionnaire about the involuntary loss of urine. According to these criteria, mothers were divided into four groups: continent normoglycemic (NG-C), incontinent normoglycemic (NG-I), continent GDM (GDM-C), and incontinent GDM (GDM-UI). Blood and urine samples were collected to determine the levels of melatonin, melatonin sulfate, melatonin receptors (MT1 and MT2), and inflammatory cytokines.

resultsBlood level of melatonin and IL-10 was lower, but MT1, MT2, IL-1β, IL-8, and TNF-α were higher in GDM-UI compared with the NG-C group. The melatonin sulfate level was lower in the urine of the GDM-UI group compared with the NG-C group.

conclusionsMaternal hyperglycemia associated with urinary incontinence generates an inflammatory environment characterized by reduced melatonin and IL-10 and increased IL-1β, IL-8, and TNF-α in the blood of mothers with GDM with UI. This environmental condition may be involved in the pathogenesis of these pathologies.

Indexed as

diabetesgestationhormone receptorhormoneshyperglycemiaimmunomodulationinvoluntary loss of urineneuropharmacology

Identifiers

PMID41295285
PMCPMC12654617

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.