Evidence map›Paper›PMID 41299831›Full record

ArticleDiabetes & metabolism journal2026

Maternal Galectins and Glucose Regulation in Pregnancy: Chronic vs. Acute Metabolic Adaptations.

Mariana G Garcia, Ebba Hamann, Evelyn A Huhn, Karen Forbes, Pia Roser, Marie-Therese Weiser-Fuchs, Anna M Dieberger, Bence Csapo, Barbara Obermayer-Pietsch, Mireille N M van Poppel and 3 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Diabetes & metabolism journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05496712 (Effect of Physical Activity in Pregnancy on Maternal and Fetal Human Milk Oligosaccharides), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05496712 completednot on this map

Effect of Physical Activity in Pregnancy on Maternal and Fetal Human Milk Oligosaccharides: a Pilot Study

TypeobservationalSponsorMedical University of GrazRan2014 to 2023Enrolled230ConditionsPregnancy, Physical Activity
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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.

Mariana G Garcia *Department of Obstetrics and Fetal Medicine, Glycoimmunology Research Group, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Ebba Hamann *Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
Evelyn A HuhnDepartment of Obstetrics and Fetal Medicine, Glycoimmunology Research Group, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Karen ForbesLeeds Institute of Cardiovascular and Metabolic Medicine, Faculty of Medicine and Health, University of Leeds, Leeds, UK.
Pia RoserObesity Center/Department of Endocrinology and Diabetology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Marie-Therese Weiser-FuchsDepartment of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
Anna M DiebergerDepartment of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
Bence CsapoDepartment of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
Barbara Obermayer-PietschDivision of Endocrinology and Diabetology, Department of Internal Medicine and Department of Obstetrics and Gynecology, Endocrinology Lab Platform, Medical University of Graz, Graz, Austria.
Mireille N M van PoppelDepartment of Human Movement Science, Sport and Health, University of Graz, Graz, Austria.
Herbert FluhrDepartment of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
Evelyn Jantscher-KrennDepartment of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
Sandra M BloisDepartment of Obstetrics and Fetal Medicine, Glycoimmunology Research Group, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Funding

Austrian Science FundBundesministerium für Forschung, Technologie und RaumfahrtDeutsche Forschungsgemeinschaft BL1115/11-1Deutsche Forschungsgemeinschaft BL1115/3-1Deutsche Forschungsgemeinschaft BL1115/4-1Deutsche Forschungsgemeinschaft BL1115/7-1Federal Ministry of Research, Technology and SpaceJunior Research Center for ReproductionMarie Curie ActionsPeople Programme FP7/200-2013/Sexual and Reproductive Health in Overweight and Obesity 01GR2302Universität HamburgUniversity Of Leeds
6 · The paper itself

Abstract

backgruoundGalectins (gal) are glycan-binding proteins that regulate maternal adaptations during pregnancy, but their role in pregnancy-associated metabolic homeostasis is unclear. This study characterizes the maternal galectin profile in response to an oral glucose tolerance test (OGTT) in pregnant women with varying body weight.

methodsIn a two-center prospective study, pregnant women were recruited into two cohorts: low-risk (LR) with normal weight and high-risk (HR) with overweight or obesity. Circulating levels of gal-1, -3, -7, and -9 were measured at fasting, 1 hour, and 2 hours during the OGTT between 24 and 28 weeks of gestation. Correlations with clinical and metabolic parameters were assessed (HMO study: ClinicalTrials.gov Identifier NCT05496712; FitFor2 trial: trial registration number NTR1139).

resultsFasting gal-3 and gal-9 were elevated in the HR cohort compared to the LR cohort. Body mass index was positively associated with gal-3 and gal-9, while gal-3 was also linked to insulin sensitivity. After glucose challenge, gal-1, -3, -7, and -9 decreased in the LR cohort; in the HR cohort, only gal-1 and gal-7 decreased after 2 hours, while gal-3 and gal-9 remained unchanged. Gal-1 correlated positively with homeostasis model assessment for insulin resistance (HOMA-IR) and inversely with insulin sensitivity across the OGTT in the LR cohort, but some of these correlations were not observed in the HR cohort.

conclusionGalectins exhibited distinct patterns of association with glucose homeostasis during the second trimester of pregnancy. Gal-3 and gal-9 are associated with chronic conditions such as pre-pregnancy obesity and insulin resistance, whereas gal-1 appears to be particularly sensitive to the acute glucose challenge.

Indexed as

Adaptation, PhysiologicalBlood GlucoseGalectinsAdultBody Mass IndexFemaleGlucose Tolerance TestHumansInsulin ResistanceObesityOverweightPregnancyProspective StudiesBlood GlucoseGalectinsGalectin 1Galectin 3Galectin 9Glucose tolerance testInsulin resistanceObesity, morbidPregnancy

Identifiers

PMID41299831
PMCPMC12996947

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Registered trials

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.