Evidence map›Paper›PMID 41459178›Full record

ArticleEJIFCC2025

Association of Serum Sortilin and Insulin Resistance in Patients with Gestational Diabetes Mellitus.

Rupa Thakur, Leena Chand, Anjana Vinod, Sowmya Krishnamurthy

Abstract read
In one paragraph

Article in EJIFCC, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Rupa ThakurDepartment of Biochemistry, Sri Ramachandra Medical College and Research Institute, Chennai, India.
Leena ChandDepartment of Biochemistry, Sri Ramachandra Medical College and Research Institute, Chennai, India.
Anjana VinodDepartment of Biochemistry, Sri Ramachandra Medical College and Research Institute, Chennai, India.
Sowmya KrishnamurthyDepartment of Biochemistry, Sri Ramachandra Medical College and Research Institute, Chennai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Gestational diabetes mellitus is a condition in which glucose intolerance develops during pregnancy. Sortilin is a type I transmembrane protein, that belongs to the VPS10 family of post-Golgi trafficking receptors that is involved in signaling, intracellular sorting, and transport of proteins. Sortilin is required for the storage of glucose and co-expressed with the glucose transporter GLUT4 in differentiated adipocytes. This study aimed to evaluate serum sortilin level in individuals with GDM and to elucidate its relation with insulin resistance. Methodology: This was a case-control study. It involved 80 pregnant women, 40 with GDM (case group) and 40 healthy pregnant women (control group). Fasting blood glucose, HbA1c, insulin, HOMA-IR, and sortilin were analyzed in all the participants. Statistical analysis was performed with SPSS, version 26.0. Results: Age, gestational week, and blood pressure showed no significant difference in both groups. Body mass Index (BMI), fasting blood glucose, glycated hemoglobin (HbA1c), fasting insulin, homeostasis model assessment of insulin resistance (HOMA-IR), and sortilin were significantly higher in the GDM group. Maternal serum sortilin showed a statistically significant positive correlation with BMI, fasting plasma glucose, serum insulin, HOMA-IR, and HbA1c. (r:0.37, p:<0.05; r:0.64, p:<0.001; r:0.38, p:<0.001; r:0.42, p<0.001, r:0.68, p<0.001 respectively). The Receiver Operating Characteristics (ROC) curve indicated sortilin as a potential biomarker for the prediction of cases with an area under a curve of 0.98 (p-value<0.001) and for the cut-off point value of >2.6ng/ml, the sensitivity was 97.5%, specificity was 97.5%, false negative rate was 2.5% and false positive rate was 2.5%. The Youden's index was 0.95, thus indicating the diagnostic accuracy of sortilin. Conclusion: This study aimed to evaluate serum sortilin level in individuals with GDM and to elucidate its relation with insulin resistance. In this study, we observed that serum sortilin concentration was significantly higher in individuals with gestational GDM than in healthy pregnant women. Also, serum sortilin had a statistically significant positive correlation with fasting blood glucose, fasting insulin, HOMA-IR, and glycated hemoglobin. The area under the curve of ROC and the Youden's index shows the impeccable diagnostic accuracy of sortilin.

Indexed as

Gestational Diabetes MellitusHOMA-IRInsulin resistanceSortilin

Identifiers

PMID41459178
PMCPMC12743336

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