Review Article

Circulating MicroRNAs as Biomarkers of Gestational Diabetes Mellitus: Updates and Perspectives

Table 1

The results reported by several studies on circulating microRNAs and GDM.

StudyStudy designSourceMethod employed (statistical analysis)Upregulated microRNA in GDMDownregulated microRNA in GDMLimits of the study

Zhao et al. [51]24 GDM patients and 24 controls at 16th–19th week of pregnancySerumTaqMan low-density array
qRT-PCR (Student’s t-test + risk score analysis)
/miR-29a, miR-123, miR-222Normalization using only spiked synthetic exogenous cel-miR-39

Zhu et al. [55]10 GDM patients and 10 controls at 16th–19th week of pregnancyPlasmaIon Torrent
qRT-PCR (Student’s t-test)
miR-16-5p, miR-17-5p, miR-19a-3p, miR-19b-3p, miR-20a-5p/Identified microRNAs are enriched in erythrocytes (limitation for their use as biomarkers)

Cao et al. [56]85 GDM patients and 72 controls at 16th–20th, 20th–24th, and 24th–28th week of pregnancyPlasmaqRT-PCR (Student’s t-test, ROC curves)miR-16-5p, miR-17-5p, miR-20a-5p/Identified microRNAs are enriched in erythrocytes (limitation for their use as biomarkers)

Wander et al. [65]36 GDM patients and 80 controls at 7th–23rd week of pregnancyPlasmaqRT-PCR (logistic regression adjusted for gestational age at blood draw)miR-155-5p, miR-21-3p, miR-210-3p, miR-155-5p, miR-146b-5p, miR-223-3p, miR-517-5p, miR-29a-3p/Limited number of microRNAs analyzed (associated with pregnancy course and complications)

Lamadrid-Romero et al. [69]54 GDM patients, 57 non-GDM controls at first, second, and third trimesters of pregnancy, 10 nonpregnant healthy womenSerumqRT-PCR (Turkey’s multiple comparison test + unpaired Student’s t-test)miR-183-5p, miR-200b-3p, miR-125-5p, miR-1290/Limited number of microRNAs analyzed (neural development associated)

Sebastiani et al. [13]21 GDM patients, 11 non-GDM control subjects (28th–33rd week of pregnancy)PlasmaStem-loop RT PCR (Student’s t-test + nonparametric Mann–Whitney U test)miR-330-3p/To be validated in a larger cohort