Evidence mapPaperPMID 41516185Full record

ReviewInternational journal of molecular sciences2025

The Placenta-Gut Microbiota Axis in Gestational Diabetes Mellitus: Molecular Mechanisms, Crosstalk, and Therapeutic Perspectives.

Reka Anna Vass, Eva Miko, Viktoria Premusz, Sandor G Vari, Kalman Kovacs, Jozsef Bodis, Tibor Ertl

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

7 authors.

Reka Anna VassDepartment of Obstetrics and Gynecology, Medical School, Clinical Centre, University of Pécs, H-7624 Pécs, Hungary.ORCID 0000-0002-0436-4261
Eva MikoNational Laboratory on Human Reproduction, University of Pécs, H-7622 Pécs, Hungary.
Viktoria PremuszNational Laboratory on Human Reproduction, University of Pécs, H-7622 Pécs, Hungary.ORCID 0000-0002-4059-104X
Sandor G VariInternational Research and Innovation in Medicine Program, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.ORCID 0000-0003-2962-2017
Kalman KovacsDepartment of Obstetrics and Gynecology, Medical School, Clinical Centre, University of Pécs, H-7624 Pécs, Hungary.
Jozsef BodisDepartment of Obstetrics and Gynecology, Medical School, Clinical Centre, University of Pécs, H-7624 Pécs, Hungary.
Tibor ErtlDepartment of Obstetrics and Gynecology, Medical School, Clinical Centre, University of Pécs, H-7624 Pécs, Hungary.ORCID 0000-0003-3650-7084

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gestational diabetes mellitus (GDM) is a multifactorial metabolic disorder arising from impaired insulin sensitivity and altered maternal-fetal energy regulation. Beyond classical mechanisms involving β-cell dysfunction and pregnancy-induced insulin resistance, emerging evidence suggests a bidirectional interaction between the maternal gut microbiota and the placenta, forming a dynamic placenta-gut axis. Microbial dysbiosis alters levels of metabolites, inflammatory mediators, and bile acids, which influence placental signaling, trophoblast metabolism, immune activation, and nutrient transport. Conversely, the placenta secretes hormones, cytokines, lipids, and exosomal miRNAs that shape maternal metabolism and potentially modulate the gut microbiota. This review synthesizes current mechanistic insights underlying the placenta-gut microbiota axis in GDM, describes immune and metabolic crosstalk, and highlights therapeutic opportunities targeting this inter-organ communication system. Addressing these interactions may advance precision strategies for managing GDM and improving outcomes across generations.

Indexed as

Diabetes, GestationalGastrointestinal MicrobiomePlacentaAnimalsFemaleHumansPregnancygestational diabetes mellitusgut microbiotainflammationmetabolic inflammationmicrobial metabolitesplacenta

Identifiers

PMID41516185
PMCPMC12785242

What Socratic holds

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Registered trials

None linked

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 Socratic graph.