Evidence mapPaperPMID 41596565Full record

ReviewInternational journal of molecular sciences2026

The Placenta in Gestational Diabetes: An Integrated Review on Metabolic Pathways, Genetic, Epigenetic and Ultrasound Biomarkers for Clinical Perspectives.

Giovanni Tossetta, Roberto Campagna, Arianna Vignini, Giuseppe Maria Maruotti, Mariarosaria Motta, Chiara Murolo, Laura Sarno, Camilla Grelloni, Monia Cecati, Stefano Raffaele Giannubilo and 1 more

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. 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

11 authors.

Giovanni TossettaDepartment for the Promotion of Human Science and Quality of Life, San Raffaele Roma University, Via di Val Cannuta, 247, 00166 Rome, Italy.ORCID 0000-0001-7003-1230
Roberto CampagnaDepartment for the Promotion of Human Science and Quality of Life, San Raffaele Roma University, Via di Val Cannuta, 247, 00166 Rome, Italy.ORCID 0000-0003-2607-2734
Arianna VigniniDepartment of Clinical Sciences, Section of Biochemistry, Biology and Physics, Università Politecnica Delle Marche, 60126 Ancona, Italy.ORCID 0000-0002-2496-7932
Giuseppe Maria MaruottiGynecology and Obstetrics Unit, Department of Public Health, University of Naples Federico II, 80131 Naples, Italy.
Mariarosaria MottaGynecology and Obstetrics Unit, Department of Public Health, University of Naples Federico II, 80131 Naples, Italy.ORCID 0009-0003-0812-6716
Chiara MuroloGynecology and Obstetrics Unit, Department of Public Health, University of Naples Federico II, 80131 Naples, Italy.
Laura SarnoGynecology and Obstetrics Unit, Department of Public Health, University of Naples Federico II, 80131 Naples, Italy.ORCID 0000-0003-0454-7946
Camilla GrelloniDepartment of Clinical Sciences, Clinic of Obstetrics and Gynaecology, Università Politecnica Delle Marche, 60123 Ancona, Italy.ORCID 0000-0002-5015-9015
Monia CecatiDepartment for the Promotion of Human Science and Quality of Life, San Raffaele Roma University, Via di Val Cannuta, 247, 00166 Rome, Italy.
Stefano Raffaele GiannubiloDepartment of Clinical Sciences, Clinic of Obstetrics and Gynaecology, Università Politecnica Delle Marche, 60123 Ancona, Italy.ORCID 0000-0002-9427-1391
Andrea CiavattiniDepartment of Clinical Sciences, Clinic of Obstetrics and Gynaecology, Università Politecnica Delle Marche, 60123 Ancona, Italy.ORCID 0000-0002-8037-4947

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pregnancies complicated by diabetes, including pregestational and gestational diabetes mellitus, are associated with increased maternal and fetal morbidity. Early identification of at-risk pregnancies is crucial for timely intervention and improved outcomes. Emerging evidence highlights the interplay of genetic predisposition, epigenetic modifications, and non-invasive biomarkers in the early detection of diabetic pregnancies. Genetic factors influencing insulin signaling, glucose metabolism, and pancreatic β-cell function may contribute to susceptibility to gestational hyperglycemia. Concurrently, epigenetic alterations, such as DNA methylation and histone modifications in maternal and placental tissues, have been linked to dysregulated metabolic pathways and adverse pregnancy outcomes. Non-invasive biomarkers, including circulating cell-free DNA and microRNAs in maternal blood, show promise for early diagnosis by offering a safer and more practical alternative to invasive testing. Integrating genetic, epigenetic, and molecular marker data could enhance risk stratification and enable personalized monitoring and management strategies. This review synthesizes current knowledge on the molecular underpinnings of diabetic pregnancies, evaluates the potential of emerging biomarkers for early diagnosis, and discusses the challenges and future perspectives for translating these findings into clinical practice. Understanding these mechanisms may pave the way for precision medicine approaches, ultimately improving maternal and neonatal outcomes in pregnancies affected by diabetes.

Indexed as

BiomarkersDiabetes, GestationalEpigenesis, GeneticMetabolic Networks and PathwaysPlacentaDNA MethylationFemaleHumansPregnancyBiomarkersdysregulated metabolic pathwaysepigenetic modificationsgenetic factorsgestational diabetes mellitusserum biomarkerssonographic markers

Identifiers

PMID41596565
PMCPMC12842225

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.