2021
DOI: 10.7717/peerj.10604
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Identification of a novel association for the WWOX/HIF1A axis with gestational diabetes mellitus (GDM)

Abstract: Background Although the WW-domain-containing oxidoreductase (WWOX)/Hypoxia-inducible factor 1 (HIF1) pathway is a well-known regulator of cellular glucose and energy metabolism in pathophysiological processes, its role in gestational diabetes mellitus (GDM), remains elusive. We undertook this study to determine the effect of WWOX/HIF1A signaling on the expression of glucose metabolism genes in GDM patients. Methods Leukocytes were obtained … Show more

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Cited by 9 publications
(18 citation statements)
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References 72 publications
(45 reference statements)
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“…As there is growing evidence that mitochondrial superoxide production is dispensable in the pathogenesis of diabetes, it was suggested that stabilization of HIF1α and associated metabolic reprogramming, resembled the Warburg effect, were the initial events in the cellular biochemical abnormalities induced by glucose in diabetes [ 4 , 57 ]. Therefore, the WWOX/HIF1A lowered expression ratio should be considered as a molecular risk factor for diabetes type 2 and gestational as we already reported [ 50 ]. It is worth noting that XIAP, a member of the inhibitors of apoptosis proteins (IAPs) [ 58 ] is a regulator of HIF1α polyubiquitination [ 59 ].…”
Section: Discussionmentioning
confidence: 82%
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“…As there is growing evidence that mitochondrial superoxide production is dispensable in the pathogenesis of diabetes, it was suggested that stabilization of HIF1α and associated metabolic reprogramming, resembled the Warburg effect, were the initial events in the cellular biochemical abnormalities induced by glucose in diabetes [ 4 , 57 ]. Therefore, the WWOX/HIF1A lowered expression ratio should be considered as a molecular risk factor for diabetes type 2 and gestational as we already reported [ 50 ]. It is worth noting that XIAP, a member of the inhibitors of apoptosis proteins (IAPs) [ 58 ] is a regulator of HIF1α polyubiquitination [ 59 ].…”
Section: Discussionmentioning
confidence: 82%
“…Our previous study suggests a significant contribution of the WWOX gene to glucose metabolism in patients with gestational diabetes mellitus. We showed decreased WWOX expression in GDM compared to normal pregnancy, and what is most important a significant reduction of WWOX/HIF1A ratio [ 50 ]. These results indicated that WWOX modulates HIF1α activity and the effect of HIF1α excessive activation was to increase the expression of genes encoding proteins directly involved in the glycolysis.…”
Section: Discussionmentioning
confidence: 99%
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“…Significant reduction in expression of WW‐domain‐containing oxidoreductase (WWOX) was observed in GDM patients with a simultaneous increase in hypoxia‐inducible factor 1 (HIF1) causing lowering of WWOX/HIF1α ratio. The increase in HIF1α activity causes an increase in the expression of genes involved in glycolysis leading to pathological changes in glucose metabolism as found in the GDM condition [34].…”
Section: Signaling Pathways Involved In the Pathogenesis Of Gdmmentioning
confidence: 99%