Study Participants Design Outcomes
Gestational Diabetes Mellitus
Yuksel et al. [55] 20 GDM women and
20 control women,
all planning to deliver via Caesarean Section.
No baseline difference in age or BMI between groups.
Venous samples maternal serum obtained prior to delivery, umbilical cord blood collected after delivery. Lower mean maternal serum irisin in GDM. No difference in cord blood irisin.
Kuzmicki et al. [53] 130 GDM women and
140 normal glucose tolerance women, matched for age, gestational age and BMI.
Venous samples maternal serum collected at time of OGTT, then at 10-12 wks postpartum, and at 3 months postpartum. Lower mean maternal serum irisin in GDM Irisin drops to same baseline in all women 3 months post-partum
Aydin et al. [54] 15 lactating GDM, 15 lactating control, 14 non-lactating women. Breast milk and maternal serum sampled on days 1, 7 and 15 of lactation.   Irisin increased significantly with maturation of the milk Plasma and breast milk irisin levels were lower in GDM compared to healthy lactating and non lactating women
Ebert et al. [56] Study 1: 74 GDM patients and 74 healthy gestational age matched controls   Study 2: 40 healthy uncomplicated pregnancies 1: Maternal serum sampled after an overnight fast at OGTT, then at follow up ~1576 days post partum 2: Fasting sample maternal serum prior to and then 24hr after delivery, umbilical cord blood and placental tissue samples. 1: No significant difference between groups, however fasting insulin predicts irisin levels in GDM women 2: No significant changes in irisin 24hr post delivery.
Irisin is 53.3μg/g placental tissue protein.
Piya et al. [52] 34 non-obese women, 39 obese women and 18 GDM women. Maternal serum and CSF samples taken prior to caesarean section.
Cord blood taken at time of delivery.
No significant difference in irisin between groups No alterations in umbilical cord irisin Significantly higher CSF irisin in GDM women
Preeclampsia
Garces et al. [39] Study 1: 40 healthy women and 10 women who developed preeclampsia taken from a larger longditudinal cohort study Study 2: 20 healthy menstruating women   Study 3: Placental tissue from 38 weeks gestation 1: venous blood samples at various points through pregnancy   2: venous blood samples during follicular and luteal phase of menstrual cycle   3: Immunohistochemical staining performed 1: Serum irisin increases by 16% from mid to late pregnancy in all groups
Serum irisin is 49% higher in third trimester in healthy compared to preeclamptic women
2: Serum irisin levels are 26% higher in the luteal phase of cycle.
3: FNDC5 stains to the cytoplasm of decidual, cytotrophoblasts and syncytiotrophoblasts.
Idiopathic IUGR
Caglar et al. [57] 15 women with idiopathic IUGR at third trimester and 15 healthy controls Maternal blood collected prior to delivery and fetual umbilical cord blood collected with delivery No difference in maternal serum irisin level
Umbilical artery irisin levels higher in normal pregnancy and correlated with birth weight
Table 4: Summary of Studies looking at changes in irisin levels in pregnancy related complications.
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