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Glucose Intolerance and Insulin Resistance: Relevance in Preeclampsia

  • Keizo KanasakiEmail author
Chapter
Part of the Comprehensive Gynecology and Obstetrics book series (CGO)

Abstract

The major symptoms of preeclampsia are de novo hypertension and proteinuria during pregnancy, and the clinical diagnosis of preeclampsia has classically been based on these symptoms. However, glucose tolerance defects and insulin resistance are prominent features of preeclampsia but have not been considered significant phenotypes, particularly when establishing animal models of preeclampsia. This review seeks to evaluate the pathomechanical significance of glucose tolerance defects and insulin resistance in the biology of preeclampsia.

Keywords

Insulin resistance Gestational hypertension Estradiol PPARγ ΧΟΜΤ  

Notes

Acknowledgments

The author declares no conflicts of interests related to this work. This work was partially supported by grants from the Japan Society for the Promotion of Science for KK (23790381, 26460403) and several research grants for KK (the Daiichi-Sankyo Foundation of Life Science, the Ono Medical Research Foundation, the Takeda Science Foundation, Novo Nordisk Insulin Research Foundation, and the Banyu Life Science Foundation International). This work was partially supported by Grant for Promoted Research awarded to KK (S2014-4, S2015-3, S2016-3, S2017-1) from Kanazawa Medical University. This work was also partially supported by the Medical Research Encouragement Prize of the Japan Medical Association for KK. Boehringer Ingelheim (Japan), Mitsubishi Tanabe Pharma, and Ono Pharmaceutical contributed to establishing the Division of Anticipatory Molecular Food Science and Technology. KK is under a consultancy agreement with Boehringer Ingelheim.

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© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  1. 1.Department of Diabetology and EndocrinologyKanazawa Medical UniversityUchinadaJapan
  2. 2.Division of Anticipatory Molecular Food Science and Technology, Medical Research InstituteKanazawa Medical UniversityUchinadaJapan

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