{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T16:06:35Z","timestamp":1777478795291,"version":"3.51.4"},"reference-count":50,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T00:00:00Z","timestamp":1719187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100017594","name":"Medical Science and Technology Project of Zhejiang Province","doi-asserted-by":"publisher","award":["2021Y02"],"award-info":[{"award-number":["2021Y02"]}],"id":[{"id":"10.13039\/501100017594","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017594","name":"Medical Science and Technology Project of Zhejiang Province","doi-asserted-by":"publisher","award":["2022KY297"],"award-info":[{"award-number":["2022KY297"]}],"id":[{"id":"10.13039\/501100017594","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Gestational Diabetes Mellitus (GDM) poses significant risks to maternal and fetal health. Current diagnostic methods based on glucose tolerance tests have limitations for early detection. tRNA\u2010derived small RNAs (tsRNAs) have emerged as potential molecular regulators in various diseases, including metabolic disorders. However, the diagnostic value of tsRNAs in plasma for early GDM or postpartum remains unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This longitudinal study profiled the expression of tsRNAs across different gestational stages and postpartum in women with GDM (<jats:italic>n<\/jats:italic>\u2009=\u200940) and healthy control gestational women (HCs, <jats:italic>n<\/jats:italic>\u2009=\u200940). High\u2010throughput small RNA sequencing identified candidate tsRNAs, which were then validated and correlated with clinical biochemical markers such as fasting blood glucose (FBG), HOMA\u2010IR, and GHbA1c.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>tRF\u20101:32\u2010Val\u2010AAC\u20101\u2010M6, tRF\u20101:31\u2010Glu\u2010CTC\u20101\u2010M2, and tRF\u20101:30\u2010Gly\u2010CCC\u20101\u2010M4 were consistently upregulated in the GDM group compared to HCs during the second trimester (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Only tRF\u20101:31\u2010Glu\u2010CTC\u20101\u2010M2 was highly expressed during the first trimester, and tRF\u20101:30\u2010Gly\u2010CCC\u20101\u2010M4 increased during postpartum. tRF\u20101:31\u2010Glu\u2010CTC\u20101\u2010M2 showed a significant correlation with FBG levels in the first trimester (<jats:italic>R<\/jats:italic>\u2009=\u20090.317, <jats:italic>p<\/jats:italic>\u2009=\u20090.047). The expression of tRF\u20101:30\u2010Gly\u2010CCC\u20101\u2010M4 was significantly correlated with HOMA\u2010IR (<jats:italic>r<\/jats:italic>\u2009=\u20090.65, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and GHBA1c (<jats:italic>r<\/jats:italic>\u2009=\u20090.33, <jats:italic>p<\/jats:italic>\u2009=\u20090.037) during postpartum. A joint diagnostic model incorporating tsRNAs expression and clinical markers demonstrated enhanced predictive power for GDM (ROC AUC\u2009=\u20090.768).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our results revealed distinct expression patterns of specific tsRNAs in GDM, showcasing their correlation with key metabolic parameters. This underscores their promising role as biomarkers for early prediction and diagnosis of GDM. The integration of tRFs into a composite biomarker panel holds the potential to improve clinical outcomes by enabling personalized risk assessment and targeted interventions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.16008","type":"journal-article","created":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T23:59:30Z","timestamp":1719273570000},"page":"1317-1333","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Longitudinal observation of <scp>tRNA<\/scp>\u2010derived fragments profiles in gestational diabetes mellitus and its diagnostic value"],"prefix":"10.1111","volume":"50","author":[{"given":"Yifang","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Obstetrics The Affiliated Lihuili Hospital of Ningbo University  Ningbo China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics The 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