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The prevalence of gestational diabetes mellitus (GDM) has been increasing worldwide. Dietary patterns and air pollution are closely related to the occurrence of GDM. No previous study has explored the interaction effect of air pollution exposure and dietary patterns on GDM. We explored the interaction effect between main dietary patterns and pre-pregnancy exposure to air pollution on the development of GDM based on a prospective birth cohort in Northeast China. A total of 2244 participants were included in this study. Factor analysis was used to identify dietary patterns. We found that long-term exposure to nitrogen dioxide (NO2) and carbon monoxide (CO) before pregnancy was significantly associated with an increased risk of GDM; the animal foods pattern significantly modified these associations. The sub-group analysis showed that compared with a lower intake in the animal foods pattern (NO2, odds ratio [OR] = 1.07, 95% confidence interval [CI]: 0.84, 1.35; CO, OR = 1.05, 95% CI: 0.81, 1.34), higher intake in the animal foods pattern (NO2, OR = 1.41, 95% CI: 1.09, 1.83; CO, OR = 1.36, 95% CI: 1.05, 1.76) before pregnancy increased the hazardous effects of NO2 and CO on GDM development. The intake of animal blood, animal organs, preserved eggs, and processed meat products in animal food pattern could all aggravate the effect of exposure to air pollution due to NO2 and CO on GDM. Our study demonstrated that there was a significant interaction effect between animal foods pattern and exposure to air pollution on GDM. These results provide further scientific evidence of the associations among air pollution, dietary intake, and GDM, and may help as well as the prevention of GDM.

The intake of each nutrient was calculated using the Chinese Food Composition Tables, by first multiplying the quantity (grams) of each food and beverage item consumed by their nutrient content per gram, and then adding the nutrient contributions from all food items. We also collected data on the intake of 110 food items by using a validated FFQ for most of the participants; this allowed us to explore the associations between intake of food items and nutrients, as well as dietary patterns and health outcomes. Key Features Only few large, prospective cohort studies on interaction between dietary and environmental exposures and non-communicable diseases (NCDs) have been conducted in Northeast China. Daily food intake The intake of food and beverage items was calculated by multiplying fitted portion sizes (according to sex, g/time) by the frequency at which each food and beverage item was consumed per day in the FFQ. [Extracted from the article]

Theca cells (TCs) play an important role in follicular development, which cannot be separated from granulosa cells (GCs). However, compared with mammals, the TCs and the effects of GCs on TCs at different follicular development stages (FDSs) have specific characteristics in avian species, but none of them have been clearly defined. In this study, we established an in vitro co‐culture (with GC at the corresponding stage) model of goose TCs at different FDSs (pre‐hierarchical, hierarchical and F1) by using a transwell system. The properties of TCs in co‐culture at the three FDSs, including cell morphology, activity and intracellular lipid content, as well as the expression of key genes involved in de novo lipogenesis, steroidogenesis, proliferation and apoptosis, were examined and defined. We further compared the mono‐culture and co‐culture groups. After co‐culture, the activity of TCs showed significant (p <.01) increases in all stages; moreover, in pre‐hierarchical TCs, the expression levels of FAS, SREBP, 3β‐HSD and CCND1 were promoted, and PPARγ, CYP19, BCL2 and CAS3 were inhibited (p <.05); in the hierarchical TCs, the expression levels of PPARγ, FAS, CYP19, CCND1 and BCL2 were promoted, and SREBP, STAR, 3β‐HSD and CAS3 were inhibited (p <.05), whereas in the F1 TCs, the expression levels of PPARγ, FAS, 3β‐HSD, CYP19 and CCND1 were promoted, and STAR and CAS3 were inhibited (p <.05). These results suggested that GCs at the three FDSs have dynamic and complex influences on the physiological characteristics of TCs, and the influences on TCs at the three FDSs were varied. [ABSTRACT FROM AUTHOR]