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Review | Open Access

Ferroptosis and Its Emerging Role in Gestational Diabetes Mellitus

Jinfeng Xu1,2Yuan Tian1,2Hongbin Zhu3Bing Peng1,2( )Chunheng Mo2 ( )
Department of Obstetrics and Gynecology, West China Second University Hospital of Sichuan University, Chengdu, China
The Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, China
Department of Physiology, West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University, Chengdu, China
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Abstract

Gestational diabetes mellitus (GDM), which is primarily characterized by insulin resistance and impaired pancreatic β‐cell function, is one of the most prevalent adverse pregnancy outcomes. The exact pathogenesis of GDM is still unclear. Ferroptosis is a type of programmed cell death, characterized by the accumulation of iron, unrestrained lipid peroxidation, and failure of antioxidant defenses, particularly depletion of glutathione peroxidase. Interestingly, accumulating evidence suggests that ferroptosis is critically involved in the development of GDM. This review outlines the mechanisms of ferroptosis, its contribution to the pathogenesis of GDM, and emerging therapeutic interventions for GDM.

Graphical Abstract

Ferroptosis contributes to the development of gestational diabetes mellitus (GDM) through iron overload, lipid peroxidation, and antioxidant system disruption. These changes impair adipocyte and β‐cell function, promoting insulin resistance and hyperglycemia.

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Medicine Advances
Pages 115-124

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Cite this article:
Xu J, Tian Y, Zhu H, et al. Ferroptosis and Its Emerging Role in Gestational Diabetes Mellitus. Medicine Advances, 2026, 4(2): 115-124. https://doi.org/10.1002/med4.70055

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Received: 20 May 2025
Revised: 04 July 2025
Accepted: 14 July 2025
Published: 20 May 2026
© 2026 The Author(s). Tsinghua University Press.

This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.