IL18 and gestational diabetes: Exosomesreleased from trophoblasts in GDM patients induce the secretion ofproinflammatory cytokines (IL-18, IL-1β) and promote the proliferation,migration, and tube formation of umbilical vein endothelial cells. Additionally, in diabetic patients, microRNA-326is upregulated, which negatively correlates with its target, adiponectin,potentially mediating the inflammatory responses typically associatedwith GDM.