TLR4 and gestational diabetes: These findings, together with the association of circulating monocyte count with TLR2 and TLR-4 VAT mRNA expression levels and eosinophil count with IL-1β, IL-6, IL-10, and IL-1RA VAT expression levels in women with GDM, suggest that systemic inflammation is accompanied by dysregulated VAT expression of inflammatory genes in women with GDM.