Lambin Suzan, van Bree Rita, Vergote Ignace, Verhaeghe Johan
Department of Obstetrics and Gynecology, Katholieke Universiteit Leuven, Leuven, Belgium.
J Soc Gynecol Investig. 2006 Dec;13(8):558-65. doi: 10.1016/j.jsgi.2006.09.001. Epub 2006 Nov 7.
Tumor necrosis factor (TNF)-alpha is thought to mediate, in part, the link between obesity and insulin resistance, and women with gestational diabetes mellitus (GDM) have raised serum TNF-alpha concentrations. Our objective was to investigate whether systemic TNF-alpha administration into gravid C57BL6/J mice causes a GDM-like syndrome and affects growth and adipose tissue (AT) development in the offspring.
We assessed glucose tolerance and reproductive outcome in mice infused with saline, or 2 mug or 4 mug recombinant mouse (rm)TNF-alpha by subcutaneous mini-osmotic pumps between days (d)11.5 and 18.5 of gestation. Subsequently, we studied the effects of the 2-mug dose on maternal AT metabolism. Finally, the growth of offspring exposed to 2 mug rmTNF-alpha in utero was followed until 8 weeks postnatal age. At 8 weeks, we assessed AT accumulation, as well as adipocyte area in white AT and insulin sensitivity in males, and adipokine mRNA levels in various AT depots in females.
The peak glucose response to an intraperitoneal glucose stimulus in late-gravid mice and fetal weight were higher with 2 mug but not 4 mug rmTNF-alpha compared with saline; however, 2 mug TNF-alpha did not affect AT parameters. The female but not male offspring of these mice showed accelerated growth, hyperadiposity, robustly increased leptin expression in all AT depots, and raised fasting blood glucose.
TNF-alpha infusion (2 mug for 7 days) in gravid mice resulted in a mild GDM syndrome and accelerated AT development in the offspring in a sex-specific manner. The data suggest that TNF-alpha mediates in part the effects of GDM on fetal growth and postnatal adiposity, and constitutes a potential mediator of intrauterine programming.
肿瘤坏死因子(TNF)-α被认为在一定程度上介导了肥胖与胰岛素抵抗之间的联系,而妊娠糖尿病(GDM)女性的血清TNF-α浓度升高。我们的目的是研究向妊娠C57BL6/J小鼠全身注射TNF-α是否会导致类似GDM的综合征,并影响后代的生长和脂肪组织(AT)发育。
在妊娠第11.5天至18.5天期间,我们通过皮下微型渗透泵给小鼠输注生理盐水、2μg或4μg重组小鼠(rm)TNF-α,评估其葡萄糖耐量和生殖结局。随后,我们研究了2μg剂量对母体AT代谢的影响。最后,跟踪子宫内暴露于2μg rmTNF-α的后代的生长情况,直至出生后8周龄。在8周龄时,我们评估了AT积累、白色AT中的脂肪细胞面积以及雄性的胰岛素敏感性,以及雌性不同AT库中的脂肪因子mRNA水平。
与生理盐水相比,2μg而非4μg rmTNF-α使妊娠后期小鼠对腹腔内葡萄糖刺激的峰值葡萄糖反应和胎儿体重更高;然而,2μg TNF-α并未影响AT参数。这些小鼠的雌性而非雄性后代表现出生长加速、肥胖、所有AT库中瘦素表达显著增加以及空腹血糖升高。
妊娠小鼠输注TNF-α(2μg,持续7天)导致轻度GDM综合征,并以性别特异性方式加速后代的AT发育。数据表明,TNF-α在一定程度上介导了GDM对胎儿生长和出生后肥胖的影响,并构成子宫内编程的潜在介质。