Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Endocrinology. 2010 Aug;151(8):4039-46. doi: 10.1210/en.2010-0098. Epub 2010 Jun 23.
Associations between maternal obesity and adverse fetal outcomes are well documented, but the mechanisms involved are largely unknown. Most previous work has focused on postconceptional events, however, our laboratory has shown pre- and periconceptional aberrations in maternal glucose metabolism have adverse effects on oocytes and embryos that carry on to the fetus. To demonstrate effects of maternal obesity in the pre- and periconceptional periods, we compared reproductive tissues from diet-induced obese female mice to those of control mice. Ovaries were either stained for follicular apoptosis or dissected and evaluated for oocyte size and meiotic maturation. Mice were also mated and followed for reproductive outcomes including preimplantation embryonic IGF-I receptor (IGF-IR) immunostaining, midgestation fetal growth, and midgestational placental IGF receptor 2 (Igf2r) mRNA. Delivered pups were followed for growth and development of markers of metabolic syndrome. Compared with controls, obese mice had significantly more apoptotic ovarian follicles, smaller and fewer mature oocytes, decreased embryonic IGF-IR staining, smaller fetuses, increased placental Igf2r mRNA, and smaller pups. All weaned pups were fed a regular diet. At 13 wk pups delivered from obese mice were significantly larger, and these pups demonstrated glucose intolerance and increased cholesterol and body fat suggesting early development of a metabolic-type syndrome. Together, our findings suggest maternal obesity has adverse effects as early as the oocyte and preimplantation embryo stage and that these effects may contribute to lasting morbidity in offspring, underscoring the importance of optimal maternal weight and nutrition before conception.
母体肥胖与不良胎儿结局之间的关联已有充分的文献记载,但相关机制在很大程度上尚不清楚。大多数先前的研究都集中在受孕后的事件上,然而,我们的实验室已经表明,母体葡萄糖代谢的孕前和孕前期异常会对卵子和胚胎产生不利影响,进而影响胎儿。为了证明母体肥胖在孕前和孕前期的影响,我们比较了饮食诱导肥胖的雌性小鼠和对照组的生殖组织。卵巢要么进行卵泡凋亡染色,要么进行解剖并评估卵母细胞大小和减数分裂成熟情况。同时,我们还让这些小鼠交配并跟踪它们的生殖结果,包括着床前胚胎 IGF-I 受体(IGF-IR)免疫染色、妊娠中期胎儿生长情况以及妊娠中期胎盘 IGF 受体 2(Igf2r)mRNA。新生的幼崽会被跟踪观察其代谢综合征标志物的生长和发育情况。与对照组相比,肥胖组的卵巢卵泡凋亡明显增多,卵母细胞更小、数量更少,胚胎 IGF-IR 染色减少,胎儿更小,胎盘 Igf2r mRNA 增加,幼崽更小。所有断奶的幼崽都被喂食常规饮食。在 13 周时,从肥胖组母鼠分娩的幼崽明显更大,这些幼崽表现出葡萄糖不耐受和胆固醇及体脂增加,表明代谢综合征的早期发展。总之,我们的研究结果表明,母体肥胖早在卵母细胞和着床前胚胎阶段就会产生不良影响,这些影响可能导致后代长期发病,这突显了受孕前母体体重和营养的重要性。