Department of Obstetrics, Gynecology and Reproductive Sciences, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Diabetes. 2013 Feb;62(2):599-608. doi: 10.2337/db12-0026. Epub 2012 Sep 6.
Embryos exposed to high glucose exhibit aberrant maturational and cytoarchitectural cellular changes, implicating cellular organelle stress in diabetic embryopathy. c-Jun-N-terminal kinase 1/2 (JNK1/2) activation is a causal event in maternal diabetes-induced neural tube defects (NTD). However, the relationship between JNK1/2 activation and endoplasmic reticulum (ER) stress in diabetic embryopathy has never been explored. We found that maternal diabetes significantly increased ER stress markers and induced swollen/enlarged ER lumens in embryonic neuroepithelial cells during neurulation. Deletion of either jnk1 or jnk2 gene diminished hyperglycemia-increased ER stress markers and ER chaperone gene expression. In embryos cultured under high-glucose conditions (20 mmol/L), the use of 4-phenylbutyric acid (4-PBA), an ER chemical chaperone, diminished ER stress markers and abolished the activation of JNK1/2 and its downstream transcription factors, caspase 3 and caspase 8, and Sox1 neural progenitor apoptosis. Consequently, both 1 and 2 mmol/L 4-PBA significantly ameliorated high glucose-induced NTD. We conclude that hyperglycemia induces ER stress, which is responsible for the proapoptotic JNK1/2 pathway activation, apoptosis, and NTD induction. Suppressing JNK1/2 activation by either jnk1 or jnk2 gene deletion prevents ER stress. Thus, our study reveals a reciprocal causation of ER stress and JNK1/2 in mediating the teratogenicity of maternal diabetes.
胚胎暴露于高葡萄糖中会表现出异常的成熟和细胞结构变化,提示细胞细胞器应激在糖尿病胚胎病中起作用。c-Jun-N-末端激酶 1/2(JNK1/2)的激活是母体糖尿病诱导神经管缺陷(NTD)的一个因果事件。然而,JNK1/2 激活与糖尿病胚胎病中内质网(ER)应激之间的关系从未被探索过。我们发现,母体糖尿病在神经发生期间显著增加了 ER 应激标志物,并诱导胚胎神经上皮细胞中的 ER 腔肿胀/扩大。jnk1 或 jnk2 基因缺失减少了高血糖引起的 ER 应激标志物和 ER 伴侣基因的表达。在高葡萄糖条件(20mmol/L)下培养的胚胎中,使用内质网化学伴侣 4-苯基丁酸(4-PBA),减少了 ER 应激标志物,并消除了 JNK1/2 及其下游转录因子 caspase 3 和 caspase 8 的激活以及 Sox1 神经祖细胞凋亡。因此,1mmol/L 和 2mmol/L 的 4-PBA 均显著改善了高葡萄糖诱导的 NTD。我们得出结论,高血糖诱导 ER 应激,这是导致促凋亡 JNK1/2 途径激活、细胞凋亡和 NTD 诱导的原因。通过 jnk1 或 jnk2 基因缺失抑制 JNK1/2 激活可防止 ER 应激。因此,我们的研究揭示了 ER 应激和 JNK1/2 在介导母体糖尿病致畸性中的相互因果关系。
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