The Ritchie Centre, Monash Institute of Medical Research, Monash University, 27-31 Wright St, Clayton, Victoria 3800, Australia.
Placenta. 2013 Oct;34(10):932-40. doi: 10.1016/j.placenta.2013.06.310. Epub 2013 Jul 26.
Elevated maternal glucocorticoids during human pregnancy suppress fetal growth, more so if the fetus is male. The synthetic glucocorticoid dexamethasone (DEX) is known to affect placental glucose transport, but whether this also affects placental glycogen stores has not been investigated.
We examined the short and long term consequences of a single, 60 h exposure to DEX at mid gestation on the glycogen pathway in the placenta of the spiny mouse, with a focus on identifying sex-dependent differences in expression of genes involved in glycogen cell formation (PCDH12), and regulation of glycogen synthesis (GSK3B, GYS1, GBE1, FOXO1, UGP2).
Placentas from female fetuses had increased amounts of glycogen on day 25 of gestation (term is 39 days) as identified by positive Periodic acid Schiff (PAS) reaction staining. DEX administration initially reduced expression of GSK3B, GYS1, GBE1, FOXO1, UGP2 in both male and female placentas, but reduced histologically detectable glycogen storage in placentas of female fetuses only. The DEX-induced reduction in expression of GSK3B and UGP2 persisted until day 37 of gestation, an effect that was significantly greater in the male placenta.
DISCUSSION/CONCLUSION: We conclude that constitutive placental glycogen storage is regulated in pregnancy in a sex-dependant manner, and that glucocorticoids such as DEX induce sex-dependent changes in glycogen storage. Placental glycogen metabolism and its response to glucocorticoids may contribute to the different sensitivities of male and female fetuses to the effects of maternal illness and stress in utero.
人类妊娠期间母体糖皮质激素水平升高会抑制胎儿生长,若胎儿为男性则影响更为显著。已知合成糖皮质激素地塞米松(DEX)会影响胎盘葡萄糖转运,但这是否也会影响胎盘糖原储存尚未得到研究。
我们在妊娠中期,通过单次、60 小时的 DEX 暴露,检测了短时间和长时间对棘鼠胎盘糖酵解途径的影响,重点研究了参与糖原细胞形成(PCDH12)和调节糖原合成(GSK3B、GYS1、GBE1、FOXO1、UGP2)的基因表达的性别依赖性差异。
妊娠第 25 天(妊娠期为 39 天),通过过碘酸希夫(PAS)反应染色鉴定,雌性胎儿的胎盘糖原含量增加。DEX 给药最初降低了雌雄胎盘中 GSK3B、GYS1、GBE1、FOXO1、UGP2 的表达,但仅降低了雌性胎儿胎盘组织中可检测到的糖原储存。DEX 诱导的 GSK3B 和 UGP2 表达减少持续到妊娠第 37 天,在雄性胎盘中的影响更为显著。
讨论/结论:我们得出结论,妊娠期间胎盘糖原储存受性别依赖性调节,糖皮质激素如 DEX 诱导的糖原储存性别依赖性变化。胎盘糖原代谢及其对糖皮质激素的反应可能导致男性和女性胎儿对母体疾病和宫内应激的敏感性不同。