Rosario Fredrick J, Powell Theresa L, Jansson Thomas
Division of Reproductive Sciences, Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Campus, Aurora, Colorado; and
Section of Neonatology, Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Am J Physiol Regul Integr Comp Physiol. 2016 Jan 1;310(1):R87-93. doi: 10.1152/ajpregu.00356.2015. Epub 2015 Oct 21.
Fetal overgrowth is common in obese women and is associated with perinatal complications and increased risk for the child to develop metabolic syndrome later in life. Placental nutrient transport capacity has been reported to be increased in obese women giving birth to large infants; however, the underlying mechanisms are not well established. Obesity in pregnancy is characterized by elevated maternal serum insulin and leptin, hormones that stimulate placental amino acid transporters in vitro. We hypothesized that maternal obesity activates placental insulin/IGF-I/mTOR and leptin signaling pathways. We tested this hypothesis in a mouse model of obesity in pregnancy that is associated with fetal overgrowth. C57BL/6J female mice were fed a control (C) or a high-fat/high-sugar (HF/HS) pelleted diet supplemented by ad libitum access to sucrose (20%) solution. Placentas were collected at embryonic day 18.5. Using Western blot analysis, placental mTOR activity was determined along with energy, inflammatory, leptin, and insulin signaling pathways (upstream modulators of mTOR). Phosphorylation of S6 ribosomal protein (S-235/236), 4E-BP1 (T-37/46), Insulin receptor substrate 1 (Y-608), Akt (T-308), and STAT-3 (Y-705) was increased in obese dams. In contrast, expression of placental caspase-1, IкBα, IL-1β, and phosphorylated-JNK(p46/54-T183/Y185) was unaltered. Fetal amino acid availability is a key determinant of fetal growth. We propose that activation of placental insulin/IGF-I/mTOR and leptin signaling pathways in obese mice stimulates placental amino acid transport and contributes to increased fetal growth.
胎儿过度生长在肥胖女性中很常见,并且与围产期并发症以及儿童日后患代谢综合征的风险增加有关。据报道,分娩巨大儿的肥胖女性胎盘营养转运能力增强;然而,其潜在机制尚未完全明确。妊娠肥胖的特征是母体血清胰岛素和瘦素水平升高,这两种激素在体外可刺激胎盘氨基酸转运体。我们假设母体肥胖会激活胎盘胰岛素/IGF-I/mTOR和瘦素信号通路。我们在与胎儿过度生长相关的妊娠肥胖小鼠模型中验证了这一假设。给C57BL/6J雌性小鼠喂食对照(C)或高脂/高糖(HF/HS)颗粒饲料,并随意给予蔗糖(20%)溶液。在胚胎第18.5天收集胎盘。采用蛋白质免疫印迹分析,测定胎盘mTOR活性以及能量、炎症、瘦素和胰岛素信号通路(mTOR的上游调节因子)。肥胖母鼠胎盘的S6核糖体蛋白(S-235/236)、4E-BP1(T-37/46)、胰岛素受体底物1(Y-608)、Akt(T-308)和STAT-3(Y-705)的磷酸化水平升高。相比之下,胎盘半胱天冬酶-1、IκBα、IL-1β和磷酸化JNK(p46/54-T183/Y185)的表达未发生改变。胎儿氨基酸供应是胎儿生长的关键决定因素。我们认为,肥胖小鼠胎盘胰岛素/IGF-I/mTOR和瘦素信号通路的激活会刺激胎盘氨基酸转运,促进胎儿生长增加。
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