Qiao Liping, Wattez Jean-Sebastien, Lee Samuel, Guo Zhuyu, Schaack Jerome, Hay William W, Zita Matteo Moretto, Parast Mana, Shao Jianhua
Department of Pediatrics, University of California San Diego, 9500 Gilman Drive, MC 0983, La Jolla, CA, 92093, USA.
Department of Microbiology, University of Colorado at Denver and Anschutz Medical Center, Aurora, CO, 80045, USA.
Diabetologia. 2016 Nov;59(11):2417-2425. doi: 10.1007/s00125-016-4061-x. Epub 2016 Aug 5.
AIMS/HYPOTHESIS: The main objective of this study was to investigate whether maternal adiponectin regulates fetal growth through the endocrine system in the fetal compartment.
Adiponectin knockout (Adipoq (-/-) ) mice and in vivo adenovirus-mediated reconstitution were used to study the regulatory effect of maternal adiponectin on fetal growth. Primary human trophoblast cells were treated with adiponectin and a specific peroxisome proliferator-activated receptor α (PPARα) agonist or antagonist to study the underlying mechanism through which adiponectin regulates fetal growth.
The body weight of fetuses from Adipoq (-/-) dams was significantly greater than that of wild-type dams at both embryonic day (E)14.5 and E18.5. Adenoviral vector-mediated maternal adiponectin reconstitution attenuated the increased fetal body weight induced by maternal adiponectin deficiency. Significantly increased blood glucose, triacylglycerol and NEFA levels were observed in Adipoq (-/-) dams, suggesting that nutrient supply contributes to maternal adiponectin-regulated fetal growth. Although fetal blood IGF-1 concentrations were comparable in fetuses from Adipoq (-/-) and wild-type dams, remarkably low levels of IGF-binding protein 1 (IGFBP-1) were observed in the serum of fetuses from Adipoq (-/-) dams. IGFBP-1 was identified in the trophoblast cells of human and mouse placentas. Maternal fasting robustly increased IGFBP-1 levels in mouse placentas, while reducing fetal weight. Significantly low IGFBP-1 levels were found in placentas of Adipoq (-/-) dams. Adiponectin treatment increased IGFBP-1 levels in primary cultured human trophoblast cells, while the PPARα antagonist, MK886, abolished this stimulatory effect.
CONCLUSIONS/INTERPRETATION: These results indicate that, in addition to nutrient supply, maternal adiponectin inhibits fetal growth by increasing IGFBP-1 expression in trophoblast cells.
目的/假设:本研究的主要目的是探究母体脂联素是否通过胎儿体内的内分泌系统调节胎儿生长。
利用脂联素基因敲除(Adipoq (-/-) )小鼠和体内腺病毒介导的重构来研究母体脂联素对胎儿生长的调节作用。用人原代滋养层细胞进行脂联素以及特异性过氧化物酶体增殖物激活受体α(PPARα)激动剂或拮抗剂处理,以研究脂联素调节胎儿生长的潜在机制。
在胚胎期(E)14.5和E18.5时,Adipoq (-/-) 母鼠所产胎儿的体重显著高于野生型母鼠所产胎儿。腺病毒载体介导的母体脂联素重构减弱了母体脂联素缺乏所诱导的胎儿体重增加。在Adipoq (-/-) 母鼠中观察到血糖、三酰甘油和非酯化脂肪酸水平显著升高,这表明营养供应有助于母体脂联素调节胎儿生长。尽管Adipoq (-/-) 母鼠和野生型母鼠所产胎儿的胎儿血胰岛素样生长因子-1(IGF-1)浓度相当,但在Adipoq (-/-) 母鼠所产胎儿的血清中观察到胰岛素样生长因子结合蛋白1(IGFBP-1)水平显著降低。在人和小鼠胎盘的滋养层细胞中鉴定出了IGFBP-1。母体禁食显著增加了小鼠胎盘的IGFBP-1水平,同时降低了胎儿体重。在Adipoq (-/-) 母鼠的胎盘中发现IGFBP-1水平显著降低。脂联素处理增加了原代培养的人滋养层细胞中的IGFBP-1水平,而过氧化物酶体增殖物激活受体α拮抗剂MK886消除了这种刺激作用。
结论/解读:这些结果表明,除营养供应外,母体脂联素通过增加滋养层细胞中IGFBP-1的表达来抑制胎儿生长。