Zhao Yang, Dong Daoyin, Reece E Albert, Wang Ashley R, Yang Peixin
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Maryland School of Medicine, Baltimore, MD.
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Maryland School of Medicine, Baltimore, MD; Department of Biochemistry and Molecular Biology, University of Maryland School of Medicine, Baltimore, MD.
Am J Obstet Gynecol. 2018 Jan;218(1):136.e1-136.e10. doi: 10.1016/j.ajog.2017.10.040. Epub 2017 Nov 1.
Maternal diabetes induces neural tube defects, and oxidative stress is a causal factor for maternal diabetes-induced neural tube defects. The redox gene nuclear factor erythroid 2-related factor 2 is the master regulator of the cellular antioxidant system.
In this study, we aimed to determine whether maternal diabetes inhibits nuclear factor erythroid 2-related factor 2 expression and nuclear factor erythroid 2-related factor 2-controlled antioxidant genes through the redox-sensitive miR-27a.
We used a well-established type 1 diabetic embryopathy mouse model induced by streptozotocin for our in vivo studies. Embryos at embryonic day 8.5 were harvested for analysis of nuclear factor erythroid 2-related factor 2, nuclear factor erythroid 2-related factor 2-controlled antioxidant genes, and miR-27a expression. To determine if mitigating oxidative stress inhibits the increase of miR-27a and the decrease of nuclear factor erythroid 2-related factor 2 expression, we induced diabetic embryopathy in superoxide dismutase 2 (mitochondrial-associated antioxidant gene)-overexpressing mice. This model exhibits reduced mitochondria reactive oxygen species even in the presence of hyperglycemia. To investigate the causal relationship between miR-27a and nuclear factor erythroid 2-related factor 2 in vitro, we examined C17.2 neural stem cells under normal and high-glucose conditions.
We observed that the messenger RNA and protein levels of nuclear factor erythroid 2-related factor 2 were significantly decreased in embryos on embryonic day 8.5 from diabetic dams compared to those from nondiabetic dams. High-glucose also significantly decreased nuclear factor erythroid 2-related factor 2 expression in a dose- and time-dependent manner in cultured neural stem cells. Our data revealed that miR-27a was up-regulated in embryos on embryonic day 8.5 exposed to diabetes, and that high glucose increased miR-27a levels in a dose- and time-dependent manner in cultured neural stem cells. In addition, we found that a miR-27a inhibitor abrogated the inhibitory effect of high glucose on nuclear factor erythroid 2-related factor 2 expression, and a miR-27a mimic suppressed nuclear factor erythroid 2-related factor 2 expression in cultured neural stem cells. Furthermore, our data indicated that the nuclear factor erythroid 2-related factor 2-controlled antioxidant enzymes glutamate-cysteine ligase catalytic subunit, glutamate-cysteine ligase modifier subunit, and glutathione S-transferase A1 were down-regulated by maternal diabetes in embryos on embryonic day 8.5 and high glucose in cultured neural stem cells. Inhibiting miR-27a restored expression of glutamate-cysteine ligase catalytic subunit, glutamate-cysteine ligase modifier subunit, and glutathione S-transferase A1. Overexpressing superoxide dismutase 2 reversed the maternal diabetes-induced increase of miR-27a and suppression of nuclear factor erythroid 2-related factor 2 and nuclear factor erythroid 2-related factor 2-controlled antioxidant enzymes.
Our study demonstrates that maternal diabetes-induced oxidative stress increases miR-27a, which, in turn, suppresses nuclear factor erythroid 2-related factor 2 and its responsive antioxidant enzymes, resulting in diabetic embryopathy.
母体糖尿病会诱发神经管缺陷,氧化应激是母体糖尿病诱发神经管缺陷的一个致病因素。氧化还原基因核因子红细胞2相关因子2是细胞抗氧化系统的主要调节因子。
在本研究中,我们旨在确定母体糖尿病是否通过氧化还原敏感的miR-27a抑制核因子红细胞2相关因子2的表达以及核因子红细胞2相关因子2调控的抗氧化基因。
我们使用通过链脲佐菌素诱导建立的1型糖尿病胚胎病小鼠模型进行体内研究。收集胚胎第8.5天的胚胎,用于分析核因子红细胞2相关因子2、核因子红细胞2相关因子2调控的抗氧化基因以及miR-27a的表达。为了确定减轻氧化应激是否会抑制miR-27a的增加和核因子红细胞2相关因子2表达的降低,我们在超氧化物歧化酶2(线粒体相关抗氧化基因)过表达的小鼠中诱导糖尿病胚胎病。即使在存在高血糖的情况下,该模型的线粒体活性氧也会减少。为了在体外研究miR-27a与核因子红细胞2相关因子2之间的因果关系,我们在正常和高糖条件下检测了C17.2神经干细胞。
我们观察到,与非糖尿病母鼠的胚胎相比,糖尿病母鼠胚胎第8.5天的核因子红细胞2相关因子2的信使核糖核酸和蛋白质水平显著降低。高糖也以剂量和时间依赖性方式显著降低培养的神经干细胞中核因子红细胞2相关因子2的表达。我们的数据显示,暴露于糖尿病的胚胎第8.5天的胚胎中miR-27a上调,并且高糖以剂量和时间依赖性方式增加培养的神经干细胞中miR-27a的水平。此外,我们发现miR-27a抑制剂消除了高糖对核因子红细胞2相关因子2表达的抑制作用,并且miR-27a模拟物在培养的神经干细胞中抑制核因子红细胞2相关因子2的表达。此外,我们的数据表明,核因子红细胞2相关因子2调控的抗氧化酶谷氨酸-半胱氨酸连接酶催化亚基、谷氨酸-半胱氨酸连接酶修饰亚基和谷胱甘肽S-转移酶A1在胚胎第8.5天被母体糖尿病下调,在培养的神经干细胞中被高糖下调。抑制miR-27a可恢复谷氨酸-半胱氨酸连接酶催化亚基、谷氨酸-半胱氨酸连接酶修饰亚基和谷胱甘肽S-转移酶A1的表达。过表达超氧化物歧化酶2可逆转母体糖尿病诱导的miR-27a增加以及核因子红细胞2相关因子2和核因子红细胞2相关因子2调控的抗氧化酶的抑制。
我们的研究表明母体糖尿病诱导的氧化应激增加miR-27a,进而抑制核因子红细胞2相关因子2及其反应性抗氧化酶,导致糖尿病胚胎病。