School of Medicine and Public Health, University of Newcastle, Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia.
School of Biomedical Science, Faculty of Medicine, University of Queensland, St Lucia, Queensland, Australia.
J Physiol. 2021 Feb;599(4):1291-1305. doi: 10.1113/JP280593. Epub 2020 Nov 15.
KEY POINTS: Mitochondrial dysfunction is known to occur in diabetic phenotypes including type 1 and 2 diabetes mellitus. The incidence of gestational diabetes mellitus (GDM) is increasing and defined as the onset of a diabetic phenotype during pregnancy. The role of placental mitochondria in the aetiology of GDM remains unclear and is an emerging area of research. Differing mitochondrial morphologies within the placenta may influence the pathogenesis of the disorder. This study observed mitochondrial dysfunction in GDM placenta when assessing whole tissue. Upon further investigation into mitochondrial isolates from the cytotrophoblast and syncytiotrophoblast, mitochondrial dysfunction appears exaggerated in syncytiotrophoblast. Assessing mitochondrial populations individually enabled the determination of differences between cell lineages of the placenta and established varying levels of mitochondrial dysfunction in GDM, in some instances establishing significance in pathways previously inconclusive or confounded when assessing whole tissue. This research lays the foundation for future work into mitochondrial dysfunction in the placenta and the role it may play in the aetiology of GDM. ABSTRACT: Mitochondrial dysfunction has been associated with diabetic phenotypes, yet the involvement of placental mitochondria in gestational diabetes mellitus (GDM) remains inconclusive. This is in part complicated by the different mitochondrial subpopulations present in the two major trophoblast cell lineages of the placenta. To better elucidate the role of mitochondria in this pathology, this study examined key aspects of mitochondrial function in placentas from healthy pregnancies and those complicated by GDM in both whole tissue and isolated mitochondria. Mitochondrial content, citrate synthase activity, reactive oxygen species production and gene expression regulating metabolic, hormonal and antioxidant control was examined in placental tissue, before examining functional differences between mitochondrial isolates from cytotrophoblast (Cyto-Mito) and syncytiotrophoblast (Syncytio-Mito). Our study observed evidence of mitochondrial dysfunction across multiple pathways when assessing whole placental tissue from GDM pregnancies compared with healthy controls. Furthermore, by examining isolated mitochondria from the cytotrophoblast and syncytiotrophoblast cell lineages of the placenta we established that although both mitochondrial populations were dysfunctional, they were differentially impacted. These data highlight the need to consider changes in mitochondrial subpopulations at the feto-maternal interface when studying pregnancy pathologies.
要点:线粒体功能障碍已知发生在包括 1 型和 2 型糖尿病在内的糖尿病表型中。妊娠糖尿病(GDM)的发病率正在增加,并定义为妊娠期间出现糖尿病表型。胎盘线粒体在 GDM 发病机制中的作用尚不清楚,这是一个新兴的研究领域。胎盘内不同的线粒体形态可能会影响疾病的发病机制。本研究在评估整个组织时观察到 GDM 胎盘的线粒体功能障碍。进一步研究从细胞滋养层和合体滋养层分离的线粒体,发现合体滋养层中线粒体功能障碍更为明显。单独评估线粒体群体能够确定胎盘细胞谱系之间的差异,并确定 GDM 中存在不同程度的线粒体功能障碍,在某些情况下,在评估整个组织时,以前不确定或混淆的途径建立了显著性。这项研究为胎盘线粒体功能障碍及其在 GDM 发病机制中的作用奠定了基础。
摘要:线粒体功能障碍与糖尿病表型有关,但胎盘线粒体在妊娠糖尿病(GDM)中的作用仍不确定。部分原因是胎盘的两个主要滋养层细胞谱系中存在不同的线粒体亚群。为了更好地阐明线粒体在这种病理中的作用,本研究在整个组织和分离的线粒体中检查了来自健康妊娠和 GDM 妊娠胎盘的线粒体功能的几个关键方面。在检查来自细胞滋养层(Cyto-Mito)和合体滋养层(Syncytio-Mito)的线粒体分离物的功能差异之前,检查了胎盘组织中线粒体含量、柠檬酸合酶活性、活性氧产生以及调节代谢、激素和抗氧化控制的基因表达。与健康对照组相比,我们的研究观察到在评估 GDM 妊娠胎盘的整个组织时,多个途径存在线粒体功能障碍的证据。此外,通过检查胎盘的细胞滋养层和合体滋养层细胞谱系中的分离线粒体,我们确定尽管两个线粒体群体都存在功能障碍,但它们受到的影响不同。这些数据强调了在研究妊娠病理时需要考虑胎-母体界面中线粒体亚群的变化。
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