Department of Physiology, Anatomy and Microbiology, La Trobe University, Bundoora, VIC, 3083, Australia; Department of Physiology, The University of Melbourne, Parkville, VIC, 3010, Australia.
School of Biomedical Sciences, The University of Queensland, St. Lucia, QLD, 4072, Australia.
Placenta. 2021 Jan 15;104:57-70. doi: 10.1016/j.placenta.2020.11.006. Epub 2020 Nov 18.
Fetal growth restriction complicates 10% of pregnancies and increases offspring (F1) risk of metabolic disorders, including obesity and gestational diabetes mellitus (GDM). This disease predisposition can be passed onto the next generation (F2). Importantly, the risk of pregnancy complications in obese women can be exacerbated by a stressful pregnancy. Exercise can reduce adiposity and improve health outcomes in obese women and those with GDM. This study investigated the impacts of maternal growth restriction, obesity, exercise, and stress on fetal and placental endocrine function.
Uteroplacental insufficiency (Restricted) or sham (Control) surgery was induced on embryonic day (E) 18 in F0 Wistar-Kyoto rats. F1 offspring were fed a Chow or High-fat (HFD) diet from weaning and, at 16 weeks, were randomly allocated an exercise protocol; Sedentary, Exercised prior to and during pregnancy (Exercise), or Exercised only during pregnancy (PregEx). Females were mated and further randomly allocated to either undergo (Stress), or not undergo (Unstressed), physiological measurements during pregnancy. On E20, F2 fetal plasma (steroid hormones), tissues (brain, liver), and placentae (morphology, stress genes) were collected.
Maternal growth restriction and high-fat feeding had minimal impact on fetoplacental endocrine function. PregEx and Exercise increased cross-sectional labyrinth and junctional zone areas. PregEx, but not Exercise, increased fetal deoxycorticosterone concentrations and reduced placental Hsd11b2 and Nr3c2 gene abundance. Maternal stress increased fetal corticosterone concentrations in Sedentary HFD dams and increased placental cross-sectional areas in PregEx mothers.
PregEx and Stress independently dysregulates the endocrine status of the developing fetus, which may program future disease.
胎儿生长受限使 10%的妊娠复杂化,并增加后代(F1)患代谢紊乱的风险,包括肥胖和妊娠糖尿病(GDM)。这种疾病易感性可以遗传给下一代(F2)。重要的是,肥胖妇女的妊娠并发症风险会因妊娠压力而加剧。运动可以减少肥胖妇女和 GDM 患者的肥胖,并改善健康结果。本研究调查了母体生长受限、肥胖、运动和应激对胎儿和胎盘内分泌功能的影响。
在 F0 雄性 Wistar-Kyoto 大鼠胚胎第 18 天(E)进行子宫胎盘不足(受限)或假手术(对照)。F1 后代从断奶开始分别喂食标准饮食或高脂肪饮食(HFD),并在 16 周时随机分配运动方案;久坐、妊娠前和妊娠期间运动(运动)或仅妊娠期间运动(妊娠运动)。雌性大鼠交配并进一步随机分为在妊娠期间进行(应激)或不进行(未应激)生理测量。在 E20 时,收集 F2 胎儿血浆(甾体激素)、组织(脑、肝)和胎盘(形态、应激基因)。
母体生长受限和高脂肪喂养对胎胎盘内分泌功能影响很小。妊娠运动和运动增加了横截面积的迷路和连接区。妊娠运动增加了胎儿脱氧皮质酮浓度,但运动不会增加胎盘 Hsd11b2 和 Nr3c2 基因丰度。应激增加了 Sedentary HFD 母鼠胎儿皮质酮浓度,并增加了妊娠运动母亲胎盘的横截面积。
妊娠运动和应激独立地扰乱了发育中胎儿的内分泌状态,这可能会导致未来的疾病。