Department of Obstetrics and Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China; Chongqing Key Laboratory of Maternal and Fetal Medicine, Chongqing Medical University, Chongqing, China.
Chongqing Key Laboratory of Maternal and Fetal Medicine, Chongqing Medical University, Chongqing, China.
Free Radic Biol Med. 2024 Sep;222:424-436. doi: 10.1016/j.freeradbiomed.2024.06.029. Epub 2024 Jul 2.
Abnormal polarization of adipose tissue macrophages (ATMs) results in low-grade systemic inflammation and insulin resistance (IR), potentially contributing to the development of diabetes. However, the underlying mechanisms that regulate the polarization of ATMs associated with gestational diabetes mellitus (GDM) remain unclear. Thus, we aimed to determine the effects of abnormal fatty acids on macrophage polarization and development of insulin resistance in GDM. Levels of fatty acids and inflammation were assessed in the serum samples and adipose tissues of patients with GDM. An in vitro cell model treated with palmitic acid was established, and the mechanisms of palmitic acid in regulating macrophage polarization was clarified. The effects of excessive palmitic acid on the regulation of histone methylations and IR were also explored in the high-fat diet induced GDM mice model. We found that pregnancies with GDM were associated with increased levels of serum fatty acids, and inflammation and IR in adipose tissues. Increased palmitic acid could induce mitochondrial dysfunction and excessive ROS levels in macrophages, leading to abnormal cytoplasmic and nuclear metabolism of succinate and α-ketoglutarate (αKG). Specifically, a decreased nuclear αKG/succinate ratio could attenuate the enrichment of H3K27me3 at the promoters of pro-inflammatory cytokines, such as IL-1β, IL-6, and TNF-α, leading to cytokine secretion. Importantly, GDM mice treated with GSK-J4, an inhibitor of histone lysine demethylase, were protected from abnormal pro-inflammatory macrophage polarization and excessive production of pro-inflammatory cytokines. Our findings highlight the importance of the metabolism of αKG and succinate as transcriptional modulators in regulating the polarization of ATMs and the insulin sensitivity of adipose tissue, ensuring a normal pregnancy. This novel insight sheds new light on gestational fatty acid metabolism and epigenetic alterations associated with GDM.
脂肪组织巨噬细胞(ATMs)极化异常导致低度全身炎症和胰岛素抵抗(IR),可能导致糖尿病的发生。然而,调节与妊娠糖尿病(GDM)相关的 ATMs 极化的潜在机制尚不清楚。因此,我们旨在确定异常脂肪酸对 GDM 中巨噬细胞极化和胰岛素抵抗发展的影响。评估了 GDM 患者血清样本和脂肪组织中的脂肪酸和炎症水平。建立了用棕榈酸处理的体外细胞模型,并阐明了棕榈酸调节巨噬细胞极化的机制。还在高脂肪饮食诱导的 GDM 小鼠模型中探讨了过量棕榈酸对调节组蛋白甲基化和 IR 的影响。我们发现,患有 GDM 的妊娠与血清脂肪酸水平升高、脂肪组织炎症和 IR 有关。增加的棕榈酸可诱导巨噬细胞中线粒体功能障碍和过量 ROS 水平,导致琥珀酸和α-酮戊二酸(αKG)的细胞质和核代谢异常。具体而言,核 αKG/琥珀酸比值降低可减弱促炎细胞因子(如 IL-1β、IL-6 和 TNF-α)启动子上 H3K27me3 的富集,导致细胞因子分泌。重要的是,用组蛋白赖氨酸去甲基酶抑制剂 GSK-J4 处理的 GDM 小鼠可防止异常促炎巨噬细胞极化和促炎细胞因子的过度产生。我们的研究结果强调了 αKG 和琥珀酸代谢作为转录调节剂在调节 ATMs 极化和脂肪组织胰岛素敏感性中的重要性,以确保正常妊娠。这一新的见解为与 GDM 相关的妊娠脂肪酸代谢和表观遗传改变提供了新的思路。
Mol Cell Endocrinol. 2013-9-17