Schroeder R E, Rajakumar P A, Devaskar S U
Department of Pediatrics, St. Louis University School of Medicine, Missouri 63110, USA.
Pediatr Res. 1997 Mar;41(3):346-52. doi: 10.1203/00006450-199703000-00007.
Glucose, an essential substrate for brain oxidative metabolism, is transported across the blood-brain barrier and into neuronal and glial cells via Glut 1 and Glut 3 facilitative glucose transporter isoforms. To examine the effect of excessive circulating glucose on fetal brain glucose transporter expression, we investigated the effect of streptozotocin-induced maternal diabetes (SEVERE-D; n = 29) on the 20-d gestation fetal rat brain Glut 1 and Glut 3. We studied the effect of streptozotocin alone (STZ-ND; n = 12) in a nondiabetic state as well, along with vehicle injected controls (C; n = 24). In the presence of fetal hyperglycemia (12.63 +/- 0.82 nM-SEVERE-D versus 2.35 +/- 0.28-STZ-ND and 2.42 +/- 0.16-C; p < 0.001) and hypoinsulinemia (0.38 +/- 0.03 nM-SEVERE-D versus 0.50 +/- 0.07-STZ-ND and 0.55 +/- 0.06-C; p < 0.02), no detectable change in fetal brain Glut 1 and Glut 3 pretranslational expression (transcription/elongation rates and corresponding steady state mRNA levels) was noted when simultaneously compared with the STZ-ND and C groups. In contrast, a trend toward a decline in Glut 1 (approximately 25 to 30%, p = 0.05) and a substantive decrease in Glut 3 (approximately 35 to 50%, p = 0.0006) protein concentrations was present in both the STZ-ND and SEVERE-D groups when compared with the C group. These observations support a chemical effect of streptozotocin independent of maternal diabetes upon the translation or posttranslational processing of fetal brain glucose transporters. Maternal diabetes with fetal hyperglycemia, however, failed to substantively alter fetal brain glucose transporters independent of the streptozotocin effects upon neuroectodermally derived tissues. We conclude that maternal diabetes with associated overt fetal hyperglycemia does not significantly change fetal brain glucose transporter levels.
葡萄糖是大脑氧化代谢的重要底物,它通过葡萄糖转运蛋白1(Glut 1)和葡萄糖转运蛋白3(Glut 3)这两种易化型葡萄糖转运异构体穿过血脑屏障,进入神经元和神经胶质细胞。为了研究循环葡萄糖过多对胎儿脑葡萄糖转运蛋白表达的影响,我们调查了链脲佐菌素诱导的母体糖尿病(重度糖尿病组;n = 29)对妊娠20天的胎鼠脑Glut 1和Glut 3的影响。我们还研究了单独使用链脲佐菌素(非糖尿病链脲佐菌素组;n = 12)在非糖尿病状态下的影响,以及注射赋形剂的对照组(对照组;n = 24)。在存在胎儿高血糖(重度糖尿病组为12.63±0.82 nM,非糖尿病链脲佐菌素组为2.35±0.28,对照组为2.42±0.16;p < 0.001)和低胰岛素血症(重度糖尿病组为0.38±0.03 nM,非糖尿病链脲佐菌素组为0.50±0.07,对照组为0.55±0.06;p < 0.02)的情况下,与非糖尿病链脲佐菌素组和对照组同时比较时,未发现胎儿脑Glut 1和Glut 3的翻译前表达(转录/延伸率和相应的稳态mRNA水平)有可检测到的变化。相反,与对照组相比,非糖尿病链脲佐菌素组和重度糖尿病组的Glut 1蛋白浓度均有下降趋势(约25%至30%,p = 0.05),Glut 3蛋白浓度则有显著下降(约35%至50%,p = 0.0006)。这些观察结果支持链脲佐菌素对胎儿脑葡萄糖转运蛋白的翻译或翻译后加工具有独立于母体糖尿病的化学作用。然而,伴有胎儿高血糖的母体糖尿病未能实质性改变胎儿脑葡萄糖转运蛋白,这与链脲佐菌素对神经外胚层来源组织的影响无关。我们得出结论,伴有明显胎儿高血糖的母体糖尿病不会显著改变胎儿脑葡萄糖转运蛋白水平。