Differential regulation of genes for fetoplacental lipid pathways in pregnancy with gestational and type 1 diabetes mellitus

Objective Changes in metabolic homeostasis in pregnant diabetic women are potential determinants of increased adiposity of the fetus. The aim of this study was to characterize diabetes mellitus-induced changes in genes for fetoplacental energy metabolism in relation to fetal adiposity. Study Design...

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Veröffentlicht in:American journal of obstetrics and gynecology 2009-08, Vol.201 (2), p.209.e1-209.e10
Hauptverfasser: Radaelli, Tatiana, MD, Lepercq, Jacques, MD, Varastehpour, Ali, MS, Basu, Subhabrata, MS, Catalano, Patrick M., MD, Hauguel-De Mouzon, Sylvie, PhD
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container_end_page 209.e10
container_issue 2
container_start_page 209.e1
container_title American journal of obstetrics and gynecology
container_volume 201
creator Radaelli, Tatiana, MD
Lepercq, Jacques, MD
Varastehpour, Ali, MS
Basu, Subhabrata, MS
Catalano, Patrick M., MD
Hauguel-De Mouzon, Sylvie, PhD
description Objective Changes in metabolic homeostasis in pregnant diabetic women are potential determinants of increased adiposity of the fetus. The aim of this study was to characterize diabetes mellitus-induced changes in genes for fetoplacental energy metabolism in relation to fetal adiposity. Study Design Placentas of women with type 1 diabetes mellitus, gestational diabetes mellitus (GDM), or no complications were analyzed by microarray profiling. The pattern of gene expression was assessed in primary placental cell cultures. Results Diabetes mellitus was associated with 49 alterations in gene expression at key steps in placental energy metabolism, with 67% of the alterations related to lipid pathways and 9% of the alterations related to glucose pathways. Preferential activation of lipid genes was observed in pregnancy with GDM. Type 1 diabetes mellitus induced fewer lipid modifications but an enhancement of glycosylation and acylation pathways. Oleate enhanced expression of genes for fatty acid esterification and the formation of lipid droplets 3 times as much as glucose in cultured placental cells. Conclusion These results point to fatty acids as preferential lipogenic substrates for placental cells and suggest that genes for fetoplacental lipid metabolism are enhanced selectively in GDM. The recruited genes may be instrumental in increasing transplacental lipid fluxes and the delivery of lipid substrates for fetal use.
doi_str_mv 10.1016/j.ajog.2009.04.019
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The aim of this study was to characterize diabetes mellitus-induced changes in genes for fetoplacental energy metabolism in relation to fetal adiposity. Study Design Placentas of women with type 1 diabetes mellitus, gestational diabetes mellitus (GDM), or no complications were analyzed by microarray profiling. The pattern of gene expression was assessed in primary placental cell cultures. Results Diabetes mellitus was associated with 49 alterations in gene expression at key steps in placental energy metabolism, with 67% of the alterations related to lipid pathways and 9% of the alterations related to glucose pathways. Preferential activation of lipid genes was observed in pregnancy with GDM. Type 1 diabetes mellitus induced fewer lipid modifications but an enhancement of glycosylation and acylation pathways. Oleate enhanced expression of genes for fatty acid esterification and the formation of lipid droplets 3 times as much as glucose in cultured placental cells. Conclusion These results point to fatty acids as preferential lipogenic substrates for placental cells and suggest that genes for fetoplacental lipid metabolism are enhanced selectively in GDM. The recruited genes may be instrumental in increasing transplacental lipid fluxes and the delivery of lipid substrates for fetal use.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2009.04.019</identifier><identifier>PMID: 19560108</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adipose Tissue - physiology ; Adult ; Biological and medical sciences ; Blood Glucose - genetics ; Blood Glucose - metabolism ; Cells, Cultured ; diabetes mellitus ; Diabetes Mellitus, Type 1 - genetics ; Diabetes Mellitus, Type 1 - metabolism ; Diabetes, Gestational - genetics ; Diabetes, Gestational - metabolism ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Energy Metabolism - genetics ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Female ; fetus ; Fetus - physiology ; Gene Expression Profiling ; Gene Expression Regulation, Developmental - physiology ; Gynecology. Andrology. 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The aim of this study was to characterize diabetes mellitus-induced changes in genes for fetoplacental energy metabolism in relation to fetal adiposity. Study Design Placentas of women with type 1 diabetes mellitus, gestational diabetes mellitus (GDM), or no complications were analyzed by microarray profiling. The pattern of gene expression was assessed in primary placental cell cultures. Results Diabetes mellitus was associated with 49 alterations in gene expression at key steps in placental energy metabolism, with 67% of the alterations related to lipid pathways and 9% of the alterations related to glucose pathways. Preferential activation of lipid genes was observed in pregnancy with GDM. Type 1 diabetes mellitus induced fewer lipid modifications but an enhancement of glycosylation and acylation pathways. Oleate enhanced expression of genes for fatty acid esterification and the formation of lipid droplets 3 times as much as glucose in cultured placental cells. 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Obstetrics</topic><topic>Homeostasis - genetics</topic><topic>human</topic><topic>Humans</topic><topic>Lipid Metabolism - genetics</topic><topic>Medical sciences</topic><topic>metabolism</topic><topic>obesity</topic><topic>Obesity - genetics</topic><topic>Obesity - metabolism</topic><topic>Obstetrics and Gynecology</topic><topic>Oligonucleotide Array Sequence Analysis</topic><topic>placenta</topic><topic>Placenta - cytology</topic><topic>Placenta - physiology</topic><topic>Pregnancy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Radaelli, Tatiana, MD</creatorcontrib><creatorcontrib>Lepercq, Jacques, MD</creatorcontrib><creatorcontrib>Varastehpour, Ali, MS</creatorcontrib><creatorcontrib>Basu, Subhabrata, MS</creatorcontrib><creatorcontrib>Catalano, Patrick M., MD</creatorcontrib><creatorcontrib>Hauguel-De Mouzon, Sylvie, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Radaelli, Tatiana, MD</au><au>Lepercq, Jacques, MD</au><au>Varastehpour, Ali, MS</au><au>Basu, Subhabrata, MS</au><au>Catalano, Patrick M., MD</au><au>Hauguel-De Mouzon, Sylvie, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differential regulation of genes for fetoplacental lipid pathways in pregnancy with gestational and type 1 diabetes mellitus</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>201</volume><issue>2</issue><spage>209.e1</spage><epage>209.e10</epage><pages>209.e1-209.e10</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective Changes in metabolic homeostasis in pregnant diabetic women are potential determinants of increased adiposity of the fetus. The aim of this study was to characterize diabetes mellitus-induced changes in genes for fetoplacental energy metabolism in relation to fetal adiposity. Study Design Placentas of women with type 1 diabetes mellitus, gestational diabetes mellitus (GDM), or no complications were analyzed by microarray profiling. The pattern of gene expression was assessed in primary placental cell cultures. Results Diabetes mellitus was associated with 49 alterations in gene expression at key steps in placental energy metabolism, with 67% of the alterations related to lipid pathways and 9% of the alterations related to glucose pathways. Preferential activation of lipid genes was observed in pregnancy with GDM. Type 1 diabetes mellitus induced fewer lipid modifications but an enhancement of glycosylation and acylation pathways. Oleate enhanced expression of genes for fatty acid esterification and the formation of lipid droplets 3 times as much as glucose in cultured placental cells. 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subjects Adipose Tissue - physiology
Adult
Biological and medical sciences
Blood Glucose - genetics
Blood Glucose - metabolism
Cells, Cultured
diabetes mellitus
Diabetes Mellitus, Type 1 - genetics
Diabetes Mellitus, Type 1 - metabolism
Diabetes, Gestational - genetics
Diabetes, Gestational - metabolism
Diabetes. Impaired glucose tolerance
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Energy Metabolism - genetics
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
fetus
Fetus - physiology
Gene Expression Profiling
Gene Expression Regulation, Developmental - physiology
Gynecology. Andrology. Obstetrics
Homeostasis - genetics
human
Humans
Lipid Metabolism - genetics
Medical sciences
metabolism
obesity
Obesity - genetics
Obesity - metabolism
Obstetrics and Gynecology
Oligonucleotide Array Sequence Analysis
placenta
Placenta - cytology
Placenta - physiology
Pregnancy
title Differential regulation of genes for fetoplacental lipid pathways in pregnancy with gestational and type 1 diabetes mellitus
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