Unfavorable effect of type 1 and type 2 diabetes on maternal and fetal essential fatty acid status : a potential marker of fetal insulin resistance

Pregestational maternal diabetes increases obesity and diabetes risks in the offspring. Both conditions are characterized by insulin resistance, and diabetes is associated with low membrane arachidonic (AA) and docosahexaenoic (DHA) acids. We investigated whether type 1 and type 2 diabetes in pregna...

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Veröffentlicht in:The American journal of clinical nutrition 2005-12, Vol.82 (6), p.1162-1168
Hauptverfasser: MIN, Yoeju, LOWY, Clara, GHEBREMESKEL, Kebreab, THOMAS, Beverley, OFFLEY-SHORE, Brigid, CRAWFORD, Michael
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container_issue 6
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container_title The American journal of clinical nutrition
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creator MIN, Yoeju
LOWY, Clara
GHEBREMESKEL, Kebreab
THOMAS, Beverley
OFFLEY-SHORE, Brigid
CRAWFORD, Michael
description Pregestational maternal diabetes increases obesity and diabetes risks in the offspring. Both conditions are characterized by insulin resistance, and diabetes is associated with low membrane arachidonic (AA) and docosahexaenoic (DHA) acids. We investigated whether type 1 and type 2 diabetes in pregnancy compromise maternal and fetal membrane essential fatty acids (FAs). We studied 39 nondiabetic (control subjects), 32 type 1 diabetic, and 17 type 2 diabetic pregnant women and the infants they delivered. Maternal and cord blood samples were obtained at midgestation and at delivery, respectively. Plasma triacylglycerols and choline phosphoglycerides and red blood cell (RBC) choline and ethanolamine phosphoglyceride FAs were assessed. The difference in maternal plasma triacylglycerol FAs between groups was not significant. However, the type 1 diabetes group had lower plasma choline phosphoglyceride DHA (3.7 +/- 0.9%; P < 0.01) than did the control group (5.2 +/- 1.6%). Likewise, RBC DHA was lower in the type 1 [choline: 3.4 +/- 1.5% (P < 0.01); ethanolamine: 5.9 +/- 2.5% (P < 0.05)] and type 2 [choline: 3.5 +/- 1.6% (P < 0.05)] diabetes groups than in the control group (choline: 5.5 +/- 2.2%; ethanolamine: 7.5 +/- 2.5%). Cord AA and DHA were lower in the plasma (type 1: P < 0.01) and RBC (type 2: P < 0.05) choline phosphoglycerides of the diabetics than of the control subjects, and cord RBC ethanolamine phosphoglycerides were lower in DHA (P < 0.05) in both diabetes groups than in the control group. Diabetes (either type) compromises maternal RBC DHA and cord plasma and RBC AA and DHA. The association of these 2 FAs with insulin sensitivity may mean that the current finding explains the higher incidence of insulin resistance and diabetes in the offspring of diabetic women.
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Both conditions are characterized by insulin resistance, and diabetes is associated with low membrane arachidonic (AA) and docosahexaenoic (DHA) acids. We investigated whether type 1 and type 2 diabetes in pregnancy compromise maternal and fetal membrane essential fatty acids (FAs). We studied 39 nondiabetic (control subjects), 32 type 1 diabetic, and 17 type 2 diabetic pregnant women and the infants they delivered. Maternal and cord blood samples were obtained at midgestation and at delivery, respectively. Plasma triacylglycerols and choline phosphoglycerides and red blood cell (RBC) choline and ethanolamine phosphoglyceride FAs were assessed. The difference in maternal plasma triacylglycerol FAs between groups was not significant. However, the type 1 diabetes group had lower plasma choline phosphoglyceride DHA (3.7 +/- 0.9%; P < 0.01) than did the control group (5.2 +/- 1.6%). Likewise, RBC DHA was lower in the type 1 [choline: 3.4 +/- 1.5% (P < 0.01); ethanolamine: 5.9 +/- 2.5% (P < 0.05)] and type 2 [choline: 3.5 +/- 1.6% (P < 0.05)] diabetes groups than in the control group (choline: 5.5 +/- 2.2%; ethanolamine: 7.5 +/- 2.5%). Cord AA and DHA were lower in the plasma (type 1: P < 0.01) and RBC (type 2: P < 0.05) choline phosphoglycerides of the diabetics than of the control subjects, and cord RBC ethanolamine phosphoglycerides were lower in DHA (P < 0.05) in both diabetes groups than in the control group. Diabetes (either type) compromises maternal RBC DHA and cord plasma and RBC AA and DHA. 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Apud cells (diseases) ; Endocrinopathies ; Erythrocyte Membrane - chemistry ; Erythrocyte Membrane - metabolism ; Fatty acids ; Fatty Acids, Essential - analysis ; Fatty Acids, Essential - blood ; Fatty Acids, Essential - metabolism ; Female ; Fetal Blood - chemistry ; Fetal Blood - metabolism ; Fetuses ; Glycerylphosphorylcholine - chemistry ; Humans ; Insulin Resistance - physiology ; Maternal-Fetal Exchange ; Medical sciences ; Phosphatidylethanolamines - chemistry ; Pregnancy ; Pregnancy in Diabetics - blood ; Pregnancy in Diabetics - metabolism ; Pregnancy Trimester, Second - blood ; Pregnancy Trimester, Second - metabolism ; Pregnancy Trimester, Third - blood ; Pregnancy Trimester, Third - metabolism ; Triglycerides - blood ; Triglycerides - chemistry</subject><ispartof>The American journal of clinical nutrition, 2005-12, Vol.82 (6), p.1162-1168</ispartof><rights>2006 INIST-CNRS</rights><rights>Copyright American Society for Clinical Nutrition, Inc. 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Both conditions are characterized by insulin resistance, and diabetes is associated with low membrane arachidonic (AA) and docosahexaenoic (DHA) acids. We investigated whether type 1 and type 2 diabetes in pregnancy compromise maternal and fetal membrane essential fatty acids (FAs). We studied 39 nondiabetic (control subjects), 32 type 1 diabetic, and 17 type 2 diabetic pregnant women and the infants they delivered. Maternal and cord blood samples were obtained at midgestation and at delivery, respectively. Plasma triacylglycerols and choline phosphoglycerides and red blood cell (RBC) choline and ethanolamine phosphoglyceride FAs were assessed. The difference in maternal plasma triacylglycerol FAs between groups was not significant. However, the type 1 diabetes group had lower plasma choline phosphoglyceride DHA (3.7 +/- 0.9%; P < 0.01) than did the control group (5.2 +/- 1.6%). Likewise, RBC DHA was lower in the type 1 [choline: 3.4 +/- 1.5% (P < 0.01); ethanolamine: 5.9 +/- 2.5% (P < 0.05)] and type 2 [choline: 3.5 +/- 1.6% (P < 0.05)] diabetes groups than in the control group (choline: 5.5 +/- 2.2%; ethanolamine: 7.5 +/- 2.5%). Cord AA and DHA were lower in the plasma (type 1: P < 0.01) and RBC (type 2: P < 0.05) choline phosphoglycerides of the diabetics than of the control subjects, and cord RBC ethanolamine phosphoglycerides were lower in DHA (P < 0.05) in both diabetes groups than in the control group. Diabetes (either type) compromises maternal RBC DHA and cord plasma and RBC AA and DHA. 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Impaired glucose tolerance</topic><topic>Docosahexaenoic Acids - analysis</topic><topic>Docosahexaenoic Acids - blood</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Erythrocyte Membrane - chemistry</topic><topic>Erythrocyte Membrane - metabolism</topic><topic>Fatty acids</topic><topic>Fatty Acids, Essential - analysis</topic><topic>Fatty Acids, Essential - blood</topic><topic>Fatty Acids, Essential - metabolism</topic><topic>Female</topic><topic>Fetal Blood - chemistry</topic><topic>Fetal Blood - metabolism</topic><topic>Fetuses</topic><topic>Glycerylphosphorylcholine - chemistry</topic><topic>Humans</topic><topic>Insulin Resistance - physiology</topic><topic>Maternal-Fetal Exchange</topic><topic>Medical sciences</topic><topic>Phosphatidylethanolamines - chemistry</topic><topic>Pregnancy</topic><topic>Pregnancy in Diabetics - blood</topic><topic>Pregnancy in Diabetics - metabolism</topic><topic>Pregnancy Trimester, Second - blood</topic><topic>Pregnancy Trimester, Second - metabolism</topic><topic>Pregnancy Trimester, Third - blood</topic><topic>Pregnancy Trimester, Third - metabolism</topic><topic>Triglycerides - blood</topic><topic>Triglycerides - chemistry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MIN, Yoeju</creatorcontrib><creatorcontrib>LOWY, Clara</creatorcontrib><creatorcontrib>GHEBREMESKEL, Kebreab</creatorcontrib><creatorcontrib>THOMAS, Beverley</creatorcontrib><creatorcontrib>OFFLEY-SHORE, Brigid</creatorcontrib><creatorcontrib>CRAWFORD, Michael</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>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MIN, Yoeju</au><au>LOWY, Clara</au><au>GHEBREMESKEL, Kebreab</au><au>THOMAS, Beverley</au><au>OFFLEY-SHORE, Brigid</au><au>CRAWFORD, Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unfavorable effect of type 1 and type 2 diabetes on maternal and fetal essential fatty acid status : a potential marker of fetal insulin resistance</atitle><jtitle>The American journal of clinical nutrition</jtitle><addtitle>Am J Clin Nutr</addtitle><date>2005-12-01</date><risdate>2005</risdate><volume>82</volume><issue>6</issue><spage>1162</spage><epage>1168</epage><pages>1162-1168</pages><issn>0002-9165</issn><eissn>1938-3207</eissn><coden>AJCNAC</coden><abstract><![CDATA[Pregestational maternal diabetes increases obesity and diabetes risks in the offspring. Both conditions are characterized by insulin resistance, and diabetes is associated with low membrane arachidonic (AA) and docosahexaenoic (DHA) acids. We investigated whether type 1 and type 2 diabetes in pregnancy compromise maternal and fetal membrane essential fatty acids (FAs). We studied 39 nondiabetic (control subjects), 32 type 1 diabetic, and 17 type 2 diabetic pregnant women and the infants they delivered. Maternal and cord blood samples were obtained at midgestation and at delivery, respectively. Plasma triacylglycerols and choline phosphoglycerides and red blood cell (RBC) choline and ethanolamine phosphoglyceride FAs were assessed. The difference in maternal plasma triacylglycerol FAs between groups was not significant. However, the type 1 diabetes group had lower plasma choline phosphoglyceride DHA (3.7 +/- 0.9%; P < 0.01) than did the control group (5.2 +/- 1.6%). Likewise, RBC DHA was lower in the type 1 [choline: 3.4 +/- 1.5% (P < 0.01); ethanolamine: 5.9 +/- 2.5% (P < 0.05)] and type 2 [choline: 3.5 +/- 1.6% (P < 0.05)] diabetes groups than in the control group (choline: 5.5 +/- 2.2%; ethanolamine: 7.5 +/- 2.5%). Cord AA and DHA were lower in the plasma (type 1: P < 0.01) and RBC (type 2: P < 0.05) choline phosphoglycerides of the diabetics than of the control subjects, and cord RBC ethanolamine phosphoglycerides were lower in DHA (P < 0.05) in both diabetes groups than in the control group. Diabetes (either type) compromises maternal RBC DHA and cord plasma and RBC AA and DHA. The association of these 2 FAs with insulin sensitivity may mean that the current finding explains the higher incidence of insulin resistance and diabetes in the offspring of diabetic women.]]></abstract><cop>Bethesda, MD</cop><pub>American Society for Clinical Nutrition</pub><pmid>16332647</pmid><doi>10.1093/ajcn/82.6.1162</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Arachidonic Acid - analysis
Arachidonic Acid - blood
Associated diseases and complications
Biological and medical sciences
Biomarkers - blood
Case-Control Studies
Diabetes
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - metabolism
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - metabolism
Diabetes. Impaired glucose tolerance
Docosahexaenoic Acids - analysis
Docosahexaenoic Acids - blood
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Erythrocyte Membrane - chemistry
Erythrocyte Membrane - metabolism
Fatty acids
Fatty Acids, Essential - analysis
Fatty Acids, Essential - blood
Fatty Acids, Essential - metabolism
Female
Fetal Blood - chemistry
Fetal Blood - metabolism
Fetuses
Glycerylphosphorylcholine - chemistry
Humans
Insulin Resistance - physiology
Maternal-Fetal Exchange
Medical sciences
Phosphatidylethanolamines - chemistry
Pregnancy
Pregnancy in Diabetics - blood
Pregnancy in Diabetics - metabolism
Pregnancy Trimester, Second - blood
Pregnancy Trimester, Second - metabolism
Pregnancy Trimester, Third - blood
Pregnancy Trimester, Third - metabolism
Triglycerides - blood
Triglycerides - chemistry
title Unfavorable effect of type 1 and type 2 diabetes on maternal and fetal essential fatty acid status : a potential marker of fetal insulin resistance
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