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      Exposure to maternal obesity programs sex differences in pancreatic islets of the offspring in mice

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          Abstract

          Aims/hypothesis

          Obesity during pregnancy increases offspring type 2 diabetes risk. Given that nearly half of women of child-bearing age in many populations are currently overweight/obese, it is key that we improve our understanding of the impact of the in utero/early life environment on offspring islet function. Whilst a number of experimental studies have examined the effect of maternal obesity on offspring islet architecture and/or function, it has not previously been delineated whether these changes are independent of other confounding risk factors such as obesity, postnatal high-fat-feeding and ageing. Thus, we aimed to study the impact of exposure to maternal obesity on offspring islets in young, glucose-tolerant male and female offspring.

          Methods

          Female C57BL/6J mice were fed ad libitum either chow or obesogenic diet prior to and throughout pregnancy and lactation. Offspring were weaned onto a chow diet and remained on this diet until the end of the study. An IPGTT was performed on male and female offspring at 7 weeks of age. At 8 weeks of age, pancreatic islets were isolated from offspring for measurement of insulin secretion and content, mitochondrial respiration, ATP content, reactive oxygen species levels, beta and alpha cell mass, granule and mitochondrial density (by transmission electron microscopy), and mRNA and protein expression by real-time RT-PCR and Western blotting, respectively.

          Results

          Glucose tolerance was similar irrespective of maternal diet and offspring sex. However, blood glucose was lower ( p < 0.001) and plasma insulin higher ( p < 0.05) in female offspring of obese dams 15 min after glucose administration. This was associated with higher glucose- ( p < 0.01) and leucine/glutamine-stimulated ( p < 0.05) insulin secretion in these offspring. Furthermore, there was increased mitochondrial respiration ( p < 0.01) and density ( p < 0.05) in female offspring of obese dams compared with same-sex controls. Expression of mitochondrial and nuclear-encoded components of the electron transport chain, L-type Ca 2+ channel subtypes that play a key role in stimulus-secretion coupling [ Cacna1d ( p < 0.05)], and oestrogen receptor α ( p < 0.05) was also increased in islets from these female offspring of obese dams. Moreover, cleaved caspase-3 expression and BAX:Bcl-2 were decreased ( p < 0.05) reflecting reduced susceptibility to apoptosis. In contrast, in male offspring, glucose and leucine/glutamine-stimulated insulin secretion was comparable between treatment groups. There was, however, compromised mitochondrial respiration characterised by decreased ATP synthesis-driven respiration ( p < 0.05) and increased uncoupled respiration ( p < 0.01), reduced docked insulin granules ( p < 0.001), decreased Cacna1c ( p < 0.001) and Cacna1d ( p < 0.001) and increased cleaved caspase-3 expression ( p < 0.05).

          Conclusions/interpretation

          Maternal obesity programs sex differences in offspring islet function. Islets of female but not male offspring appear to be primed to cope with a nutritionally-rich postnatal environment, which may reflect differences in future type 2 diabetes risk.

          Electronic supplementary material

          The online version of this article (10.1007/s00125-019-05037-y) contains peer-reviewed but unedited supplementary material, which is available to authorised users.

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          Most cited references43

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          Bcl-2 heterodimerizes in vivo with a conserved homolog, Bax, that accelerates programmed cell death.

          Bcl-2 protein is able to repress a number of apoptotic death programs. To investigate the mechanism of Bcl-2's effect, we examined whether Bcl-2 interacted with other proteins. We identified an associated 21 kd protein partner, Bax, that has extensive amino acid homology with Bcl-2, focused within highly conserved domains I and II. Bax is encoded by six exons and demonstrates a complex pattern of alternative RNA splicing that predicts a 21 kd membrane (alpha) and two forms of cytosolic protein (beta and gamma). Bax homodimerizes and forms heterodimers with Bcl-2 in vivo. Overexpressed Bax accelerates apoptotic death induced by cytokine deprivation in an IL-3-dependent cell line. Overexpressed Bax also counters the death repressor activity of Bcl-2. These data suggest a model in which the ratio of Bcl-2 to Bax determines survival or death following an apoptotic stimulus.
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            Intrauterine exposure to diabetes conveys risks for type 2 diabetes and obesity: a study of discordant sibships.

            Intrauterine exposure to diabetes is associated with an excess of diabetes and obesity in the offspring, but the effects of intrauterine exposure are confounded by genetic factors. To determine the role of the intrauterine diabetic environment per se, the prevalence of diabetes and the mean BMI were compared in siblings born before and after their mother was recognized as having diabetes. Nuclear families in which at least one sibling was born before and one after the mother was diagnosed with type 2 diabetes were selected. Consequently, the siblings born before and after differed in their exposure to diabetes in utero. A total of 58 siblings from 19 families in which at least one sibling had diabetes were examined at similar ages (within 3 years). The risk of diabetes was significantly higher in siblings born after the mother developed diabetes than in those born before the mother's diagnosis of diabetes (odds ratio 3.7, P = 0.02). In 52 families, among 183 siblings without diabetes, the mean BMI was 2.6 kg/m2 higher in offspring of diabetic than in offspring of nondiabetic pregnancies (P = 0.003). In contrast, there were no significant differences in risk of diabetes or BMI between offspring born before and after the father was diagnosed with diabetes. Intrauterine exposure to diabetes per se conveys a high risk for the development of diabetes and obesity in offspring in excess of risk attributable to genetic factors alone.
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              Mitochondrial metabolism of reactive oxygen species

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                Author and article information

                Contributors
                niclm002@gmail.com
                Journal
                Diabetologia
                Diabetologia
                Diabetologia
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                0012-186X
                1432-0428
                26 November 2019
                26 November 2019
                2020
                : 63
                : 2
                : 324-337
                Affiliations
                [1 ]GRID grid.120073.7, ISNI 0000 0004 0622 5016, University of Cambridge Metabolic Research Laboratories and MRC Metabolic Diseases Unit, Wellcome Trust-MRC Institute of Metabolic Science, Level 4, Addenbrooke’s Treatment Centre, Addenbrooke’s Hospital, ; Cambridge, CB2 0QQ UK
                [2 ]GRID grid.411843.b, ISNI 0000 0004 0623 9987, Unit of Islet Cell Exocytosis, Department of Clinical Sciences Malmö, Lund University Diabetes Centre, CRC, Skåne University Hospital, ; Malmö, Sweden
                Author information
                http://orcid.org/0000-0003-1976-1953
                Article
                5037
                10.1007/s00125-019-05037-y
                6946752
                31773193
                e65ff678-6325-403f-846a-78af8b746240
                © The Author(s) 2019

                Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

                History
                : 11 July 2019
                : 2 October 2019
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100004359, Vetenskapsrådet;
                Award ID: LUDC 349-2006-237
                Funded by: FundRef http://dx.doi.org/10.13039/501100004815, Isaac Newton Trust;
                Award ID: 17.37(l)
                Funded by: FundRef http://dx.doi.org/10.13039/501100000274, British Heart Foundation;
                Award ID: RG/17/12/33167
                Funded by: FundRef http://dx.doi.org/10.13039/501100008546, Diabetesförbundet;
                Award ID: DIA2016-130
                Funded by: FundRef http://dx.doi.org/10.13039/501100012529, Insamlingsstiftelsen Diabetes Wellness Network Sverige;
                Award ID: 25-505 PG
                Funded by: FundRef http://dx.doi.org/10.13039/501100000268, Biotechnology and Biological Sciences Research Council;
                Award ID: BB/M001636/1
                Funded by: FundRef http://dx.doi.org/10.13039/501100001729, Stiftelsen för Strategisk Forskning;
                Award ID: LUDC-IRC
                Funded by: FundRef http://dx.doi.org/10.13039/501100008644, Japan Diabetes Society;
                Funded by: FundRef http://dx.doi.org/10.13039/501100001648, European Foundation for the Study of Diabetes;
                Funded by: FundRef http://dx.doi.org/10.13039/501100000382, Society for Endocrinology;
                Funded by: FundRef http://dx.doi.org/10.13039/501100000265, Medical Research Council;
                Award ID: MC_UU_12012/4
                Funded by: FundRef http://dx.doi.org/10.13039/501100000925, National Health and Medical Research Council;
                Award ID: GNT1092158
                Funded by: FundRef http://dx.doi.org/10.13039/501100000273, Diabetes Research & Wellness Foundation;
                Categories
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                Custom metadata
                © Springer-Verlag GmbH Germany, part of Springer Nature 2020

                Endocrinology & Diabetes
                beta cell,islets,maternal obesity,type 2 diabetes
                Endocrinology & Diabetes
                beta cell, islets, maternal obesity, type 2 diabetes

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