Periconception onset diabetes is associated with embryopathy and fetal growth retardation, reproductive tract hyperglycosylation and impaired immune adaptation to pregnancy

Sci Rep. 2018 Feb 1;8(1):2114. doi: 10.1038/s41598-018-19263-8.

Abstract

Diabetes has been linked with impaired fertility but the underlying mechanisms are not well defined. Here we use a streptozotocin-induced diabetes mouse model to investigate the cellular and biochemical changes in conceptus and maternal tissues that accompany hyperglycaemia. We report that streptozotocin treatment before conception induces profound intra-cellular protein β-O-glycosylation (O-GlcNAc) in the oviduct and uterine epithelium, prominent in early pregnancy. Diabetic mice have impaired blastocyst development and reduced embryo implantation rates, and delayed mid-gestation growth and development. Peri-conception changes are accompanied by increased expression of pro-inflammatory cytokine Trail, and a trend towards increased Il1a, Tnf and Ifng in the uterus, and changes in local T-cell dynamics that skew the adaptive immune response to pregnancy, resulting in 60% fewer anti-inflammatory regulatory T-cells within the uterus-draining lymph nodes. Activation of the heat shock chaperones, a mechanism for stress deflection, was evident in the reproductive tract. Additionally, we show that the embryo exhibits elevated hyper-O-GlcNAcylation of both cytoplasmic and nuclear proteins, associated with activation of DNA damage (ɣH2AX) pathways. These results advance understanding of the impact of peri-conception diabetes, and provide a foundation for designing interventions to support healthy conception without propagation of disease legacy to offspring.

MeSH terms

  • Animals
  • Diabetes Mellitus, Experimental / complications*
  • Diabetes Mellitus, Experimental / physiopathology
  • Embryo, Mammalian / immunology
  • Embryo, Mammalian / metabolism
  • Embryo, Mammalian / pathology*
  • Embryonic Development
  • Female
  • Fertilization*
  • Fetal Growth Retardation / etiology*
  • Fetal Growth Retardation / metabolism
  • Fetal Growth Retardation / pathology
  • Glycosylation
  • Mice
  • Mice, Inbred C57BL
  • Pregnancy
  • Pregnancy Complications / etiology*
  • Pregnancy Complications / metabolism
  • Pregnancy Complications / pathology
  • Pregnancy in Diabetics / physiopathology*
  • Reproduction
  • Uterus / immunology
  • Uterus / metabolism
  • Uterus / pathology*