Excessive Glucocorticoids During Pregnancy Impair Fetal Brown Fat Development and Predispose Offspring to Metabolic Dysfunctions

Diabetes. 2020 Aug;69(8):1662-1674. doi: 10.2337/db20-0009. Epub 2020 May 14.

Abstract

Maternal stress during pregnancy exposes fetuses to hyperglucocorticoids, which increases the risk of metabolic dysfunctions in offspring. Despite being a key tissue for maintaining metabolic health, the impacts of maternal excessive glucocorticoids (GC) on fetal brown adipose tissue (BAT) development and its long-term thermogenesis and energy expenditure remain unexamined. For testing, pregnant mice were administered dexamethasone (DEX), a synthetic GC, in the last trimester of gestation, when BAT development is the most active. DEX offspring had glucose, insulin resistance, and adiposity and also displayed cold sensitivity following cold exposure. In BAT of DEX offspring, Ppargc1a expression was suppressed, together with reduced mitochondrial density, and the brown progenitor cells sorted from offspring BAT demonstrated attenuated brown adipogenic capacity. Increased DNA methylation in Ppargc1a promoter had a fetal origin; elevated DNA methylation was also detected in neonatal BAT and brown progenitors. Mechanistically, fetal GC exposure increased GC receptor/DNMT3b complex in binding to the Ppargc1a promoter, potentially driving its de novo DNA methylation and transcriptional silencing, which impaired fetal BAT development. In summary, maternal GC exposure during pregnancy increases DNA methylation in the Ppargc1a promoter, which epigenetically impairs BAT thermogenesis and energy expenditure, predisposing offspring to metabolic dysfunctions.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adipogenesis / drug effects
  • Adipogenesis / genetics
  • Adipose Tissue, Brown / drug effects
  • Adipose Tissue, Brown / metabolism*
  • Adiposity / drug effects
  • Adiposity / genetics
  • Animals
  • Blotting, Western
  • Body Temperature
  • Calorimetry, Indirect
  • Cell Proliferation
  • Chromatin Immunoprecipitation
  • Dexamethasone / adverse effects
  • Energy Metabolism / drug effects
  • Energy Metabolism / genetics
  • Female
  • Flow Cytometry
  • Glucocorticoids / adverse effects*
  • Glucose Tolerance Test
  • Immunoprecipitation
  • Insulin Resistance / genetics
  • Maternal Exposure / adverse effects
  • Mice
  • Mice, Inbred C57BL
  • Microscopy, Electron, Transmission
  • Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha
  • Pregnancy
  • Promoter Regions, Genetic / genetics
  • Thermogenesis / drug effects
  • Thermogenesis / genetics

Substances

  • Glucocorticoids
  • Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha
  • Dexamethasone

Associated data

  • figshare/10.2337/figshare.12252863