J Nutr. 2023 Dec 28. pii: S0022-3166(23)72835-6. [Epub ahead of print]
BACKGROUND: Polyunsaturated fatty acids (PUFAs), especially docosahexaenoic acid (DHA), are critical for proper fetal brain growth and development. Gestational diabetes mellitus (GDM) could affect maternal-fetal fatty acid metabolism.
OBJECTIVE: This study explore the effect of GDM and high-fat (HF) diet on the DHA transport signaling pathway in the placenta-brain axis and fatty acid levels in the fetal brain.
METHODS: Insulin receptor antagonist (S961) and HF diet were used to establish an animal model of GDM. Eighty female C57BL/6J mice were randomly divided into Control (CON), GDM, HF, and HF+GDM groups. The fatty acid profiles of the maternal liver and fetal brain were analyzed by gas chromatography (GC). Additionally, we analyzed the protein levels of maternal liver fatty acid desaturase (FADS1/3), elongase (ELOVL2/5) and the regulatory factor SREBP-1c, and the DHA transport signaling pathway (Wnt3/β-catenin/MFSD2a) of the placenta and fetal brain using western blotting.
RESULTS: GDM promoted the decrease of maternal liver ELOVL2, ELOVL5, and SREBP-1c. Accordingly, we observed a significant decrease in the level of maternal liver arachidonic acid (AA), DHA, total n-3 PUFA and n-6 PUFA induced by GDM. The GDM also significantly decrease the level of DHA and n-3 PUFA in the fetal brain. GDM downregulated the Wnt3/β-catenin/MFSD2a signaling pathway which transfers n-3 PUFA in the placenta and fetal brain. The HF diet increased n-6 PUFAs in the maternal liver, correspondingly increasing linoleic acid (LA), gamma-linolenic acid (GLA), AA and total n-6 PUFA in the fetal brain, but decreased DHA in the fetal brain. However, HF diet only tended to decrease placental β-catenin and MFSD2a levels (P = 0.074, P = 0.098).
CONCLUSIONS: Maternal GDM could affect the fatty acid profile of the fetal brain both by downregulating the Wnt3/β-catenin/MFSD2a pathway of the placental-fetal barrier and by affecting maternal fatty acid metabolism.
Keywords: DHA; Gestational diabetes mellitus; High-fat diet; MFSD2a; Polyunsaturated fatty acids