Long-term outcomes and potential mechanisms of offspring exposed to intrauterine hyperglycemia

Diabetes mellitus during pregnancy, which can be classified into pregestational diabetes and gestational diabetes, has become much more prevalent worldwide. Maternal diabetes fosters an intrauterine abnormal environment for fetus, which not only influences pregnancy outcomes, but also leads to fetal...

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Main Authors: Yi-Shang Yan, Chun Feng, Dan-Qing Yu, Shen Tian, Yin Zhou, Yi-Ting Huang, Yi-Ting Cai, Jian Chen, Miao-Miao Zhu, Min Jin
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2023.1067282/full
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author Yi-Shang Yan
Yi-Shang Yan
Chun Feng
Chun Feng
Dan-Qing Yu
Dan-Qing Yu
Shen Tian
Shen Tian
Yin Zhou
Yin Zhou
Yi-Ting Huang
Yi-Ting Huang
Yi-Ting Cai
Jian Chen
Miao-Miao Zhu
Min Jin
Min Jin
author_facet Yi-Shang Yan
Yi-Shang Yan
Chun Feng
Chun Feng
Dan-Qing Yu
Dan-Qing Yu
Shen Tian
Shen Tian
Yin Zhou
Yin Zhou
Yi-Ting Huang
Yi-Ting Huang
Yi-Ting Cai
Jian Chen
Miao-Miao Zhu
Min Jin
Min Jin
author_sort Yi-Shang Yan
collection DOAJ
description Diabetes mellitus during pregnancy, which can be classified into pregestational diabetes and gestational diabetes, has become much more prevalent worldwide. Maternal diabetes fosters an intrauterine abnormal environment for fetus, which not only influences pregnancy outcomes, but also leads to fetal anomaly and development of diseases in later life, such as metabolic and cardiovascular diseases, neuropsychiatric outcomes, reproduction malformation, and immune dysfunction. The underlying mechanisms are comprehensive and ambiguous, which mainly focus on microbiota, inflammation, reactive oxygen species, cell viability, and epigenetics. This review concluded with the influence of intrauterine hyperglycemia on fetal structure development and organ function on later life and outlined potential mechanisms that underpin the development of diseases in adulthood. Maternal diabetes leaves an effect that continues generations after generations through gametes, thus more attention should be paid to the prevention and treatment of diabetes to rescue the pathological attacks of maternal diabetes from the offspring.
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spelling doaj.art-0df7d9167118401ba53da8d5be6c3cbe2023-05-15T13:22:17ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-05-011010.3389/fnut.2023.10672821067282Long-term outcomes and potential mechanisms of offspring exposed to intrauterine hyperglycemiaYi-Shang Yan0Yi-Shang Yan1Chun Feng2Chun Feng3Dan-Qing Yu4Dan-Qing Yu5Shen Tian6Shen Tian7Yin Zhou8Yin Zhou9Yi-Ting Huang10Yi-Ting Huang11Yi-Ting Cai12Jian Chen13Miao-Miao Zhu14Min Jin15Min Jin16Department of Reproductive Medicine, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaKey Laboratory of Reproductive Genetics, Ministry of Education, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of Reproductive Medicine, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaKey Laboratory of Reproductive Genetics, Ministry of Education, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of Reproductive Medicine, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaKey Laboratory of Reproductive Genetics, Ministry of Education, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of Reproductive Medicine, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaKey Laboratory of Reproductive Genetics, Ministry of Education, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of Reproductive Medicine, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaKey Laboratory of Reproductive Genetics, Ministry of Education, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of Reproductive Medicine, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaKey Laboratory of Reproductive Genetics, Ministry of Education, School of Medicine, Zhejiang University, Hangzhou, ChinaKey Laboratory of Reproductive Genetics, Ministry of Education, School of Medicine, Zhejiang University, Hangzhou, ChinaKey Laboratory of Reproductive Genetics, Ministry of Education, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of Operating Theatre, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Reproductive Medicine, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaKey Laboratory of Reproductive Genetics, Ministry of Education, School of Medicine, Zhejiang University, Hangzhou, ChinaDiabetes mellitus during pregnancy, which can be classified into pregestational diabetes and gestational diabetes, has become much more prevalent worldwide. Maternal diabetes fosters an intrauterine abnormal environment for fetus, which not only influences pregnancy outcomes, but also leads to fetal anomaly and development of diseases in later life, such as metabolic and cardiovascular diseases, neuropsychiatric outcomes, reproduction malformation, and immune dysfunction. The underlying mechanisms are comprehensive and ambiguous, which mainly focus on microbiota, inflammation, reactive oxygen species, cell viability, and epigenetics. This review concluded with the influence of intrauterine hyperglycemia on fetal structure development and organ function on later life and outlined potential mechanisms that underpin the development of diseases in adulthood. Maternal diabetes leaves an effect that continues generations after generations through gametes, thus more attention should be paid to the prevention and treatment of diabetes to rescue the pathological attacks of maternal diabetes from the offspring.https://www.frontiersin.org/articles/10.3389/fnut.2023.1067282/fullmaternal diabetesoffspringfetal developmentlong-term outcomespotential mechanisms
spellingShingle Yi-Shang Yan
Yi-Shang Yan
Chun Feng
Chun Feng
Dan-Qing Yu
Dan-Qing Yu
Shen Tian
Shen Tian
Yin Zhou
Yin Zhou
Yi-Ting Huang
Yi-Ting Huang
Yi-Ting Cai
Jian Chen
Miao-Miao Zhu
Min Jin
Min Jin
Long-term outcomes and potential mechanisms of offspring exposed to intrauterine hyperglycemia
Frontiers in Nutrition
maternal diabetes
offspring
fetal development
long-term outcomes
potential mechanisms
title Long-term outcomes and potential mechanisms of offspring exposed to intrauterine hyperglycemia
title_full Long-term outcomes and potential mechanisms of offspring exposed to intrauterine hyperglycemia
title_fullStr Long-term outcomes and potential mechanisms of offspring exposed to intrauterine hyperglycemia
title_full_unstemmed Long-term outcomes and potential mechanisms of offspring exposed to intrauterine hyperglycemia
title_short Long-term outcomes and potential mechanisms of offspring exposed to intrauterine hyperglycemia
title_sort long term outcomes and potential mechanisms of offspring exposed to intrauterine hyperglycemia
topic maternal diabetes
offspring
fetal development
long-term outcomes
potential mechanisms
url https://www.frontiersin.org/articles/10.3389/fnut.2023.1067282/full
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