Maternal Metformin Treatment Improves Developmental and Metabolic Traits of IUGR Fetuses

Metformin is an anti-hyperglycemic drug widely used for the treatment of insulin resistance and glucose intolerance and is currently considered for preventing large-for-gestational-age (LGA) offspring in pregnant women affected by obesity or diabetes. Our hypothesis was the opposite—metfor...

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Main Authors: Consolación Garcia-Contreras, Marta Vazquez-Gomez, José Luis Pesantez-Pacheco, Laura Torres-Rovira, Ana Heras-Molina, Teresa Encinas, Susana Astiz, Antonio Gonzalez-Bulnes
Format: Article
Language:English
Published: MDPI AG 2019-04-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/9/5/166
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author Consolación Garcia-Contreras
Marta Vazquez-Gomez
José Luis Pesantez-Pacheco
Laura Torres-Rovira
Ana Heras-Molina
Teresa Encinas
Susana Astiz
Antonio Gonzalez-Bulnes
author_facet Consolación Garcia-Contreras
Marta Vazquez-Gomez
José Luis Pesantez-Pacheco
Laura Torres-Rovira
Ana Heras-Molina
Teresa Encinas
Susana Astiz
Antonio Gonzalez-Bulnes
author_sort Consolación Garcia-Contreras
collection DOAJ
description Metformin is an anti-hyperglycemic drug widely used for the treatment of insulin resistance and glucose intolerance and is currently considered for preventing large-for-gestational-age (LGA) offspring in pregnant women affected by obesity or diabetes. Our hypothesis was the opposite—metformin may be used for improving the development of offspring affected by intrauterine growth restriction (IUGR) and preventing the appearance of small-for-gestational-age (SGA) neonates in non-obese and non-diabetic but malnourished pregnancies. The current study, performed in a swine preclinical model of IUGR by undernutrition, showed that fetuses in the treated group showed no significant increases in body-weight, but showed a significantly higher weight of the brain, the total thoracic and abdominal viscera, the liver, the kidneys, the spleen, and the adrenal glands. Maternal metformin treatment was also related to significant increases in the fetal plasma concentration of parameters indicative of glycemic (glucose and fructosamine) and lipid profiles (triglycerides). Overall, these results suggest a protective effect of the treatment on the developmental competence of the fetuses. These findings may be of high value for human medicine in case of maternal malnutrition, since metformin is a cheap drug easily available, but also in case of placental deficiency, since metformin seems to improve placental development and function.
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spelling doaj.art-26fc86d21973446ebff8a44bd7bc80032022-12-21T18:20:13ZengMDPI AGBiomolecules2218-273X2019-04-019516610.3390/biom9050166biom9050166Maternal Metformin Treatment Improves Developmental and Metabolic Traits of IUGR FetusesConsolación Garcia-Contreras0Marta Vazquez-Gomez1José Luis Pesantez-Pacheco2Laura Torres-Rovira3Ana Heras-Molina4Teresa Encinas5Susana Astiz6Antonio Gonzalez-Bulnes7SGIT-INIA, 28040 Madrid, SpainFaculty of Veterinary Medicine, Universidad Complutense de Madrid (UCM), Ciudad Universitaria s/n, 28040 Madrid, SpainSGIT-INIA, 28040 Madrid, SpainSGIT-INIA, 28040 Madrid, SpainSGIT-INIA, 28040 Madrid, SpainFaculty of Veterinary Medicine, Universidad Complutense de Madrid (UCM), Ciudad Universitaria s/n, 28040 Madrid, SpainSGIT-INIA, 28040 Madrid, SpainSGIT-INIA, 28040 Madrid, SpainMetformin is an anti-hyperglycemic drug widely used for the treatment of insulin resistance and glucose intolerance and is currently considered for preventing large-for-gestational-age (LGA) offspring in pregnant women affected by obesity or diabetes. Our hypothesis was the opposite—metformin may be used for improving the development of offspring affected by intrauterine growth restriction (IUGR) and preventing the appearance of small-for-gestational-age (SGA) neonates in non-obese and non-diabetic but malnourished pregnancies. The current study, performed in a swine preclinical model of IUGR by undernutrition, showed that fetuses in the treated group showed no significant increases in body-weight, but showed a significantly higher weight of the brain, the total thoracic and abdominal viscera, the liver, the kidneys, the spleen, and the adrenal glands. Maternal metformin treatment was also related to significant increases in the fetal plasma concentration of parameters indicative of glycemic (glucose and fructosamine) and lipid profiles (triglycerides). Overall, these results suggest a protective effect of the treatment on the developmental competence of the fetuses. These findings may be of high value for human medicine in case of maternal malnutrition, since metformin is a cheap drug easily available, but also in case of placental deficiency, since metformin seems to improve placental development and function.https://www.mdpi.com/2218-273X/9/5/166intrauterine-growth-restrictionmetforminpregnancyswine-model
spellingShingle Consolación Garcia-Contreras
Marta Vazquez-Gomez
José Luis Pesantez-Pacheco
Laura Torres-Rovira
Ana Heras-Molina
Teresa Encinas
Susana Astiz
Antonio Gonzalez-Bulnes
Maternal Metformin Treatment Improves Developmental and Metabolic Traits of IUGR Fetuses
Biomolecules
intrauterine-growth-restriction
metformin
pregnancy
swine-model
title Maternal Metformin Treatment Improves Developmental and Metabolic Traits of IUGR Fetuses
title_full Maternal Metformin Treatment Improves Developmental and Metabolic Traits of IUGR Fetuses
title_fullStr Maternal Metformin Treatment Improves Developmental and Metabolic Traits of IUGR Fetuses
title_full_unstemmed Maternal Metformin Treatment Improves Developmental and Metabolic Traits of IUGR Fetuses
title_short Maternal Metformin Treatment Improves Developmental and Metabolic Traits of IUGR Fetuses
title_sort maternal metformin treatment improves developmental and metabolic traits of iugr fetuses
topic intrauterine-growth-restriction
metformin
pregnancy
swine-model
url https://www.mdpi.com/2218-273X/9/5/166
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