Obesity Affects Maternal and Neonatal HDL Metabolism and Function

Pregravid obesity is one of the major risk factors for pregnancy complications such as gestational diabetes mellitus (GDM) and an increased risk of cardiovascular events in children of affected mothers. However, the biological mechanisms that underpin these adverse outcomes are not well understood....

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Main Authors: Julia T. Stadler, Mireille N. M. van Poppel, Christian Wadsack, Michael Holzer, Anja Pammer, David Simmons, David Hill, Gernot Desoye, Gunther Marsche, DALI Core Investigator Group
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/12/1/199
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author Julia T. Stadler
Mireille N. M. van Poppel
Christian Wadsack
Michael Holzer
Anja Pammer
David Simmons
David Hill
Gernot Desoye
Gunther Marsche
DALI Core Investigator Group
author_facet Julia T. Stadler
Mireille N. M. van Poppel
Christian Wadsack
Michael Holzer
Anja Pammer
David Simmons
David Hill
Gernot Desoye
Gunther Marsche
DALI Core Investigator Group
author_sort Julia T. Stadler
collection DOAJ
description Pregravid obesity is one of the major risk factors for pregnancy complications such as gestational diabetes mellitus (GDM) and an increased risk of cardiovascular events in children of affected mothers. However, the biological mechanisms that underpin these adverse outcomes are not well understood. High-density lipoproteins (HDLs) are antiatherogenic by promoting the efflux of cholesterol from macrophages and by suppression of inflammation. Functional impairment of HDLs in obese and GDM-complicated pregnancies may have long-term effects on maternal and offspring health. In the present study, we assessed metrics of HDL function in sera of pregnant women with overweight/obesity of the DALI lifestyle trial (prepregnancy BMI ≥ 29 kg/m<sup>2</sup>) and women with normal weight (prepregnancy BMI < 25 kg/m<sup>2</sup>), as well as HDL functionalities in cord blood at delivery. We observed that pregravid obesity was associated with impaired serum antioxidative capacity and lecithin–cholesterol acyltransferase activity in both mothers and offspring, whereas maternal HDL cholesterol efflux capacity was increased. Interestingly, functionalities of maternal and fetal HDL correlated robustly. GDM did not significantly further alter the parameters of HDL function and metabolism in women with obesity, so obesity itself appears to have a major impact on HDL functionality in mothers and their offspring.
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spelling doaj.art-dc8bc87061ee4335b8bfa7d701bba95b2023-11-30T20:59:43ZengMDPI AGAntioxidants2076-39212023-01-0112119910.3390/antiox12010199Obesity Affects Maternal and Neonatal HDL Metabolism and FunctionJulia T. Stadler0Mireille N. M. van Poppel1Christian Wadsack2Michael Holzer3Anja Pammer4David Simmons5David Hill6Gernot Desoye7Gunther Marsche8DALI Core Investigator GroupDivision of Pharmacology, Otto Loewi Research Center for Vascular Biology, Immunology and Inflammation, Medical University of Graz, 8010 Graz, AustriaInstitute of Human Movement Science, Sport and Health, University of Graz, 8010 Graz, AustriaDepartment of Obstetrics and Gynecology, Medical University of Graz, 8036 Graz, AustriaDivision of Pharmacology, Otto Loewi Research Center for Vascular Biology, Immunology and Inflammation, Medical University of Graz, 8010 Graz, AustriaDivision of Pharmacology, Otto Loewi Research Center for Vascular Biology, Immunology and Inflammation, Medical University of Graz, 8010 Graz, AustriaMacarthur Clinical School, Western Sydney University, Sydney, NSW 2560, AustraliaLawson Health Research Institute, London, ON N6C 2R5, CanadaDepartment of Obstetrics and Gynecology, Medical University of Graz, 8036 Graz, AustriaDivision of Pharmacology, Otto Loewi Research Center for Vascular Biology, Immunology and Inflammation, Medical University of Graz, 8010 Graz, AustriaPregravid obesity is one of the major risk factors for pregnancy complications such as gestational diabetes mellitus (GDM) and an increased risk of cardiovascular events in children of affected mothers. However, the biological mechanisms that underpin these adverse outcomes are not well understood. High-density lipoproteins (HDLs) are antiatherogenic by promoting the efflux of cholesterol from macrophages and by suppression of inflammation. Functional impairment of HDLs in obese and GDM-complicated pregnancies may have long-term effects on maternal and offspring health. In the present study, we assessed metrics of HDL function in sera of pregnant women with overweight/obesity of the DALI lifestyle trial (prepregnancy BMI ≥ 29 kg/m<sup>2</sup>) and women with normal weight (prepregnancy BMI < 25 kg/m<sup>2</sup>), as well as HDL functionalities in cord blood at delivery. We observed that pregravid obesity was associated with impaired serum antioxidative capacity and lecithin–cholesterol acyltransferase activity in both mothers and offspring, whereas maternal HDL cholesterol efflux capacity was increased. Interestingly, functionalities of maternal and fetal HDL correlated robustly. GDM did not significantly further alter the parameters of HDL function and metabolism in women with obesity, so obesity itself appears to have a major impact on HDL functionality in mothers and their offspring.https://www.mdpi.com/2076-3921/12/1/199obesitypregnancygestational diabetes mellituscholesterol efflux capacityparaoxonase-1LCAT
spellingShingle Julia T. Stadler
Mireille N. M. van Poppel
Christian Wadsack
Michael Holzer
Anja Pammer
David Simmons
David Hill
Gernot Desoye
Gunther Marsche
DALI Core Investigator Group
Obesity Affects Maternal and Neonatal HDL Metabolism and Function
Antioxidants
obesity
pregnancy
gestational diabetes mellitus
cholesterol efflux capacity
paraoxonase-1
LCAT
title Obesity Affects Maternal and Neonatal HDL Metabolism and Function
title_full Obesity Affects Maternal and Neonatal HDL Metabolism and Function
title_fullStr Obesity Affects Maternal and Neonatal HDL Metabolism and Function
title_full_unstemmed Obesity Affects Maternal and Neonatal HDL Metabolism and Function
title_short Obesity Affects Maternal and Neonatal HDL Metabolism and Function
title_sort obesity affects maternal and neonatal hdl metabolism and function
topic obesity
pregnancy
gestational diabetes mellitus
cholesterol efflux capacity
paraoxonase-1
LCAT
url https://www.mdpi.com/2076-3921/12/1/199
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AT michaelholzer obesityaffectsmaternalandneonatalhdlmetabolismandfunction
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