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This version published online on June 8, 2006
Endocrinology, doi:10.1210/en.2006-0067
A more recent version of this article appeared on September 1, 2006
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Submitted on January 18, 2006
Accepted on May 25, 2006

PPAR{alpha} deficiency increases the risk of maternal abortion and neonatal mortality in murine pregnancy with or without diabetes mellitus: modulation of T cell differentiation

Akadiri Yessoufou, Aziz Hichami, Philippe Besnard, Kabirou Moutairou, and Naim A. Khan*

University of Burgundy, Department of Physiology, UPRES Lipids and Nutrition, Faculty of Life Sciences, Dijon, France; ENSBANA, University of Burgundy, Dijon, France; Laboratory of Cell Biology and Physiology, Faculty of Sciences and Techniques, University of Abomey-Calavi, Cotonou, Bénin

* To whom correspondence should be addressed. E-mail: Naim.Khan{at}u-bourgogne.fr.

We assessed the implication of PPAR{alpha} deficiency in pregnancy out-come and neonatal survival, and in the modulation of T cell differentiation in murine diabetic pregnancy and their offspring. Pregnant wild-type (WT) and PPAR{alpha}-null mice of C57BL/6J genetic background were rendered diabetic by five low doses of streptozotocin. We observed that, in the absence of diabetes, PPAR{alpha} deficiency resulted in an increase in abortion rate, i.e. 0% in WT mice vs. 20% in PPAR{alpha}-null mice (OR=14.33; P = 0.013). Under diabetic conditions, the abortion rate was enhanced, i.e. 8.3% in WT mice vs. 50% in PPAR{alpha}-null mice (OR=4.28; P = 0.011). In the pups born to diabetic dams, the offspring mortality, due to the absence of PPAR{alpha} was enhanced, i.e. 27.7% in WT mice vs. 78.9% in PPAR{alpha}-null animals (OR=11.48; P < 0.001). Moreover, we observed that Th1/Th2 balance was shifted to a pregnancy protecting Th2 phenotype in WT diabetic dams and to a noxious Th1 phenotype in PPAR{alpha}-null mice with diabetic pregnancy (DP). Furthermore, offspring born to diabetic WT dams were hyperinsulinemic and hyperglycaemic, and they exhibited up-regulated profile of Th2 cytokines while those born to diabetic PPAR{alpha}-null dams were hypoinsulinemic and hyperglycaemic, and they showed down-regulated profile of Th2 cytokines. However, IFN-{gamma}, a Th1 cytokine, was up-regulated in the offspring of both diabetic WT and PPAR{alpha}-null dams. Altogether, our results suggest that PPAR{alpha} deficiency in mice may be implicated in the increase in maternal abortion, neonatal mortality and T cell differentiation.


Key words: PPAR{alpha} • diabetic pregnancy • Th1/Th2 phenotype • mice




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