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Submitted on September 14, 2007
Accepted on January 28, 2008
From the Department of Obstetrics and Gynecology (B.H., R.v.B., L.V., J.V), and the Center for Molecular and Vascular Biology (B.V.H., H.R.L.), Health Campus Gasthuisberg, KU Leuven, 3000 Leuven, Belgium
* To whom correspondence should be addressed. E-mail: johan.verhaeghe{at}uz.kuleuven.be.
Pregnancy-induced metabolic changes are regulated by signals from an expanded adipose organ. Placental growth factor (PlGF), acting through vascular endothelial growth factor receptor-1 (VEGFR-1), may be among those signals. There is a steep rise in circulating PlGF during normal pregnancy, which is repressed in gravidas who develop preeclampsia. PlGF-deficiency in mice impairs adipose vascularization and development. Here, we studied young-adult PlGF-deficient (PlGF-/-) and wild-type (wt) mice on a high-fat diet in the nongravid state and at E13.5 or E18.5 of gestation. Litter size and weight were normal, but E18.5 placentas were smaller in PlGF-/- pregnancies. PlGF-/- mice showed altered intra-adipose dynamics, with 1) less blood vessels and fewer brown, uncoupling protein (UCP-1)-positive, adipocytes in "white" subcutaneous (sc) and perigonadal fat compartments, and 2) white-adipocyte hypertrophy. The mRNA expression of
3-adrenergic receptors (
3-AR), peroxisome proliferator-activated receptor (PPAR)-
coactivator-1
(PGC-1
), and UCP-1 was decreased accordingly. Moreover, PlGF-/- mice showed hyperinsulinemia. Pregnancy-associated changes were largely comparable in PlGF-/- and wt dams. They included expanded sc fat compartments and adipocyte hypertrophy, whereas adipose expression of key angiogenesis/adipogenesis (VEGFR-1, PPAR-
2) and thermogenesis (
3-AR, PGC-1
and UCP-1) genes was downregulated; circulating insulin levels gradually increased during pregnancy. In conclusion, reduced adipose vascularization in PlGF-/- mice impairs adaptive thermogenesis in favor of energy storage, thereby promoting insulin resistance and hyperinsulinemia. Pregnancy adds to these changes by PlGF-independent mechanisms. Disturbed intra-adipose dynamics is a novel mechanism to explain metabolic changes in late pregnancy in general, and preeclamptic pregnancy in particular.
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