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In vitro hyperglycemia or a diabetic intrauterine environment reduces neonatal endothelial colony-forming cell
David A Ingram1, Izlin Z Lien, Laura E Mead
1Department of Pediatrics, Herman B. Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Insights
Maternal diabetes and hyperglycemia impair neonatal endothelial progenitor cell function, increasing offspring cardiovascular disease risk. This study reveals how a diabetic intrauterine environment impacts vascular repair mechanisms in newborns.
Area of Science:
- Developmental biology
- Endocrinology
- Vascular biology
Background:
- Maternal diabetes is linked to long-term health issues in offspring, including hypertension.
- Circulating endothelial progenitor cells (EPCs) are crucial for vascular repair and disease risk.
- The impact of a diabetic intrauterine environment on neonatal EPC function is not well understood.
Purpose of the Study:
- To investigate whether in vitro hyperglycemia or a diabetic intrauterine environment affects neonatal endothelial progenitor cell (EPC) function.
- To explore the mechanisms underlying potential alterations in EPCs due to maternal diabetes.
Main Methods:
- Utilized clonogenic endothelial colony-forming cell (ECFC) assays to assess EPC function.
- Employed murine transplantation experiments to examine human vasculogenesis in vivo.
- Analyzed ECFC colony formation, self-renewal, capillary-like tube formation, proliferation, and senescence.
Main Results:
- Both in vitro hyperglycemia and a diabetic intrauterine environment significantly reduced ECFC colony formation, self-renewal, and tube formation.
- Impaired ECFC function was associated with premature senescence and reduced proliferation.
- Transplanted ECFCs from diabetic pregnancies formed fewer chimeric vessels compared to controls.
Conclusions:
- Hyperglycemia and a diabetic intrauterine environment diminish neonatal ECFC function both in vitro and in vivo.
- These findings offer mechanistic insights into the increased cardiovascular complication risk in offspring of diabetic pregnancies.
- Altered neonatal EPC function may contribute to the long-term vascular health consequences observed in these children.
Objective:
Emerging data demonstrate that maternal diabetes has long-term health consequences for offspring, including the development of hypertension. In adults, circulating endothelial progenitor cells (EPCs) participate in vascular repair, and EPC numbers and function inversely correlate with the risk of developing vascular disease. Therefore, our objectives were to determine whether hyperglycemia or exposure to a diabetic intrauterine environment alters EPC function.
Research Design And Methods:
We used well-established clonogenic endothelial colony-forming cell (ECFC) assays and murine transplantation experiments to examine human vasculogenesis.
Results:
Both in vitro hyperglycemia and a diabetic intrauterine environment reduced ECFC colony formation, self-renewal capacity, and capillary-like tube formation in matrigel. This cellular phenotype was linked to premature senescence and reduced proliferation. Further, cord blood ECFCs from diabetic pregnancies formed fewer chimeric vessels de novo after transplantation into immunodeficient mice compared with neonatal ECFCs harvested from uncomplicated pregnancies. CONCLUSIONS; Collectively, these data demonstrate that hyperglycemia or exposure to a diabetic intrauterine environment diminishes neonatal ECFC function both in vitro and in vivo, providing potential mechanistic insights into the long-term cardiovascular complications observed in newborns of diabetic pregnancies.
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