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Adipose and Liver Function in Primate Offspring with Insulin Resistance Induced by Estrogen Deprivation in Utero
Soon Ok Kim1, Graham Aberdeen2, Terrie J Lynch1
1Department of Physiological Sciences, Eastern Virginia Medical School, Norfolk, VA, USA.
Insights
Estrogen deprivation during pregnancy leads to insulin resistance in offspring, primarily due to impaired skeletal muscle function, not adipose or liver issues.
Area of Science:
- Endocrinology
- Metabolic Health
- Developmental Biology
Background:
- Estrogen plays a crucial role in fetal development.
- Prenatal estrogen deprivation has been linked to offspring insulin resistance.
- Skeletal muscle is a primary site for glucose disposal and insulin action.
Purpose of the Study:
- To investigate the impact of in utero estrogen deprivation on adipose and hepatic function in baboon offspring.
- To determine if adipose tissue or liver dysfunction contributes to the observed insulin resistance.
- To support the hypothesis that estrogen programs fetal skeletal muscle for insulin sensitivity.
Main Methods:
- Baboons were treated with letrozole to suppress estrogen during the second half of gestation.
- Offspring were assessed for fasting serum levels of glucose, adiponectin, leptin, liver function analytes, and free fatty acids (FFA).
- Glucose tolerance tests were performed to evaluate FFA dynamics post-glucose challenge.
Main Results:
- Offspring of estrogen-deprived baboons exhibited normal adipose and liver function.
- Fasting serum levels of key metabolic markers and liver function tests were similar between control and treated groups.
- Normal glucose-induced suppression of serum FFA levels was observed in estrogen-deprived offspring.
Conclusions:
- In utero estrogen deprivation does not cause adipose or liver insulin resistance in baboon offspring.
- The observed insulin resistance in these offspring is likely due to impaired skeletal muscle insulin-stimulated glucose clearance.
- Estrogen during gestation appears to program fetal skeletal muscle to ensure long-term insulin sensitivity.
Purpose:
We recently demonstrated that offspring delivered to baboons deprived of estrogen during the second half of gestation exhibited insulin resistance. Therefore, because skeletal muscle accounts for >80% of insulin dependent glucose disposal, we suggested that estrogen in utero programs factors in fetal skeletal muscle important for insulin sensitivity in offspring. However, liver and adipose are also sites of insulin action and adipose insulin resistance can increase serum free fatty acid (FFA) levels and thereby reduce skeletal muscle insulin sensitivity. Therefore, in the current study we determined whether estrogen-deprived offspring exhibit normal adipose and hepatic function.
Results:
The fasting serum levels of adiponectin, leptin, glucose, and analytes of liver function as well as the basal levels of serum FFA were similar in offspring of estrogen replete/suppressed baboons. Moreover, the normal glucose-induced decline in serum FFA levels measured in untreated offspring was also measured in offspring of letrozole-treated baboons. Fetal serum levels of adiponectin and leptin in late gestation also were similar and expression of nitrotyrosine negligible in fetal liver and adipose of untreated and letrozole-treated animals.
Conclusions:
These results indicate that offspring of letrozole-treated baboons have normal adipose and liver function and do not exhibit adipose insulin resistance. Therefore, we suggest that the insulin resistance observed in estrogen-deprived offspring primarily reflects a decline in insulin-stimulated glucose clearance by skeletal muscle and which supports our original suggestion that estrogen in utero programs factors in fetal skeletal muscle that promote insulin sensitivity in offspring.
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