Maternal obesity and offspring health: Adapting metabolic changes through autophagy and mitophagy
Litao Wang1,2, Aislinn M O'Kane3, Yingmei Zhang1,2
1Department of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Insights
Maternal obesity can cause metabolic issues in children, potentially due to impaired autophagy and mitophagy. This review explores how these cellular processes impact fetal development and postnatal health, offering therapeutic targets.
Area of Science:
- Reproductive Biology
- Metabolic Health
- Cellular Biology
Background:
- Maternal obesity is linked to obstetric complications and offspring metabolic anomalies.
- Developmental programming is a key factor in maternal obesity-associated chronic comorbidities.
- Cellular mechanisms like lipotoxicity, inflammation, oxidative stress, and defective autophagy/mitophagy contribute to these sequelae.
Purpose of the Study:
- To review metabolic disorders in fetal development and postnatal health caused by maternal obesity.
- To discuss the role of autophagy and mitophagy in these metabolic diseases.
- To explore potential therapeutic strategies targeting autophagy/mitophagy and metabolic disturbances.
Main Methods:
- Literature review of studies on maternal obesity, fetal development, and metabolic disorders.
- Analysis of the role of autophagy and mitophagy in cellular homeostasis and disease.
- Synthesis of current understanding and identification of therapeutic avenues.
Main Results:
- Defective autophagy/mitophagy is implicated in negative impacts on fetal development and postnatal health.
- Autophagy and mitophagy are crucial for clearing damaged cellular components and maintaining homeostasis.
- Maternal obesity and intrauterine overnutrition can disrupt these vital cellular processes.
Conclusions:
- Autophagy/mitophagy defects are significant contributors to metabolic disorders stemming from maternal obesity.
- Targeting autophagy/mitophagy presents a promising therapeutic strategy for mitigating metabolic disturbances.
- Further research is needed to fully elucidate the mechanisms and optimize interventions.
Abstract:
Maternal obesity leads to obstetric complications and a high prevalence of metabolic anomalies in the offspring. Among various contributing factors for maternal obesity-evoked health sequelae, developmental programming is considered as one of the leading culprit factors for maternal obesity-associated chronic comorbidities. Although a unified theory is still lacking to systematically address multiple unfavorable postnatal health sequelae, a cadre of etiological machineries have been put forward, including lipotoxicity, inflammation, oxidative stress, autophagy/mitophagy defect, and cell death. Hereinto, autophagy and mitophagy play an essential housekeeping role in the clearance of long-lived, damaged, and unnecessary cell components to maintain and restore cellular homeostasis. Defective autophagy/mitophagy has been reported in maternal obesity and negatively impacts fetal development and postnatal health. This review will provide an update on metabolic disorders in fetal development and postnatal health issues evoked by maternal obesity and/or intrauterine overnutrition and discuss the possible contribution of autophagy/mitophagy in metabolic diseases. Moreover, relevant mechanisms and potential therapeutic strategies will be discussed in an effort to target autophagy/mitophagy and metabolic disturbances in maternal obesity.
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