NOTCH1 and UPR signaling in embryonic heart development under maternal high-fat diet influence

Yupeng Shi1,2, Bingyu Li2,3, Qingyun Shi1,2

  • 1Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China.

Frontiers in Medicine
|December 22, 2025
PubMed

Insights

Maternal high-fat diet (HFD) before and during pregnancy disrupts embryonic heart development by activating the unfolded protein response (UPR) pathway. This leads to suppressed NOTCH1 expression and increased apoptosis, highlighting the need for a balanced maternal diet.

Area of Science:

  • Developmental Biology
  • Cardiovascular Biology
  • Metabolic Disorders

Background:

  • Maternal nutrition significantly influences embryonic development.
  • High-fat diets (HFD) are increasingly prevalent and linked to adverse health outcomes.
  • The impact of maternal HFD on embryonic heart development requires further investigation.

Purpose of the Study:

  • To investigate the effects of maternal HFD before and during pregnancy on embryonic heart development.
  • To elucidate the molecular mechanisms underlying HFD-induced cardiac abnormalities in embryos.

Main Methods:

  • Mice were fed HFD before and during pregnancy.
  • Maternal serum lipid profiles were analyzed.
  • Embryonic hearts were assessed via H&E staining and Western blot for NOTCH1 and UPR-related proteins.
  • Cardiomyocytes were cultured to assess NOTCH1 expression following IRE1α pathway inhibition.

Main Results:

  • Maternal HFD increased serum TC, TG, and LDL-C, while decreasing HDL-C.
  • Embryonic hearts showed ventricular defects, including abnormal compaction, thinning, and valve issues, with severity correlating to HFD duration.
  • NOTCH1 expression was reduced, while UPR markers (XBP1s) and apoptosis (caspase-3/7) were elevated in embryonic ventricular tissues.
  • IRE1α pathway inhibition normalized NOTCH1 expression in cultured cardiomyocytes.

Conclusions:

  • Maternal HFD before and during pregnancy induces embryonic cardiac developmental abnormalities.
  • The IRE1α pathway activation in the unfolded protein response (UPR) appears to mediate these effects by suppressing NOTCH1 and promoting apoptosis.
  • Maintaining a balanced maternal diet is crucial for ensuring proper embryonic heart development.
Abstract

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