Abstract

Chronically high blood glucose concentrations are a characteristic of diabetes mellitus. Maternal diabetes affects the metabolism of early embryos and can cause a delay in development. To mimic maternal diabetes, bovine in vitro fertilization and embryo culture were performed in fertilization medium and culture medium containing 0.5, 2, 3, and 5 mM, glucose whereas under control conditions, the medium was glucose free (0 mM). Compared to control conditions (0 mM, 31%), blastocyst development was decreased to 23% with 0.5 and 2 mM glucose. Presence of 3 or 5 mM glucose in the medium resulted in decreased blastocyst rates (20% and 10% respectively). The metabolomic profile of resulting day 8 blastocysts was analysed by UPLC-MS/MS, and compared to that of blastocysts cultured in control conditions. Elevated glucose concentrations stimulated an increase in glycolysis and activity of the hexosamine pathway, which is involved in protein glycosylation. However, components of the tricarboxylic acid cycle, such as citrate and alpha-ketoglutarate, were reduced in glucose stimulated blastocysts, suggesting that energy production from pyruvate was inefficient. On the other hand, activity of the polyol pathway, an alternative route to energy generation, was increased. In short, cattle embryos exposed to elevated glucose concentrations during early development showed changes in their metabolomic profile consistent with the expectations of exposure to diabetic conditions.

Highlights

  • In diabetic patients, glucose utilization and storage is not regulated properly, resulting in hyperglycemia and glycosuria

  • Cleavage was compromised at glucose concentration of 3 mM (67%) and 5 mM (68%), compared to 83% under control conditions (Fig 1A)

  • Comparison of blastocyst development showed a decrease to 23% in the presence of 0.5 or 2 mM glucose, compared to 31% in the control group

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Summary

Introduction

Glucose utilization and storage is not regulated properly, resulting in hyperglycemia and glycosuria. Of the two major types of diabetes, type 1 is an autoimmune disease that generally onsets during childhood, whereas type 2 diabetes is the result of insulin resistance, and is mostly triggered by an unhealthy lifestyle, including poor nutrition and physical inactivity. In addition to diabetes-related pathology in the primary patient, there is an increased risk of gestational complications, including spontaneous abortion and the development of metabolic diseases in the children of mothers who are, or become, diabetic during pregnancy [2]. In 2015, it was estimated that 20.9 million children were born to mothers suffering from hyperglycemia during pregnancy [1]

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