OR31-4 Neonatal Vitamin D Deficiency and Insulin Resistance

Abstract

Background: Vitamin D deficiency is prevalent in pregnant women and their offspring. Maternal vitamin D deficiency is associated with insulin resistance in children and can induce a proinflammatory macrophage phenotype [1, 2]. Purpose: We hypothesized that maternal vitamin D deficiency induces immune cell reprogramming that promotes adipose insulin resistance in the offspring and is detectable in the newborn period. Methods: We enrolled 32 normal pregnant women prior to delivery of AGA, term infants. Cord blood was obtained and used to determine vitamin D [25(OH)D] levels and qPCR of microRNA levels. Cord blood monocytes were co-cultured with 3T3L1 adipocytes for insulin-stimulated 2-deoxyglucose uptake studies, and the monocyte media and co-cultured adipocytes were analyzed for microRNA expression. 3T3L1 adipocytes were transfected with miR106b mimic and antagonist to confirm the effect of the 2-deoxyglucose results. Results: 83% of the newborn’s venous cord blood showed vitamin D deficiency with 25(OH)D <20 ng/mL (n=24, total n=29). Adipocytes co-cultured with cord blood monocytes showed an inverse correlation between insulin stimulated 2-deoxyglucose uptake and cord blood 25(OH)D levels (n=29, Spearman r=0.43, p=0.02). Adipocytes exposed to monocytes or to monocyte media elevated miR106b by 7 to 12-fold (n=8, p<0.01). Interestingly, cord blood plasma miR106b levels were found to inversely correlate with 25(OH)D levels (n=27, Spearman r=-0.41, p<0.04). Transfection of adipocytes with miR106b mimic reduced the 2-deoxyglucose uptake after insulin stimulation, whereas transfection with anti-miR-106b increased 2-deoxyglucose uptake after insulin stimulation, suggesting that monocyte secretion of miR106b induced adipose insulin resistance (n=8, p<0.05). Conclusions: This study provides evidence of a novel intercellular miRNA communication mechanism enabling monocytes programmed in utero by vitamin D deficiency to induce adipose insulin resistance. Identification of circulating miR106b as a mechanism of insulin resistance in offspring born with vitamin D deficiency is a potential advance toward precision medicine as it allows for optimal targeting of those at risk for diabetes later in life within a heterogeneous population. These findings serve as background for interventional studies evaluating the effect of maternal vitamin D supplementation on offspring insulin resistance later in life.