Abstract
Gestational diabetes is defined as glucose intolerance during pregnancy and it is presented as high blood glucose levels during the onset pregnancy. This condition has an adverse impact on fetal development but the mechanism involved is still not fully understood. In this study, we investigated the effects of high glucose on the developing quail embryo, especially its impact on the development of the nervous system. We established that high glucose altered the central nervous system mophologically, such that neural tube defects (NTDs) developed. In addition, we found that high glucose impaired nerve differentiation at dorsal root ganglia and in the developing limb buds, as revealed by neurofilament (NF) immunofluorescent staining. The dorsal root ganglia are normally derived from neural crest cells (NCCs), so we examine the delamination of NCCs from dorsal side of the neural tube. We established that high glucose was detrimental to the NCCs, in vivo and in vitro. High glucose also negatively affected neural differentiation by reducing the number and length of neurites emanating from neurons in culture. We established that high glucose exposure caused an increase in reactive oxidative species (ROS) generation by primary cultured neurons. We hypothesized that excess ROS was the factor responsible for impairing neuron development and differentiation. We provided evidence for our hypothesis by showing that the addition of vitamin C (a powerful antioxidant) could rescue the damaging effects of high glucose on cultured neurons.
Highlights
Gestational diabetes is diagnosed as high blood sugar levels initiated at pregnancy
We found that exposure to high glucose significantly increased the weight of 5.5-day old quail embryos when compared with control embryos (Figs. 1A and B)
Using quail embryos as a model, we investigated the effects of high glucose on embryonic development, especially on neurogenesis
Summary
Gestational diabetes is diagnosed as high blood sugar levels initiated at pregnancy. Its emergence is principally attributed to reduced insulin function by pregnant hormones during pregnancy. Women with this condition generally show no obvious symptoms and it is not life threatening. Elevated glucose in pregnant women could lead to a significant increase in emacrosomia, presentation anomalies, polyhydramnios, preeclampsia and gestational hypertension [7]. In this context, it is important to fully understand how gestational diabetes affects embryonic development and the mechanisms involved, in order to develop new therapies for this condition
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