Abstract

Maternal obesity and gestational diabetes mellitus (GDM) increase the risk of delivering infants that are large for gestational age with greater adiposity, who are prone to the development of metabolic disease in childhood and beyond. These maternal conditions are also associated with increased levels of the proinflammatory cytokine TNF-α in maternal tissues and the placenta. Recent evidence suggests that changes in placental amino acid transport contribute to altered fetal growth. TNF-α was previously shown to stimulate System A amino acid transport in primary human trophoblasts (PHTs), however the molecular mechanisms remain unknown. In this study, we tested the hypothesis that TNF-α regulates amino acid uptake in cultured PHTs by a mitogen-activated protein kinase (MAPK)-dependent mechanism. Treatment of PHTs with TNF-α significantly increased System A amino acid transport, as well as Erk and p38 MAPK signaling. Pharmacological antagonism of p38, but not Erk MAPK activity, inhibited TNF-α stimulated System A activity. Silencing of p38 MAPK using siRNA transfections prevented TNF-α stimulated System A transport in PHTs. TNF-α significantly increased the protein expression of System A transporters SNAT1 and SNAT2, but did not affect their mRNA expression. The effects of TNF-α on SNAT1 and SNAT2 protein expression were reversed by p38 MAPK siRNA silencing. In conclusion, TNF-α regulates System A activity through increased SNAT1 and SNAT2 transporter protein expression in PHTs. These findings suggest that p38 MAPK may represent a critical mechanistic link between elevated proinflammatory cytokines and increased placental amino acid transport in obese and GDM pregnancies associated with fetal overgrowth.

Highlights

  • Maternal obesity and gestational diabetes mellitus (GDM) create an intrauterine environment that promotes fetal overgrowth (Group HSCR, 2008; Catalano et al 2009), altered body composition (Catalano et al 2009; Uebel et al 2014), and increased risk of childhood obesity (Crume et al 2011)

  • TNF-a regulates System A activity through increased SNAT1 and SNAT2 transporter protein expression in primary human trophoblasts (PHTs). These findings suggest that p38 mitogenactivated protein kinase (MAPK) may represent a critical mechanistic link between elevated proinflammatory cytokines and increased placental amino acid transport in obese and GDM pregnancies associated with fetal overgrowth

  • We provide mechanistic evidence that TNF-a regulation of System A amino acid transport is dependent on p38 MAPK

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Summary

Introduction

Maternal obesity and gestational diabetes mellitus (GDM) create an intrauterine environment that promotes fetal overgrowth (Group HSCR, 2008; Catalano et al 2009), altered body composition (Catalano et al 2009; Uebel et al 2014), and increased risk of childhood obesity (Crume et al 2011). Altered placental nutrient transport, in particular amino acid transport, is a common pathway which leads to pathological fetal growth resulting in a fetus that is either large for gestational age with increased placental amino acid transport (Jansson et al 2013) or growth restricted in cases of decreased amino acid transport (Glazier et al 1997; Jansson et al 1998).

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