Abstract
Insulin resistance and altered maternal metabolism in gestational diabetes mellitus (GDM) may impair fetal arachidonic acid (AA) and docosahexaenoic acid (DHA) status. The objectives were to test the hypothesis that fetal polyunsaturated fatty acids would be altered with GDM and identify factors related to fetal phospholipid (PL) AA and DHA. Maternal and cord vein erythrocyte PL fatty acids were determined in GDM (n=13) and healthy pregnant women (controls, n=12). Cord vein erythrocyte PL AA and DHA concentrations were significantly lower in GDM vs. controls. Maternal blood hemoglobin A1C was inversely correlated to fetal erythrocyte PL DHA and AA in controls and GDM (n=25). Pregravid body mass index was negatively associated with fetal PL DHA. The data support the hypothesis that there is impairment in fetal accretion of DHA and AA in GDM.
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Abbreviations
- AA:
-
arachidonic acid
- ANOVA:
-
analysis of variance
- BMI:
-
body mass index
- DHA:
-
docosahexaenoic acid
- EFA:
-
essential fatty acid
- GDM:
-
gestational diabetes mellitus
- HbA1C:
-
hemoglobin A1C
- LA:
-
linoleic acid
- LC-PUFA:
-
long-chain polyunsaturated fatty acid
- LNA:
-
linolenic acid
- PL:
-
phospholipid
- P/S:
-
polyunsaturated to saturated fatty acid ratio
- PUFA:
-
polyunsaturated fatty acid
- SFA:
-
saturated fatty acid
References
Crawford, M.A., Doyle, W., Drury, P., Lennon, A., Costeloe, K., and Leighfield, M. (1989) n-6 and n-3 Fatty Acids During Early Human Development, J. Intern. Med. 225 (suppl.), 159–169.
Neuringer, M., Anderson, G.J., and Connor, W.E. (1988) The Essentiality of n-3 Fatty Acids for the Development and Function of the Retina and Brain, Annu. Rev. Nutr. 8, 517–541.
Salem, N., Wegher, B., Mena, P., and Uauy, R. (1996) Arachidonic and Docosahexaenoic Acids Are Biosynthesized from Their 18-Carbon Precursors in Human Infants, Proc. Natl. Acad. Sci. USA 93, 49–54.
Feldman, M., Vanaerde, J.E., and Clandinin, M.T. (1992) Lipid Accretion in the Fetus and Newborn, in Fetal and Neonatal Physiology (Polin, A., ed.) pp. 299–314, W.B. Saunders Co., Philadelphia
Haggarty, P., Ashton, J., Joynson, M., Abramovich, D.R., and Page, K. (1999) Effect of Maternal Polyunsaturated Fatty Acid Concentration on Transport by the Human Placenta, Biol. Neonate. 75, 350–359.
Holman, R.T., Johnson, S.B., Gerrard, J.M., Mauer, S.M., Kupcho-Sandberg, S., and Brown, D.M. (1983) Arachidonic Acid Deficiency in Streptozotocin-Induced Diabetes, Proc. Natl. Acad. Sci. USA 80, 2375–2379.
Phinney, S.D., Davis, P.G., Johnson, S.B., and Holman, R.T. (1991) Obesity and Weight Loss Alter Polyunsaturated Lipids in Humans, Am. J. Clin. Nutr. 53, 831–838.
Kuhn, D.C., Crawford, M.A., Stuart, M.J., Botti, J.J., and Demers, L.M. (1990) Alterations in Transfer of Arachidonic Acid in Placentas of Diabetic Pregnancies. Diabetes 39, 914–918.
National Diabetes Data Group (1977) Classification and Diagnosis of Diabetes Mellitus and Other Categories of Glucose Intolerance, Diabetes 28, 1039–1057.
Kautzky-Willer, A., Prager, R., Waldhausl, W., Pacini, G., Thomaseth, K., Wagner, O.F., Ulm, M., Streli, C., and Ludvik, B. (1997) Pronounced Insulin Resistance and Inadequate Beta-Cell Secretion Characterize Lean Gestational Diabetes During and After Pregnancy, Diabetes Care 20, 1717–1723.
Knopp, R.H., Montes, A., Childs, M., Li, J.R., and Mabuchi, H. (1981) Metabolic Adjustments in Normal and Diabetic Pregnancy, Clin. Obstet. Gynecol. 24, 21–49.
Wijendran, V., Bendel, R.B., Couch, S.C., Philipson, E.H., Thomsen, K., Zhang, X., and Lammi-Keefe, C.J. (1999) Maternal Plasma Phospholipid Polyunsaturated Fatty Acids in Pregnancy With and Without Gestational Diabetes Mellitus: Relations with Maternal Factors, Am. J. Clin. Nutr. 70, 53–61.
O’Sullivan, J.B., and Mahan, C.M. (1967) Criteria for the Oral Glucose Tolerance Test in Pregnancy, Diabetes 13, 278–285.
American Diabetes Association (1986) Nutrient Recommendations and Principles for Individuals with Diabetes Mellitus, Diabetes Care 10, 121–132.
Dodge, J., and Phillips, G. (1967) Composition of Phospholipids and of Phospholipid Fatty Acids and Aldehydes in Human Red Cells, J. Lipid. Res. 8, 667–675.
SAS Institute, Inc. (1986) SAS User’s Guide: Statistics, SAS Institute, Inc., Cary, NC.
Ruyle, M., Connor, W.E., Anderson, G.J., and Lowensohn, R.I. (1990) Placental Transfer of Essential Fatty Acids in Humans: Venous-Arterial Difference for Docosahexaenoic Acid in Fetal Umbilical Erythrocytes, Proc. Natl. Acad. Sci. USA 87, 7902–7906.
Crawford, M.A. (1977) Fetal Accumulation of Long-Chain Polyunsaturated Fatty Acids, in Function and Biosynthesis of Lipids (Bazan, N.G., Brenner, R.R., and Giusto, N.M. eds.), pp. 135–143, Plenum Press, New York.
Friedman, Z., Danon, A., and Lamberth, E.L. (1978) Cord Blood Fatty Acid Composition in Infants and Their Mothers During the Third Trimester, J. Paediatr. 92, 461–466.
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Wijendran, V., Bendel, R.B., Couch, S.C. et al. Fetal erythrocyte phospholipid polyunsaturated fatty acids are altered in pregnancy complicated with gestational diabetes mellitus. Lipids 35, 927–931 (2000). https://doi.org/10.1007/S11745-000-0602-2
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DOI: https://doi.org/10.1007/S11745-000-0602-2