Su. Devaskar et al., EXPRESSION OF GENES INVOLVED IN PLACENTAL GLUCOSE-UPTAKE AND TRANSPORT IN THE NONOBESE DIABETIC MOUSE PREGNANCY, American journal of obstetrics and gynecology, 171(5), 1994, pp. 1316-1323
OBJECTIVE: Maternal diabetes alters placental glucose metabolism and m
aternofetal glucose transport. The purpose of this study was to determ
ine whether genes involved in placental glucose uptake and transport w
ere concomitantly altered, resulting in the observed changes in the st
ate of maternal diabetes. STUDY DESIGN: By means of the nonobese diabe
tic pregnant mouse we examined the expression of placental glucose tra
nsporters, hexokinase I, glycogen content, glycogen-regulating enzyme
activities in control animals (blood glucose 8.5 +/- 0.2 mmol/L, n = 2
5), moderate maternal diabetes (blood glucose 10 to 13.9 mmol/L, n = 1
6), and severe maternal diabetes (blood glucose > 16.7 mmol/L, n = 12)
. Comparisons by the analysis of variance and the Newman-Keuls test we
re performed. RESULTS: Although changes in placental glucose transport
ers and hexokinase I messenger ribonucleic acid levels occurred, neith
er state of diabetes altered the corresponding protein levels. Changes
in placental deoxyribonucleic acid (p < 0.05) and glycogen content (p
< 0.01), fetal insulin levels (p < 0.02), and fetal size (p < 0.05) o
ccurred in the moderately diabetic group, and changes in placental wei
ght (p < 0.05) and fetal glucose levels (p < 0.02) were observed in th
e severely diabetic group. CONCLUSIONS: Placental glucose transporting
and phosphorylating protein levels by themselves do not regulate diab
etes-induced fetoplacental alterations. The lack of a protective decli
ne in these proteins may account for the observed fetoplacental adapta
tions to excess glucose.