Key result
Maternal pregestational diabetes exposure cuts offspring perinuclear cardiac mitochondria by ~50% at birth.
Why the study?
Diabetic pregnancy increases offspring cardiovascular disease risk, and it was hypothesized that early mitochondrial dysfunction influences adult myocardium structure to confer cardiometabolic risk with aging.
Does in utero exposure to maternal diabetes alter the development of myocardial mitochondrial reticulum networks in offspring?
Does in utero exposure to maternal diabetes alter the development of myocardial mitochondrial reticulum networks in offspring?
Effect estimate: 50% reduction
p-value: p=<0.0001
Fetal exposure to pregestational diabetes causes maldevelopment of the myocardial mitochondrial reticulum that persists into adulthood, potentially explaining the increased risk of adult cardiovascular disease in these offspring.
Maternal diabetes may program offspring cardiac mitochondrial deficits; hypothesis-generating for adult CVD mechanisms, requires human validation.
Diabetic pregnancy increases the offspring's risk of neonatal and adult cardiovascular disease (CVD). We previously used a rat model (Sprague-Dawley) to show that diabetic pregnancy impairs mitochondrial bioenergetics, dynamics, mitophagy, and quality control in the offspring's heart, and we hypothesized that mitochondrial dysfunction during early development influences the adult myocardium structure to confer cardiometabolic disease risk with aging. Here, we used 3D serial block face-scanning electron microscopy (SBF-SEM) to analyze perinuclear (PN) and intrafibrillar (IF) mitochondrial networks in the left ventricular sections from control and pregestational diabetes-exposed newborn (NB) rats that were three-week-old and four-month-old. Diabetes-exposed myocardium had 50% fewer PN and 20% fewer IF mitochondria at birth but counts increased more rapidly, resulting in no difference at three weeks and 35% more PN and 49% more IF mitochondria by four months. Despite rising counts, mitochondria volumes remained significantly lower at every developmental timepoint. This shows that diabetic pregnancy causes maldevelopment of the myocardial mitochondrial reticulum which likely contributes to adult CVD.
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Ayyappan et al. (2025) studied Cardiovascular disease risk from diabetic pregnancy. Maternal pregestational diabetes vs. Non-diabetic pregnancy was evaluated on Perinuclear (PN) mitochondrial count at birth (50% reduction, p=<0.0001). Maternal pregestational diabetes exposure in rats caused a 50% reduction in perinuclear and 20% reduction in intrafibrillar mitochondria at birth, with persistently lower volume into adulthood.
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