Key result
Excessive hypercholesterolemia in pregnancy increased placental lipid levels in both sexes, but activated the NLRP3 inflammasome only in male placentas.
Why the study?
Excessive hypercholesterolemia in pregnancy reduces placental efficiency in both fetal sexes, but the underlying mechanisms are not known.
Does a high cholesterol diet during pregnancy alter placental function markers in male and female offspring in Sprague Dawley rats?
Does a high cholesterol diet during pregnancy alter placental function markers in male and female offspring in Sprague Dawley rats?
Excessive hypercholesterolemia in pregnancy induces sex-specific alterations in placental cholesterol handling and stress responses, with male placentas showing unique activation of the NLRP3 inflammasome.
Answers are grounded in this paper and cite their sources.
Does not inform clinical practice; hypothesis-generating for sex-specific placental NLRP3 responses in maternal hypercholesterolemia models.
Excessive hypercholesterolemia (eHC) in pregnancy reduces placental efficiency in both fetal sexes, but the mechanisms are not known. In this study, Sprague Dawley rats received a control or high cholesterol diet (to model eHC) during pregnancy, after which various markers of placental function were assessed. Lipid levels, but not reactive oxygen species levels, were increased in both the male and female eHC placentas vs. controls. However, compared to control placentas, eHC reduced cholesterol receptors, increased cholesterol transporters, lowered fetal cholesterol levels, and altered the unfolded protein response in a sex-specific manner. Moreover, NOD-, LRR-, and pyrin domain-containing protein 3 (NLRP3) levels were increased in only the male eHC placentas, and associated with reduced interleukin 1β levels, likely due to its rapid secretion into the circulation. The levels of caspase 8, but not caspase 1, were increased in only the male eHC placentas vs. controls, suggesting that the processing of interleukin 1β may have happened via a non-canonical pathway. In conclusion, eHC in pregnancy impacts the placentas of both the male and female offspring, but the activation of the NLRP3 inflammasome in only the male placentas suggests that the male offspring may be more susceptible to excessive increases in maternal cholesterol levels.
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Oliveira et al. (2025) studied Excessive hypercholesterolemia in pregnancy (n=15). High cholesterol diet vs. Control diet was evaluated on Placental lipid levels (p=0.0352 (males), 0.0144 (females)). Excessive hypercholesterolemia in pregnancy increased placental lipid levels in both sexes, but activated the NLRP3 inflammasome only in male placentas.
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