title: The effects of prenatal metformin on obesogenic diet-induced alterations in maternal and fetal fatty acid metabolism.
abstract: BACKGROUND
  Maternal obesity may program the fetus and increase the susceptibility of the offspring to adult diseases. Metformin crosses the placenta and has been associated with decreased inflammation and reversal of fatty liver in obese leptin-deficient mice. We investigated the effects of metformin on maternal and fetal lipid metabolism and hepatic inflammation using a rat model of diet-induced obesity during pregnancy.
  
  
  METHODS
  Female Wistar rats (6-7 weeks old) were fed normal or high calorie diets for 5 weeks. After mating with normal-diet fed males, half of the high calorie-fed dams received metformin (300 mg/kg, daily); dams (8 per group) continued diets through gestational day 19. Maternal and fetal livers and fetal brains were analyzed for fatty acids and for fatty acid metabolism-related gene expression. Data were analyzed by ANOVA followed by Dunnett's post hoc testing.
  
  
  RESULTS
  When compared to control-lean maternal livers, obesogenic-diet-exposed maternal livers showed significantly higher saturated fatty acids (14:0 and 16:0) and monounsaturated fatty acids (16:1n7 and 18:1n9) and lower polyunsaturated (18:2n6 and 20:4n6 [arachidonic acid]) and anti-inflammatory n3 polyunsaturated fatty acids (18:3n3 and 22:6n3 [docosahexaenoic acid]) (p < 0.05). Metformin did not affect diet-induced changes in maternal livers. Fetal livers exposed to the high calorie diet showed significantly increased saturated fatty acids (18:0) and monounsaturated fatty acids (18:1n9 and 18:1n7) and decreased polyunsaturated fatty acids (18:2n6, 20:4n6 and 22:6n3) and anti-inflammatory n3 polyunsaturated fatty acids, along with increased gene expression of fatty acid metabolism markers (Fasn, D5d, D6d, Scd1, Lxrα). Metformin significantly attenuated diet-induced inflammation and 18:1n9 and 22:6n3 in fetal livers, as well as n3 fatty acids (p < 0.05). Prenatal obesogenic diet exposure significantly increased fetal liver IFNγ levels (p < 0.05), which was reversed by maternal metformin treatment (p < 0.05).
  
  
  CONCLUSIONS
  Consumption of a high calorie diet significantly affected maternal and fetal fatty acid metabolism. It reduced anti-inflammatory polyunsaturated fatty acids in maternal and fetal livers, altered gene expression of fatty acid metabolism markers, and induced inflammation in the fetal livers. Prenatal metformin attenuated some diet-induced fatty acid changes and inflammation in the fetal livers without affecting maternal livers, suggesting that maternal metformin may impact fetal/neonatal fatty acid/lipid metabolism.
authors.affiliation: Hofstra Northwell School of Medicine, Department of OB/GYN, Division of Maternal-Fetal Medicine, Manhasset, NY USA ; Present Address: Jamaica Hospital Medical Center, Medisys Health Network, Jamaica, NY USA.
authors.forename: Kemoy
authors.initials: K
authors.lastname: Harris
authors.affiliation: Hofstra Northwell School of Medicine, Department of OB/GYN, Division of Maternal-Fetal Medicine, Manhasset, NY USA ; Winnie Palmer Hospital-Orlando Health, Orlando, FL USA.
authors.forename: Neeraj
authors.initials: N
authors.lastname: Desai
authors.affiliation: Elmezzi Graduate School of Molecular Medicine, Manhasset, NY USA ; The Feinstein Institute for Medical Research, The Center for Biomedical Sciences, Northwell Health, 350 Community Drive, Manhasset, NY 11030 USA.
authors.forename: Madhu
authors.initials: M
authors.lastname: Gupta
authors.affiliation: The Feinstein Institute for Medical Research, The Center for Biomedical Sciences, Northwell Health, 350 Community Drive, Manhasset, NY 11030 USA.
authors.forename: Xiangying
authors.initials: X
authors.lastname: Xue
authors.affiliation: The Feinstein Institute for Medical Research, The Center for Biomedical Sciences, Northwell Health, 350 Community Drive, Manhasset, NY 11030 USA.
authors.forename: Prodyot K
authors.initials: PK
authors.lastname: Chatterjee
authors.affiliation: Hofstra Northwell School of Medicine, Department of OB/GYN, Division of Maternal-Fetal Medicine, Manhasset, NY USA.
authors.forename: Burton
authors.initials: B
authors.lastname: Rochelson
authors.affiliation: Hofstra Northwell School of Medicine, Department of OB/GYN, Division of Maternal-Fetal Medicine, Manhasset, NY USA ; Elmezzi Graduate School of Molecular Medicine, Manhasset, NY USA ; The Feinstein Institute for Medical Research, The Center for Biomedical Sciences, Northwell Health, 350 Community Drive, Manhasset, NY 11030 USA.
authors.forename: Christine N
authors.initials: CN
authors.lastname: Metz
keywords: Fatty acid metabolism; Fetal programming; Metabolic syndrome; Pregnancy