In Utero Alcohol and Tobacco Exposure, Maternal Depression, And Maternal Obesity Are Associated with Impaired Oligodendrocyte Differentiation in The Developing Brain.

Obstetrics and gynecology research Pub Date : 2025-01-01 Epub Date: 2025-01-15 DOI:10.26502/ogr0172
Uday Bharai, Jamal Hamze, Benjamin Zhang, Monica Hampe, Emily Sparks, Nana Merabova, Gabriel Tatevosian, Armine Darbinyan, Mary F Morrison, Laura Goetzl, Nune Darbinian, Michael Selzer
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引用次数: 0

Abstract

Introduction: Fetal alcohol spectrum disorder (FASD) is the leading preventable cause of pediatric cognitive disability and is associated with dysmyelination. We examined possible clinical co-determinants that might interact with EtOH in impairing oligodendrocyte (OL) development. Women who drink, including pregnant women, also disproportionately suffer from depression (mDepression), which we have shown is a risk factor for FASD. Might depression during pregnancy contribute to OL pathology? Maternal obesity (mObesity) also inhibits white matter development in fetal brain. Finally, tobacco exposure inhibits not only OL development, but also the production of structural proteins, such as actin. Our human biobank derived from voluntarily terminated pregnancies allows us to study the effect of EtOH and tobacco exposure, mDepression and mObesity on OL markers.

Methods: Fetal brain tissue (10 - 22 weeks) was collected and EtOH exposure estimated, based on a questionnaire adapted from the NIAAA PASS study. EtOH, tobacco, mObesity, mDepression exposed samples were compared with controls matched for gestational age and fetal gender. RNA expressions of OL markers were assayed by ddPCR. Fetal-brain-derived exosomes (FB-E) were isolated from maternal plasma. Exosomal RNA was studied for MBP, BDNF and actin mRNA expression by qRT-PCR and protein levels were confirmed by ELISA.

Results: Forty-two subjects were used in EtOH, mObesity and mDepression studies, 40 cases were used in EtOH and tobacco studies, and 40 cases were used in OL-E (oligodendrocyte-derived exosomes) studies. Six cases were compared to 6 controls. EtOH exposure, mDepression and mObesity were associated with reduced mRNA expression of myelin basic protein (MBP), a marker for mature OLs: ↓ 1.6-fold with EtOH, ↓ 1.5 mObesity, and ↓ 2.2 mDepression. The combination of EtOH and mObesity was associated with strong reductions in MBP expression (↓ 20.6), as was mDepression plus mObesity (↓ 2.6). No significant effects were observed for the early OL marker Nkx2.2 (↓ 1.06). Olig1 was reduced in single (↓ 1.85 EtOH, ↓ 1.8 mObesity) or combined groups: ↓ 5 EtOH and mDepression, ↓ 6.4 EtOH and mObesity, and ↓ 11.6 mDepression and mObesity. We observed reduced Olig2 (↓1.1 EtOH, ↓ 29 mDepression) in all combined groups. EtOH and mDepression, and obesity were associated with much lower levels of BDNF (↓ 1.7 EtOH, ↓ 99). In FB-E studies, 10 cases (EtOH, Tobacco, or EtOH plus Tobacco) were compared to 10 controls: EtOH exposure, Tobacco exposure and EtOH plus Tobacco exposures were associated with reduced MBP: ↓ 1.8-fold by EtOH, ↓ 2.6 EtOH plus Tobacco, ↓ 1.9 Tobacco. EtOH and Tobacco had strong inhibitory effect also on BDNF (↓2.6), as well as on Actin (↓3.9). Cases with high BMI were associated with a stronger effect on MBP downregulation compared to low BMI.

Conclusions: Single Exposures to EtOH or tobacco, mObesity and mDepression all are associated with delayed OL maturation. When these exposures are combined the effects appear to be synergistic. Our unique biobank can be used to determine the mechanism(s) of specific adverse exposures and may suggest novel therapeutic or prophylactic interventions to lessen the severity of FASD.

酒精和烟草暴露、母亲抑郁和母亲肥胖与发育中的大脑少突胶质细胞分化受损有关。
胎儿酒精谱系障碍(FASD)是儿童认知障碍的主要可预防原因,并与髓鞘发育障碍有关。我们研究了可能的临床共同决定因素,这些共同决定因素可能与EtOH相互作用,损害少突胶质细胞(OL)的发育。喝酒的妇女,包括孕妇,也不成比例地患有抑郁症(mDepression),我们已经证明这是FASD的一个危险因素。怀孕期间的抑郁是否会导致OL病理?母亲肥胖(mObesity)也会抑制胎儿大脑白质的发育。最后,烟草暴露不仅会抑制OL的发育,还会抑制结构蛋白(如肌动蛋白)的产生。我们的人类生物样本来源于自愿终止妊娠,这使我们能够研究EtOH和烟草暴露、mDepression和mob肥胖症对OL标志物的影响。方法:收集胎儿脑组织(10 - 22周),根据NIAAA PASS研究的调查问卷估计EtOH暴露。将暴露于EtOH、烟草、mObesity、mDepression的样本与符合胎龄和胎儿性别的对照组进行比较。采用ddPCR检测OL标记物的RNA表达。从母体血浆中分离出胎儿脑源性外泌体(FB-E)。采用qRT-PCR检测外泌体RNA中MBP、BDNF和actin mRNA的表达,ELISA检测蛋白水平。结果:42例受试者用于EtOH、mObesity和mDepression研究,40例用于EtOH和烟草研究,40例用于OL-E(少突胶质细胞衍生外泌体)研究。6例与6例对照。EtOH暴露、mDepression和mObesity与髓鞘碱性蛋白(MBP) mRNA表达降低相关,MBP是成熟OLs的标志:↓1.6倍于EtOH、↓1.5 mObesity和↓2.2 mDepression。EtOH和mObesity的组合与MBP表达的强烈降低相关(↓20.6),mDepression + mObesity也是如此(↓2.6)。早期OL标志物Nkx2.2未见显著影响(↓1.06)。Olig1在单一组(↓1.85 EtOH,↓1.8 mObesity)或联合组(↓5 EtOH和mDepression,↓6.4 EtOH和mObesity,↓11.6 mDepression和mObesity)中降低。我们观察到所有联合组中Olig2(↓1.1 EtOH,↓29 mDepression)的降低。抑郁和肥胖与BDNF水平显著降低相关(↓1.7 EtOH,↓99)。在hb - e研究中,将10例病例(EtOH、烟草或EtOH加烟草)与10例对照进行比较:EtOH暴露、烟草暴露和EtOH加烟草暴露与MBP降低相关:EtOH降低1.8倍、EtOH加烟草降低2.6倍、烟草降低1.9倍。EtOH和烟草对BDNF(↓2.6)和Actin(↓3.9)也有较强的抑制作用。与低BMI相比,高BMI的病例对MBP下调的影响更强。结论:单一暴露于EtOH或烟草、肥胖和抑郁症都与延迟OL成熟有关。当这些暴露结合在一起时,效果似乎是协同的。我们独特的生物库可用于确定特定不良暴露的机制,并可能提出新的治疗或预防干预措施,以减轻FASD的严重程度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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