Evidence map›Paper›PMID 24484739›Full record

ArticlePlacenta2014

Maternal obesity is associated with a lipotoxic placental environment.

J Saben, F Lindsey, Y Zhong, K Thakali, T M Badger, A Andres, H Gomez-Acevedo, K Shankar

Abstract read
In one paragraph

Article in Placenta, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 167 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
167citing papers in PubMed, 4 pooled it
11.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

167 citing papers in PubMed, 4 syntheses or guidelines pooled it, 290 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Maternal obesity results in decreased syncytiotrophoblast synthesis of palmitoleic acid, a fatty acid with anti-inflammatory and insulin-sensitizing properties.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2019
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  16. Maternal Low-Fat and High-Fat Diet Decreases Survival and Alters Cytokine Signaling in Neonatal Mice With Staphylococcus epidermidis Sepsis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  17. Article
  18. Subtype specific immune-metabolic reprogramming in preeclampsia revealed by multiomics and serum biomarkers.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  19. Article
  20. Decoding Human Placental Cellular and Molecular Responses to Obesity and Fetal Growth.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article

107 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

J SabenArkansas Children's Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA; The Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
F LindseyArkansas Children's Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Y ZhongArkansas Children's Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
K ThakaliArkansas Children's Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA; The Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
T M BadgerArkansas Children's Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA; The Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
A AndresArkansas Children's Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA; The Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
H Gomez-AcevedoArkansas Children's Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA; The Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
K ShankarArkansas Children's Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA; The Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA. Electronic address: ShankarKartik@uams.edu.
Arkansas Children's Nutrition Center · USUniversity of Arkansas for Medical Sciences · US

Funding

Arkansas Center for Clinical and Translational ResearchUL1TR000039 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI BECK, CORNELIA MARIE, JAMES, LAURA P · 2012 to 2014
$10.0M
Maternal Overweight: Consequences for Insulin Signaling in the OffspringR01DK084225 · NIDDK · ARKANSAS CHILDREN'S HOSPITAL RES INST · PI SHANKAR, KARTIK · 2009 to 2013
$1.6M
Arkansas Center for Clinical Translational ResearchKL2TR000063 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI BECK, CORNELIA MARIE, JAMES, LAURA P · 2012 to 2014
$459k
NCATS NIH HHS KL2 TR000063NCATS NIH HHS KL2TR000063NCATS NIH HHS UL1 TR000039NCATS NIH HHS UL1TR000039NIDDK NIH HHS R01 DK084225NIDDK NIH HHS R01-DK084225
6 · The paper itself

Abstract

Maternal obesity is associated with placental lipotoxicity, oxidative stress, and inflammation, where MAPK activity may play a central role. Accordingly, we have previously shown that placenta from obese women have increased activation of MAPK-JNK. Here, we performed RNA-sequencing on term placenta from twenty-two subjects who were dichotomized based on pre-pregnancy BMI into lean (BMI 19-24 kg/m(2); n = 12) and obese groups (BMI, 32-43 kg/m(2); n = 12). RNA-seq revealed 288 genes to be significantly different in placenta from obese women by ≥ 1.4-fold. GO analysis identified genes related to lipid metabolism, angiogenesis, hormone activity, and cytokine activity to be altered in placenta from obese women. Indicative of a lipotoxic environment, increased placental lipid and CIDEA protein were associated with decreased AMPK and increased activation of NF-κB (p65) in placenta from obese women. Furthermore, we observed a 25% decrease in total antioxidant capacity and increased nuclear FOXO4 localization in placenta from obese women that was significantly associated with JNK activation, suggesting that maternal obesity may also be associated with increased oxidative stress in placenta. Maternal obesity was also associated with decreased HIF-1α protein expression, suggesting a potential link between increased inflammation/oxidative stress and decreased angiogenic factors. Together, these findings indicate that maternal obesity leads to a lipotoxic placental environment that is associated with decreased regulators of angiogenesis and increased markers of inflammation and oxidative stress.

Indexed as

Lipid MetabolismAdultAMP-Activated Protein KinasesAntioxidantsApoptosis Regulatory ProteinsFemaleHumansHypoxia-Inducible Factor 1, alpha SubunitInflammationJNK Mitogen-Activated Protein KinasesMitogen-Activated Protein KinasesObesityOxidative StressPlacentaPregnancyPregnancy ComplicationsAMP-Activated Protein KinasesAntioxidantsApoptosis Regulatory ProteinsCIDEA protein, humanHIF1A protein, humanHypoxia-Inducible Factor 1, alpha SubunitJNK Mitogen-Activated Protein KinasesMitogen-Activated Protein KinasesDevelopmental programmingFOXOGestational obesityVascular development

Identifiers

PMID24484739
PMCPMC3978121
OpenAlexW2088044155

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.