Evidence map›Paper›PMID 33185172›Full record

ArticleJournal of developmental origins of health and disease2021

Dyslipidemia, insulin resistance, and impairment of placental metabolism in the offspring of obese mothers.

Matthew Bucher, Kim Ramil C Montaniel, Leslie Myatt, Susan Weintraub, Hagai Tavori, Alina Maloyan

Open access · greenAbstract read
In one paragraph

Article in Journal of developmental origins of health and disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. The Double-Edged Sword of Gestational Insulin Resistance: Navigating Maternal Adaptation and Its Risks for Pregnancy and Offspring Health.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  5. Article
  6. Developmental origins of immunometabolic health.Immunometabolism (Cobham, Surrey) · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. What drives outcomes in infants of mothers with congenital heart disease? A mediation analysis.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  18. Article
  19. Article
  20. Article
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

6 authors at 2 institutions in 1 country.

Matthew BucherKnight Cardiovascular Institute, School of Medicine, Oregon Health & Science University, Portland, OR, USA.
Kim Ramil C MontanielKnight Cardiovascular Institute, School of Medicine, Oregon Health & Science University, Portland, OR, USA.
Leslie MyattDepartment of OB/GYN, Oregon Health & Science University, Portland, OR, USA.
Susan WeintraubDepartment of Biochemistry, The Metabolomics Core Facility, Institutional Mass Spectrometry Laboratory, University of Texas Health, San Antonio, TX, USA.
Hagai TavoriKnight Cardiovascular Institute, School of Medicine, Oregon Health & Science University, Portland, OR, USA.
Alina MaloyanKnight Cardiovascular Institute, School of Medicine, Oregon Health & Science University, Portland, OR, USA.ORCID 0000-0002-7309-5026
Oregon Health & Science University · USThe University of Texas Health Science Center at San Antonio · US

Funding

Institute for Integration of Medicine & Science: A Partnership to Improve HealthUL1TR001120 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A, HARGREAVES, KENNETH M · 2013 to 2017
$16.5M
Mechanisms of airway hyperresponsiveness in the offspring of obese mothersR01HL164474 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI MALOYAN, ALINA, NIE, ZHENYING · 2022 to 2025
$2.4M
Role of miR-210 in placental mitochondrial metabolismR01HD076259 · NICHD · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI MALOYAN, ALINA, MYATT, LESLIE · 2013 to 2017
$1.6M
Rubicon: a novel target of sex-specific placental dysfunction in maternal obesityR21HD097398 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI MALOYAN, ALINA · 2019 to 2020
$424k
NCATS NIH HHS UL1 TR001120NHLBI NIH HHS R01 HL164474NICHD NIH HHS R01 HD076259NICHD NIH HHS R21 HD097398
6 · The paper itself

Abstract

Obesity is a chronic condition associated with dyslipidemia and insulin resistance. Here, we show that the offspring of obese mothers are dyslipidemic and insulin resistant from the outset.Maternal and cord blood and placental tissues were collected following C-section at term. Patients were grouped as being normal weight (NW, BMI = 18-24.9) or obese (OB, BMI ≥ 30), and separated by fetal sex. We measured plasma lipids, insulin, and glucose in maternal and cord blood. Insulin resistance was quantified using the HOMA-IR. Placental markers of lipid and energy metabolism and relevant metabolites were measured by western blot and metabolomics, respectively.For OB women, total cholesterol was decreased in both maternal and cord blood, while HDL was decreased only in cord blood, independent of sex. In babies born to OB women, cord blood insulin and insulin resistance were increased. Placental protein expression of the energy and lipid metabolism regulators PGC1α, and SIRT3, ERRα, CPT1α, and CPT2 decreased with maternal obesity in a sex-dependent manner (P < 0.05). Metabolomics showed lower levels of acylcarnitines C16:0, C18:2, and C20:4 in OB women's placentas, suggesting a decrease in β-oxidation. Glutamine, glutamate, alpha-ketoglutarate (αKG), and 2-hydroxyglutarate (2-HG) were increased, and the glutamine-to-glutamate ratio decreased (P < 0.05), in OB placentas, suggesting induction of glutamate into αKG conversion to maintain a normal metabolic flux.Newly-born offspring of obese mothers begin their lives dyslipidemic and insulin resistant. If not inherited genetically, such major metabolic perturbations might be explained by abnormal placental metabolism with potential long-term adverse consequences for the offspring's health and wellbeing.

Indexed as

AdultBody Mass IndexDyslipidemiasEnergy MetabolismFemaleHumansInsulinInsulin ResistanceObesityPlacentaPregnancyInsulininsulin resistancelipid profileMaternal obesitymetabolomicsplacental function

Identifiers

PMID33185172
PMCPMC8606174
OpenAlexW3101705715

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.