Evidence map›Paper›PMID 40314345›Full record

ArticleJournal of the American Heart Association2025

Role of Maternal Obesity in Offspring Cardiovascular Development and Congenital Heart Defects.

Ashleigh McMullan, James B Zwierzynski, Nina Jain, Laura S Haneline, Weinian Shou, Kok Lim Kua, Swetansu K Hota, Matthew D Durbin

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Article
  2. [Obesity during pregnancy is associated to congenital cardiopathies in the newborn].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Article
  3. Review
  4. Maternal Risk Factors for Omphalocele.Fetal diagnosis and therapy · 2026
    Article
  5. Review
  6. Article
  7. Elevated Amniotic Fluid 8-Iso-Prostaglandin FAntioxidants (Basel, Switzerland) · 2026
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Genetic and Environmental Contributors To Congenital Heart Disease.Current treatment options in cardiovascular medicine · 2025
    Review
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.

Ashleigh McMullanDepartment of Pediatrics Herman B Wells Center for Pediatric Research, Indiana University School of Medicine Indianapolis IN USA.
James B ZwierzynskiDepartment of Biology Stanford University Stanford CA USA.ORCID 0009-0005-7027-0916
Nina JainDepartment of Pediatrics Herman B Wells Center for Pediatric Research, Indiana University School of Medicine Indianapolis IN USA.ORCID 0009-0005-5347-8539
Laura S HanelineDepartment of Pediatrics Herman B Wells Center for Pediatric Research, Indiana University School of Medicine Indianapolis IN USA.
Weinian ShouDepartment of Pediatrics Herman B Wells Center for Pediatric Research, Indiana University School of Medicine Indianapolis IN USA.ORCID 0000-0001-5538-9605
Kok Lim KuaDepartment of Pediatrics Herman B Wells Center for Pediatric Research, Indiana University School of Medicine Indianapolis IN USA.ORCID 0000-0002-6351-4506
Swetansu K HotaDepartment of Pediatrics Herman B Wells Center for Pediatric Research, Indiana University School of Medicine Indianapolis IN USA.ORCID 0000-0003-3105-9729
Matthew D DurbinDepartment of Pediatrics Herman B Wells Center for Pediatric Research, Indiana University School of Medicine Indianapolis IN USA.ORCID 0000-0002-1686-903X

Funding

Tumor Microenvironment and Metastasis ProgramP30CA082709 · NCI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI David W Clapp · 1999 to 2026
$59.3M
Quality Assurance and Quality Control Project Management: Improving Submissions and Study Conduct in the Human Subjects Research Prior Approval ProcessUL1TR002529 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI MOE, SHARON M, WIEHE, SARAH ELIZABETH · 2018 to 2022
$27.2M
Transcriptional regulation of cardiac morphogenesisP01HL134599 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI Matthew D. Durbin · 2017 to 2026
$25.7M
Translation CoreP30DK097512 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI Carmella Evans-Molina · 2015 to 2026
$17.4M
"SHROOM3 is a Novel Cause of Congenital Heart Disease"K08HL148508 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI DURBIN, MATTHEW D. · 2020 to 2024
$776k
Investigating the Downstream Mechanisms Contributing to Beta Cell Failure in Offspring Exposed to Maternal ObesityK08HD109636 · NICHD · INDIANA UNIVERSITY INDIANAPOLIS · PI Kok Lim Kua · 2022 to 2026
$770k
NCATS NIH HHS UL1 TR002529NCI NIH HHS P30 CA082709NHLBI NIH HHS K08 HL148508NHLBI NIH HHS L40 HL149062NHLBI NIH HHS P01 HL134599NICHD NIH HHS K08 HD109636NIDDK NIH HHS P30 DK097512
6 · The paper itself

Abstract

backgroundCongenital heart disease is a leading cause of death in newborns, yet many of its molecular mechanisms remain unknown. Both maternal obesity and diabetes increase the risk of congenital heart disease in offspring, with recent studies suggesting these conditions may have distinct teratogenic mechanisms. The global prevalence of obesity is rising, and while maternal obesity is a known risk factor for fetal congenital heart disease, the specific mechanisms are largely unexplored. METHODS AND

resultsWe used a murine model of diet-induced maternal obesity, without diabetes, to produce dams that were overweight but had normal blood glucose levels. Embryos were generated and their developing hearts analyzed. Transcriptome analysis was performed using single-nucleus and bulk RNA sequencing. Global and phospho-enriched proteome analysis was performed using tandem mass tag-mass spectroscopy. Immunobloting and histologic evaluation were also performed. Analysis revealed disrupted oxidative phosphorylation and reactive oxygen species formation, with reduced antioxidant capacity, evidenced by downregulation of genes

conclusionsThese findings demonstrate that maternal obesity alone can result in cardiac defects through mechanisms similar to those associated with maternal hyperglycemia. This study provides valuable insight into the role of maternal obesity, a growing and modifiable risk factor, in the development of the most common birth defect, congenital heart disease.

Indexed as

Heart Defects, CongenitalPregnancy in ObesityPrenatal Exposure Delayed EffectsAnimalsDisease Models, AnimalFemaleGene Expression Regulation, DevelopmentalMaternal Nutritional Physiological PhenomenaMiceMice, Inbred C57BLOxidative PhosphorylationOxidative StressPregnancyReactive Oxygen SpeciesSignal TransductionReactive Oxygen Speciescardiac developmentcongenital heart diseasegene–environment interactionmaternal obesity

Identifiers

PMID40314345
PMCPMC12184252

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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.