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Epigenetically regulated pancreatic GABA-somatostatin signaling underlies gestational diabetes-induced glucose intolerance in offspring - PubMed

4 hours ago
  • #GABA signaling
  • #epigenetics
  • #gestational diabetes
  • Gestational diabetes mellitus (GDM) increases diabetes risk in offspring, but mechanisms are unclear.
  • Intrauterine hyperglycemia (IHG) down-regulates DNA demethylases TET2/3 in fetal pancreatic islets, increasing DNA methylation of GABA synthesis gene Gad1.
  • Tet2/3 double knockout (DKO) in pancreas mimics IHG effects, impairing insulin secretion and glucose tolerance.
  • IHG and Tet2/3 DKO reduce pancreatic GABA content, while gestational GABA supplementation improves metabolic defects.
  • scRNA-seq shows IHG or Tet2/3 DKO down-regulates β cell signature and up-regulates δ cell genes, particularly Sst.
  • β cell-specific deletion of Sst rescues IHG-induced metabolic defects.
  • GDM in humans is linked to reduced GABA in umbilical arterial blood.
  • Epigenetically controlled GABA-SST signaling pathway contributes to GDM-induced diabetes risk in offspring.
  • Dietary GABA supplementation is a potential intervention strategy.