PMID- 28948973 OWN - NLM STAT- MEDLINE DCOM- 20190731 LR - 20220716 IS - 1476-5578 (Electronic) IS - 1359-4184 (Print) IS - 1359-4184 (Linking) VI - 23 IP - 9 DP - 2018 Sep TI - Gestational diabetes exacerbates maternal immune activation effects in the developing brain. PG - 1920-1928 LID - 10.1038/mp.2017.191 [doi] AB - Maternal inflammation and diabetes increase the risk for psychiatric disorders in offspring. We hypothesized that these co-occurring risk factors may potentiate each other. To test this, we maternally exposed developing mice in utero to gestational diabetes mellitus (GDM) and/or maternal immune activation (MIA). Fetal mouse brains were exposed to either vehicle, GDM, MIA or GDM+MIA. At gestational day (GD) 12.5, GDM produced a hyperglycemic, hyperleptinemic maternal state, whereas MIA produced significant increases in proinflammatory cytokines and chemokines. Each condition alone resulted in an altered, inflammatory and neurodevelopmental transcriptome profile. In addition, GDM+MIA heightened the maternal inflammatory state and gave rise to a new, specific transcriptional response. This exacerbated response was associated with pathways implicated in psychiatric disorders, including dopamine neuron differentiation and innate immune response. Based on these data, we hypothesize that children born to GDM mothers and exposed to midgestation infections have an increased vulnerability to psychiatric disorder later in life, and this should be tested in follow-up epidemiological studies. FAU - Money, K M AU - Money KM AD - Neuroscience Graduate Program, Vanderbilt University, Nashville, TN, USA. AD - Vanderbilt Medical Scientist Training Program, Vanderbilt University, Nashville, TN, USA. FAU - Barke, T L AU - Barke TL AD - Graduate Program in Microbiology and Immunology, Vanderbilt University, Nashville, TN, USA. AD - Division of Infectious Diseases, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Serezani, A AU - Serezani A AD - Division of Allergy, Department of Medicine, Pulmonary and Critical Care, Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Gannon, M AU - Gannon M AD - Division of Diabetes, Department of Medicine, Endocrinology and Metabolism, Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Garbett, K A AU - Garbett KA AD - Department of Pharmacology, Vanderbilt University, Nashville, TN, USA. FAU - Aronoff, D M AU - Aronoff DM AD - Division of Infectious Diseases, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA. AD - Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Mirnics, K AU - Mirnics K AD - Munroe-Meyer Institute for Genetics and Rehabilitation, University of Nebraska Medical Center, Omaha, NE, USA. karoly.mirnics@unmc.edu. LA - eng GR - F31 DK108652/DK/NIDDK NIH HHS/United States GR - R01 MH079299/MH/NIMH NIH HHS/United States GR - T32 GM007347/GM/NIGMS NIH HHS/United States GR - T32 MH064913/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20170926 PL - England TA - Mol Psychiatry JT - Molecular psychiatry JID - 9607835 RN - 0 (Chemokines) RN - 0 (Cytokines) MH - Animals MH - Brain/drug effects/embryology MH - Chemokines/metabolism MH - Cytokines/metabolism MH - Diabetes, Gestational/*immunology/*physiopathology MH - Female MH - Immunity, Active/*immunology/physiology MH - Inflammation/metabolism MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mothers MH - Pregnancy MH - Prenatal Exposure Delayed Effects/physiopathology MH - Risk Factors PMC - PMC6459194 MID - NIHMS976744 EDAT- 2017/09/28 06:00 MHDA- 2019/08/01 06:00 PMCR- 2019/04/11 CRDT- 2017/09/27 06:00 PHST- 2017/02/27 00:00 [received] PHST- 2017/07/13 00:00 [accepted] PHST- 2017/07/04 00:00 [revised] PHST- 2017/09/28 06:00 [pubmed] PHST- 2019/08/01 06:00 [medline] PHST- 2017/09/27 06:00 [entrez] PHST- 2019/04/11 00:00 [pmc-release] AID - 10.1038/mp.2017.191 [pii] AID - 10.1038/mp.2017.191 [doi] PST - ppublish SO - Mol Psychiatry. 2018 Sep;23(9):1920-1928. doi: 10.1038/mp.2017.191. Epub 2017 Sep 26.