PMID- 9428419 OWN - NLM STAT- MEDLINE DCOM- 19980202 LR - 20220215 IS - 0950-1991 (Print) IS - 0950-1991 (Linking) VI - 124 IP - 23 DP - 1997 Dec TI - Increased cell death in rat blastocysts exposed to maternal diabetes in utero and to high glucose or tumor necrosis factor-alpha in vitro. PG - 4827-36 AB - The morphogenetic function of the transient phase of cell death that occurs during blastocyst maturation is not known but it is thought that its regulation results from a delicate balance between survival and lethal signals in the uterine milieu. In this paper, we show that blastocysts from diabetic rats have a higher incidence of dead cells than control embryos. Differential lineage staining indicated that increased nuclear fragmentation occurred mainly in the inner cell mass. In addition, terminal transferase-mediated dUTP nick end labeling (TUNEL) demonstrated an increase in the incidence of non-fragmented DNA-damaged nuclei in these blastocysts. Analysis of the expression of clusterin, a gene associated with apoptosis, by quantitative reverse transcription-polymerase chain reaction detected an increase in the steady-state level of its transcripts in blastocysts from diabetic rats. In situ hybridization revealed that about half the cells identified as expressing clusterin mRNA exhibited signs of nuclear fragmentation. In vitro experiments demonstrated that high D-glucose increased nuclear fragmentation, TUNEL labeling and clusterin transcription. Tumor necrosis factor-alpha (TNF-alpha), a cytokine whose synthesis is up-regulated in the diabetic uterus, did not induce nuclear fragmentation nor clusterin expression but increased the incidence of TUNEL-positive nuclei. The data suggest that excessive cell death in the blastocyst, most probably resulting from the overstimulation of a basal suicidal program by such inducers as glucose and TNF-alpha, may be a contributing factor of the early embryopathy associated with maternal diabetes. FAU - Pampfer, S AU - Pampfer S AD - Physiology of Reproduction Research Unit (OBST 5330) University of Louvain Medical School, Brussels, Belgium. pampfer@obst.ucl.ac.be FAU - Vanderheyden, I AU - Vanderheyden I FAU - McCracken, J E AU - McCracken JE FAU - Vesela, J AU - Vesela J FAU - De Hertogh, R AU - De Hertogh R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Development JT - Development (Cambridge, England) JID - 8701744 RN - 0 (Clusterin) RN - 0 (Glycoproteins) RN - 0 (Molecular Chaperones) RN - 0 (RNA, Messenger) RN - 0 (Tumor Necrosis Factor-alpha) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - Blastocyst/*cytology/drug effects MH - Cell Death/drug effects MH - Cell Nucleus/ultrastructure MH - Clusterin MH - DNA Fragmentation MH - Female MH - Glucose/*pharmacology MH - Glycoproteins/genetics MH - Male MH - *Molecular Chaperones MH - Pregnancy MH - *Pregnancy in Diabetics MH - RNA, Messenger MH - Rats MH - Tumor Necrosis Factor-alpha/*pharmacology EDAT- 1998/01/15 00:00 MHDA- 1998/01/15 00:01 CRDT- 1998/01/15 00:00 PHST- 1998/01/15 00:00 [pubmed] PHST- 1998/01/15 00:01 [medline] PHST- 1998/01/15 00:00 [entrez] AID - 10.1242/dev.124.23.4827 [doi] PST - ppublish SO - Development. 1997 Dec;124(23):4827-36. doi: 10.1242/dev.124.23.4827.