The investigators hypothesize that mitochondrial DNA damage from uteroplacental insufficiency via the production of reactive oxygen species (ROS) results in further escalation of genetic damage in the mitochondria, specifically in deletions. A self-reinforcing cycle of progressive deterioration in mitochondrial function leads to a corresponding decline in beta-cell function. Finally, a threshold in mitochondrial dysfunction and ROS production is reached and beta-cell death occurs. The onset of diabetes ensues when a critical level of abnormal beta-cell insulin secretion combined with beta-cell loss is reached. It will be tested whether uteroplacental insufficiency causes mitochondrial dysfunction, oxidative stress, and deletions in mtDNA in the beta-cell, and that these effects act synergistically to lead to the development of beta-cell failure and type II diabetes. To link the damage to the mitochondria caused by uteroplacental insufficiency to the beta-cell phenotype observed in type II diabetes, the investigators will induce beta-cell failure in vitro by transferring damaged mitochondria from IUGR animals into beta-cells from unaffected, non-IUGR animals

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK055704-04
Application #
6635150
Study Section
Human Embryology and Development Subcommittee 1 (HED)
Program Officer
Laughlin, Maren R
Project Start
2000-06-01
Project End
2005-02-28
Budget Start
2003-05-01
Budget End
2005-02-28
Support Year
4
Fiscal Year
2003
Total Cost
$278,960
Indirect Cost
Name
University of Pennsylvania
Department
Pediatrics
Type
Schools of Medicine
DUNS #
042250712
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Rashid, Cetewayo S; Lien, Yu-Chin; Bansal, Amita et al. (2018) Transcriptomic Analysis Reveals Novel Mechanisms Mediating Islet Dysfunction in the Intrauterine Growth-Restricted Rat. Endocrinology 159:1035-1049
Rando, Oliver J; Simmons, Rebecca A (2015) I'm eating for two: parental dietary effects on offspring metabolism. Cell 161:93-105
Jaeckle Santos, Lane J; Li, Changhong; Doulias, Paschalis-Thomas et al. (2014) Neutralizing Th2 inflammation in neonatal islets prevents ?-cell failure in adult IUGR rats. Diabetes 63:1672-84
Simmons, R A (2013) Programming of DNA methylation in type 2 diabetes. Diabetologia 56:947-8
Simmons, Rebecca A (2013) Preeclampsia and prematurity as precursors to adolescent obesity. J Pediatr 162:889-90
Gatford, Kathryn L; Simmons, Rebecca A (2013) Prenatal programming of insulin secretion in intrauterine growth restriction. Clin Obstet Gynecol 56:520-8
Pinney, Sara E; Simmons, Rebecca A (2012) Metabolic programming, epigenetics, and gestational diabetes mellitus. Curr Diab Rep 12:67-74
Simmons, Rebecca A (2012) Developmental origins of diabetes: The role of oxidative stress. Best Pract Res Clin Endocrinol Metab 26:701-8
Reid, Mary V; Murray, Kaitlin A; Marsh, Eric D et al. (2012) Delayed myelination in an intrauterine growth retardation model is mediated by oxidative stress upregulating bone morphogenetic protein 4. J Neuropathol Exp Neurol 71:640-53
Calabria, Andrew C; Gallagher, Paul R; Simmons, Rebecca et al. (2011) Postoperative surveillance and detection of postprandial hypoglycemia after fundoplasty in children. J Pediatr 159:597-601.e1

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