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Gene & Protein in Disease                                                       Placenta, FASD, and soy



            1. Introduction                                    along these lines have yielded promising results, suggesting
                                                               the potential of soy-based interventions to mitigate
            Fetal  alcohol  spectrum  disorder  (FASD)  is  a  significant   neurodevelopmental deficits associated with FASD. 21-23  In
            public health concern, driven by socioeconomic, mental   a comprehensive model of FASD, dietary soy was found
            health,  and  cultural  disparities  that  contribute  to  heavy   to effectively mitigate alcohol-mediated impairments in
            alcohol consumption during pregnancy. In addition to   placentation and neurodevelopmental features.  However,
                                                                                                     1
            characteristic craniofacial abnormalities, FASD features   further mechanistic research is warranted to elucidate the
            birth and neurodevelopmental defects, intrauterine growth   underlying mechanisms and inform future clinical and
            restrictions (IUGR), postnatal growth limitations, and   population-based applications. The present study builds
            increased fetal mortality rates. Placentation, encompassing   on our earlier efforts by examining the effects of alcohol
            placental maturation, growth, and implantation, is   and dietary soy on the mRNA expression of upstream
            integral for optimizing the fetal environment, ensuring   insulin/IGF signaling pathway molecules, including Asph,
            ample nutrient delivery and waste product removal. The   Notch1, and  Hes1. This investigation aims to assess the
            occurrence and severity of FASD are partially rooted   degree to which dietary soy mediates its protective effects
            in placental dysfunction, mediated by impairments in   on  placentation at  the  mRNA level  by  modulating  gene
            placentation. Previous studies have established a link   expression.
            between FASD-mediated impairments in placentation
            and reduced signaling through insulin and insulin-like   2. Materials and methods
            growth factor (IGF) pathways.  These pathways regulate
                                     1
            the expression and function of aspartyl-asparaginyl-  2.1. Materials
            β-hydroxylase (ASPH), which plays critical roles in   Qiazol reagent, EZ1 RNA universal tissue kit, QuantiTect
            regulating cell motility and invasion necessary for effective   SYBR Green polymerase chain reaction (PCR) master mix,
            placentation.  Heavy alcohol consumption during    and the BIO Robot Z1 were procured from Qiagen Sciences
                      2-5
            pregnancy compromises ASPH’s functions, leading to   Inc (USA). The AMV first strand cDNA synthesis kit was
                                            6
            disruptions in critical cellular processes.  Mechanistically,   obtained from Roche Diagnostics Corporation (USA).
            ASPH catalytically hydroxylates and activates Notch,    Enzyme-linked immunosorbent assay (ELISA) plates and
                                                         7,8
            which, in turn, upregulates transcription of hairy and   the ELISA plate washer were sourced from Thermo Scientific
                                 7,9
            enhancer of split-1 (HES1).  Notch is pivotal in regulating   Nunc (USA). Horseradish peroxidase (HRP)-conjugated
            a  broad  array  of  cellular  functions  during  development,   secondary antibodies and the soluble fluorophore (Amplex
            including growth, motility, and maturation.  The   Red) were supplied by Invitrogen (USA).
                                                    10
            inhibitory effects of ethanol have been well-documented. 9
                                                               2.2. In utero ethanol exposure model
              Potential preventive and treatment measures for FASD
            should take into consideration the intricate interactions   The Lifespan Institutional Animal Care and Use
            among maternal factors, placental reactions, and the   Committee (IACUC) of Rhode Island Hospital approved
                                11
            diverse  fetal  responses.   Addressing  problems  arising   the experimental use and treatment of Long Evans rats for
            from insulin/IGF resistance due to impaired signal   this research. On gestation day (GD) 6, following timed
                                                                                          1
            transduction presents a promising avenue. Earlier research   mating as previously described,  we initiated feeding
            has demonstrated the efficacy of peroxisome-proliferator-  with isocaloric liquid diets (BioServ, USA). Control diets
            activated receptor (PPAR) agonists  in  preventing  or   contained 0% ethanol. The experimental diets comprised
            reducing the disease-related effects of dysregulated   36% caloric ethanol or 8.2% vol/vol. The protein sources
            insulin/IGF signaling in experimental models of    consisted of either 100% casein, which was considered a
            chronic alcohol exposure, obesity, or nitrosamine   control due to its standard inclusion in rodent diets, or
            administration. 12-17   PPAR  agonists  act  by  bypassing   100% organic soy protein isolate, which was considered
            poorly responsive  cell  surface  receptors  and stimulating   an experimental. Consequently, four study groups were
            gene expression at the level of transcription within   designated as follows: (i) CC for control-casein, wherein
            the nucleus. 18,19  However, practical and health-related   the rats  were fed ethanol-free diets with casein as the
            uncertainties regarding the administration of PPAR agonist   protein source; (ii) CS, corresponding to ethanol-free diets
            medications to pregnant women warrant exploration   with soy as the protein source; (iii) EC, in which the rats
            into alternative approaches. Investigating whether the   were fed ethanol-containing diets with casein as the protein
            insulin-sensitizing effects of natural products, such as soy   source; and (iv) ES, corresponding to ethanol-containing
            or bioactive isoflavones (daidzein and genistein),  could   diets with soy as the sole protein source. Eight placentas
                                                    20
            counteract the adverse effects of developmental alcohol   were randomly selected from each group for analysis. GD6
            exposures is of particular interest. Recent experiments   was selected as the start time for ethanol feeding because


            Volume 3 Issue 2 (2024)                         2                                doi: 10.36922/gpd.3113
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