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Gene & Protein in Disease                                                       Placenta, FASD, and soy




            Table 2. Ethanol and dietary soy effects on placental   However, the reduction in Igf1r mRNA level observed with
            expression of ASPH, Notch1, and HES1               ethanol exposure does not align with immunoreactivity
                                                               results, which indicated no significant modulation
            Variable             F‑ratio            P‑value    by ethanol. There are no prior data on the impact of
            mRNA                                               chronic ethanol exposure on IGF-2R immunoreactivity.
             Asph                 2.431*            0.0726*    Dietary soy differentially impacted insulin/IGF receptor
             Notch1                5.692              0.0013   expression, suppressing insulin receptor mRNA levels in
             Hes1                  8.342             <0.0001   control groups while elevating  Igf1r and  Igf2r levels in
            Protein                                            ethanol-exposed groups. The reduced insulin receptor
             ASPH                  21.63             <0.0001   mRNA levels in both control and ethanol soy groups,
            Notes: The mRNA transcripts were measured in CC, CS, EC, and   compared to casein controls, are consistent with multiplex
                                                               ELISA  findings.  However,  the  comparable  levels  of  Insr
            ES placental tissue homogenates through qRT-polymerase chain
            reaction analysis. Results were normalized to 18S rRNA measured   and Igf1r mRNA in the CS and ES groups contrast sharply
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            in the same samples. ASPH protein was measured using ELISA,   with the significantly lower protein levels in the ES group.
            with results normalized to protein content. Inter-group comparisons   Altogether, these findings  suggest  that the expression
            (n=8/group) were conducted using one-way ANOVA. The F-ratios   of placental insulin and IGF receptors is regulated at the
            and P-values are tabulated. *Marks P-values with a statistical trend   mRNA level. However, in the setting of chronic ethanol
            (0.05≤ P ≤ 0.10). See Figure 4 for graphed data and post hoc Tukey
            multiple comparisons test results.                 exposure, post-transcriptional  mechanisms,  such as
                                                               translation regulation or protein stability, negatively
            ethanol in other FASD studies,  we examined ASPH’s   impact receptor protein expression.
                                       6
            mRNA and protein expression to corroborate the ethanol-  The concurrent reductions in insulin polypeptide and
            induced  alterations in  insulin/IGF  signaling and further   receptor levels in the EC group indicate that ethanol impairs
            evaluate the insulin-sensitizing effects of dietary soy in our   placental insulin signaling, consistent with previous
            model.                                             reports in other cell types and tissues. 26,31  In contrast,

              Previous studies of rat placental tissue demonstrated   the IGF-1 pathway appears to be moderately resistant to
            the expression of insulin, Igf1, and Igf2 trophic factors. The   ethanol’s inhibitory effects; despite reductions in the Igf1r
            higher level of Igf2 compared with Igf1 mRNA is consistent   mRNA level, Igf1 mRNA and IGF-1R protein expressions
            with the concept that IGF-2 plays more important   were preserved. Similarly, the absence of effects on  Igf2
                                                               and  Igf2r mRNA expression reflects the preservation
            metabolic and mitogenic signaling roles during early   of related pathways vis-à-vis chronic ethanol exposure.
            development, whereas IGF-1 regulates similar functions   A  puzzling observation was that despite dietary soy-
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            later in development and life.  The current work suggests   associated reductions in INSR and IGF-1R proteins, and
            that  ethanol-associated  impairments  in  placental  insulin   a lack of Insr mRNA stimulation, placentation normalized,
            signaling could be mediated by reduced insulin mRNA   and the phenotypic effects of FASD were abolished.
                                                                                                             1
            expression, akin to trophic factor withdrawal. The selective   Therefore, while it is reasonable to attribute the ethanol
            absence of an ethanol inhibitory effect on IGF-2 suggests   effects to impairments in insulin signaling, the rescue
            that IGF networks may be less vulnerable than insulin   effects of dietary soy were not mediated by the restoration
            pathways to the adverse effects of ethanol. The significant   of insulin pathway mediators. Similarly, the findings that
            soy-mediated  increases  in  both  insulin  and  IGF-2  in   Igf1 mRNA level was unaffected, Igf1r was normalized, but
            ethanol-exposed  placentas  suggest  that  the  insulin-  IGF-1R protein was inhibited do not strongly support the
            sensitizing, anti-inflammatory, and antioxidant effects of   notion that IGF-1 signaling was restored by dietary soy.
            soy enhance the availability of trophic factors and ligand   Instead,  the  dominant positive responses  were observed
            regulation of  pathways  utilized for  growth, metabolism,   with respect to IGF-2, as both ligand and receptor mRNA
            and placentation in the setting of chronic ethanol exposure.   levels were significantly increased by dietary soy in the
            In addition, there is supportive evidence that plant-based   ES group. IGF-2 can compensate for impaired insulin
            phytonutrients in soy positively impact metabolism and   pathways  by  supporting  mitogenesis  and  metabolic
            cellular functions by influencing gene expression. 30  functions during development. 32,33  This study provides
              The expression of insulin, IGF-1, and IGF-2 receptors   the first demonstration that the positive rescue effects of
            in placental tissue has been previously reported.  The   dietary soy during development are mediated, at least in
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            ethanol-associated inhibition of Insr mRNA is consistent   part, through IGF-2-activated networks.
            with previous findings from ELISA analyses,  suggesting   The present study included measurements of Irs1, Irs2,
                                                 1
            that its expression is regulated at the transcriptional level.   and Irs4, whereas the multiplex ELISAs evaluated in the

            Volume 3 Issue 2 (2024)                         8                                doi: 10.36922/gpd.3113
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