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. 2018 Oct 11;67(11):2137–2151. doi: 10.2337/dbi17-0011

Table 1.

Summary of findings from NHP cohorts studying the effects of maternal WSD and obesity on third-trimester fetuses and juvenile offspring

Findings First author, year (ref.)
Placenta
 Increased cytokine production and decreased function; reduced uterine volume blood flow Frias, 2011 (145)
 Reduced mRNA expression of AMPKα, plasma membrane fatty acid binding protein, and fatty acid  transporter O’Tierney-Ginn, 2015 (146)
Plasma
 Increased n-6:n-3 ratio in fetal plasma; increased fetal hepatic apoptosis; lower levels of EPA and  DHA in breast milk Grant, 2011 (34)
 Impact of maternal diet on the fetal metabolome Cox, 2009 (147)
Maternal diet
 WSD and genomic variants resistant to weight gain Harris, 2016 (148)
 Impact of maternal resveratrol supplementation on placenta and fetal outcomes Roberts, 2014 (149)
Microbiome
 Maternal gut microbial dysbiosis and diminished abundance of Campylobacter in juveniles switched  to healthy diet at weaning Ma, 2014 (44)
 Modulations in the offspring gut microbiome refractory to postnatal symbiotic supplementation  among juveniles Pace, 2018 (150)
Liver
 Increased fetal hepatic inflammation, oxidative stress, and triglyceride accumulation McCurdy, 2009 (32)
 Altered fetal chromatin structure and disrupted H3 acetylation Aagaard-Tillery, 2008 (33)
 Disruption of circadian gene expression in fetal and juvenile liver Suter, 2011 (151)
 Decreased fetal SIRT1 histone and protein deacetylase activity Suter, 2012 (152)
 Decreased juvenile hepatic innervation; increased apoptosis and inflammation Grant, 2012 (153)
 Increased inflammation, triglycerides, and de novo lipid synthesis; dysregulated juvenile hepatic  immune system Thorn, 2014 (43)
Skeletal muscle/vascular function
 Fetal mitochondrial dysfunction and fatty acid oxidation in skeletal muscle McCurdy, 2016 (56)
 Endothelial dysfunction, elevated expression levels of vascular inflammation, and fibrinolytic function  in juvenile aorta Fan, 2013 (154)
Pancreas
 Reduced fetal/juvenile α-cell mass and increased β-cell:α-cell ratio Comstock, 2012 (52)
 Increased inflammatory cytokines and islet-associated macrophages Nicol, 2013 (155)
 Reduced fetal/juvenile islet vascularization and impaired sympathetic islet innervation Pound, 2014 (54)
Brain
 Abnormalities in the fetal melanocortin system Grayson, 2010 (60)
 Perturbations in the fetal serotonergic system; increased anxiety (female infants) and increase  aggression (male infants) Sullivan, 2010 (156)
 Overconsumption of palatable energy-dense diet in juveniles; reduced dopamine signaling in juveniles Rivera, 2015 (59)
 Altered peripheral and central serotonergic system and persistent anxiety and aggressive behaviors Aagaard, 2016 (157)
 Increased anxiety in juveniles; modified cortisol stress response and decreased serotonergic  immunoreactivity Thompson, 2017 (57)
 Disturbances in body weight regulation; impairments in central melanocortin signaling Sullivan, 2017 (158)

DHA, docosahexaenoic acid; EPA, eicosapentaenoic acid.