Conceived and designed the experiments: NI MRD JM. Performed the experiments: NI AYA. Analyzed the data: NI AYA JJE. Contributed reagents/materials/analysis tools: AYA LP JJE TPF MRD JM. Wrote the paper: NI.
The negative impact of obesity on reproductive success is well documented but the stages at which development of the conceptus is compromised and the mechanisms responsible for the developmental failure still remain unclear. Recent findings suggest that mitochondria may be a contributing factor. However to date no studies have directly addressed the consequences of maternal obesity on mitochondria in early embryogenesis.
Using an established murine model of maternal diet induced obesity and a live cell dynamic fluorescence imaging techniques coupled with molecular biology we have investigated the underlying mechanisms of obesity-induced reduced fertility. Our study is the first to show that maternal obesity prior to conception is associated with altered mitochondria in mouse oocytes and zygotes. Specifically, maternal diet-induced obesity in mice led to an increase in mitochondrial potential, mitochondrial DNA content and biogenesis. Generation of reactive oxygen species (ROS) was raised while glutathione was depleted and the redox state became more oxidised, suggestive of oxidative stress. These altered mitochondrial properties were associated with significant developmental impairment as shown by the increased number of obese mothers who failed to support blastocyst formation compared to lean dams. We propose that compromised oocyte and early embryo mitochondrial metabolism, resulting from excessive nutrient exposure prior to and during conception, may underlie poor reproductive outcomes frequently reported in obese women.
Obesity and related metabolic disorders are a major health issue worldwide. With increasing prevalence in all populations and age groups, the proportion of women of reproductive age who are obese is rising
As recently reviewed
Mitochondria not only supply cells with their ATP, but are also the source of cellular guanosine-5′-triphosphate (GTP) as well as site of amino acid synthesis and reservoir of cell calcium. Thus, changes in mitochondrial activity can alter cell function in dramatic way. The importance of mitochondria in oocyte quality and embryo development is highlighted by reports showing that defects in mitochondrial biogenesis together with insufficient mitochondrial mass are associated with oocyte maturation failure and abnormal embryo development
Studies
At conception, female mice fed an obesogenic diet had a 43% increase in body weight, 2.5 fold increase in fat pad and a significantly higher concentration of serum fatty acids (p<0.05) compared with chow fed controls (
| Parameter | Control females | Obese females | Significance |
| Body weight (g) | 22.9±1.2 | 32.8±1.3 | P<0.001 (10) |
| Fat pads weight (g) | 0.91±0.01 | 2.32±0.01 | P<0.01 (10) |
| Serum glucose (mmol/L) | 6.68±0.81 | 8.99±0.95 | P>0.05 (10) |
| Serum FFA (mmol/L) | 0.67±0.06 | 0.89±0.08 | P<0.05 (10) |
| Serum triglycerides (mmol/L) | 0.93±0.08 | 0.94±0.09 | P>0.05 (10) |
| Serum leptin (pg/ml) | 1172±270 | 1492±170 | P>0.05 (8) |
| Oviductal leptin (pg/ml) | 1067±293 | 1916±221 | P<0.05 (7) |
| Oviductal glucose (mmol/l) | 6.11±0.72 | 10.90±2.01 | P>0.05 (7) |
Data expressed as mean ± SEM. All serum measurements were fasting. Values in parentheses indicate n/group.
Live cell dynamic fluorescence imaging was employed to study effects of maternal obesity on mitochondrial function in oocytes and embryos. This technique together with a range of targeted fluorescent probes permitted comprehensive evaluation of mitochondrial function with simultaneous measurement of multiple mitochondrial variables in a single oocyte and embryo. The common vital mitochondrial membrane–specific dyes; MitoTrackers and JC1 have been extensively used to study mitochondrial dynamics and function in oocytes and embryos. However, prolonged excitation of cells loaded with MitoTrackers may impair mitochondrial function
Maternal diet-induced obesity led to a dramatic increase in Δψm in oocytes and zygotes. The intensity of mitochondrial localised TMRM fluorescence in oocytes and zygotes of obese females increased by 147% (p<0.01) and 74% (p<0.01), respectively, compared with oocytes and zygotes of lean females (
The measurements of inner mitochondrial membrane potential (Δψm) were made using confocal imaging of TMRM fluorescence. The signal intensity was quantified per pixel in a confocal slice after thresholding to remove background signal. (A) – oocytes and (B) zygotes derived from lean (n = 15 cells/group) and obese females (n = 15 cells/group). Relative intensity of TMRM fluorescence is expressed as a percentage of the signal from oocytes of lean mice. (C) Representative confocal images of mitochondria distribution in oocytes from lean and obese mice. * p<0.05. Data are mean ± SEM.
An increase in Δψm may have a number of origins including a higher supply of substrates and increased mitochondrial respiratory activity or inhibition of ATP synthase activity
The redox state of single oocytes and zygotes from lean (n = 15 cells/group) and obese (n = 15 cells/group) mice was estimated through measurements of NAD(P)H and FAD2+ autofluorescence intensity. The resting redox state is defined as a ratio of the maximally oxidised (response to 1 mM FCCP) and maximally reduced (response to 1 mM NaCN) signals. The fluorescence signals are normalised between 100 and 0. For NAD(P)H autofluorescence (A): 0 - maximally oxidised state; 100 – maximally reduced state. This scale is reversed for FAD2+ fluorescence (B). 0 – maximally reduced state; 100 – maximally oxidised state. * p<0.05 relative lean group. Data are mean ± SEM.
Studies in mitochondria respiratory chain function
In order to evaluate the level of oxidative stress and antioxidant defence in oocytes and zygotes we measured rates of intracellular ROS generation using dihydroethidium (HEt), a non-fluorescent derivative of ethidium which is oxidised to a fluorescent product by superoxide. In oocytes and zygotes of obese mice the rate of ROS production was significantly increased by 2.1 (p<0.05) and 1.6 (p<0.05) fold respectively compared to the eggs of lean mice (
Cytosolic ROS production in oocytes and zygotes was measured by rate of oxidation of HEt. The traces represent changes of HEt fluorescence in oocytes (A) and zygotes (B) from lean (n = 15 cells/group) and obese (n = 15 cells/group) mice as a function of time. These data are summarised in histograms (C, D), in which the mean rates of ROS production are shown as the mean rate of HEt fluorescence change per minute. Results are expressed as percentage changes from HEt fluorescence in lean oocytes. Intracellular glutathione staining with MCB in oocytes (E) and zygotes (F) recovered from lean and obese female mice. Relative intensity of MCB fluorescence is expressed as a percentage of the signal from oocytes of lean mice. (G) Representative confocal images of GSH staining in oocytes. *
Alterations in the rates of intracellular ROS generation are associated with changes in mitochondrial abundance and mtDNA copy number. Oxidative stress damages bases as well as causing single or double-strand breaks in mtDNA which are mutagenic and can inhibit mtDNA replication
To test the hypothesis that maternal obesity-associated oxidative stress in oocytes and zygotes may affect mitochondrial biogenesis we measured mtDNA copy number and expression of key genes involved in the regulation of the replication and transcription of the mitochondrial genome. mtDNA copy number was significantly increased in oocytes from obese compared to lean mice (
(A) mtDNA copy number in oocytes from lean (n = 2 oocytes/8 females/group) and obese (n = 2 oocytes/8 females/group) mice. Relative abundance of
No significant differences were detected in the number of zygotes between lean and obese females. However, the ability of zygotes to develop to the blastocyst stage was reduced in obese mice (
| Parameter | Control females | Obese females | Significance |
| Number of females with zygotes | 100% (7) | 100% (7) | P>0.05 |
| Zygote recovered/mouse | 7.9±0.1 (7) | 8.9±1.7 (7) | P>0.05 |
| Number of females with blastocysts/mated | 82% (9/11) | 54% (6/11) | |
| Number of females without blastocycts/mated |
18% (2/11) | 46% (5/11) | P<0.02 (11) |
| Blastocyst recovered/mouse | 6.7±1.2 (7) | 7.7±1.6 (6) | P>0.05 |
| Blastocyst total cell number | 45.8±2.1 (7) | 44.8±3.2 (6) | P>0.05 |
| ICM cell number | 14.3±1.2(7) | 14.1±0.6 (6) | P>0.05 |
| TE cell number | 31.7±1.6 (7) | 30.6±0.8 (6) | P>0.05 |
| ICM/TE cell number (%) | 24.1±5.2 (7) | 22.2±1.3 (6) | P>0.05 |
Data expressed as mean ± SEM. The number of zygotes was determined in the morning after natural mating. Blastocysts were recovered from the uterus on day 4 after mating. The number of cells per blastocyst and their distribution between the inner cell mass and the trophectoderm were analysed in 3–5 blastocysts per mouse. Values in parentheses indicate a number of mice/group.
In both control and in 2 out of 5 obese mothers a small number of fragmented embryos at various stages of development was recovered from the oviducts.
The negative impact of obesity on reproductive success is well documented
We report that blastocyst development was reduced in maternal diet-induced obesity and was associated with altered mitochondrial distribution and striking hyperpolarisation of the mitochondrial membrane, oxidised redox state and oxidative stress in both oocytes and zygotes. Regulation of all of these parameters is required for normal development
It is currently unclear what mechanisms underlie such large differences in Δψ between control oocytes and embryos and those derived from obese females. Nor it is entirely clear how these differences are established and maintained. Studies in mitochondria in somatic cells
While the increase in Δψm in mouse oocytes and zygotes of obese mice may be due to increased energy substrate load to mitochondria
Maternal diet-induced obesity was associated with increased oxidation of NAD(P)H in both oocytes and zygotes. NAD(P)H has direct antioxidant properties and also ensures regeneration of GSH, a developmentally critical antioxidant molecule
ROS can be toxic when in excess but may also play a regulatory role in the control of mitochondria activity, particularly in mitochondrial biogenesis
In this study a significant impairment in the ability to support embryo development to the blastocyst stage has been seen in 46% of the obese mothers. Similar numbers of zygotes were readily recovered from both groups, however. Thus, the absence of blastocysts in 46% of obese females is not attributable to anovulation but more likely due to increased embryonic death since fragmented embryos were found in the oviducts of 2 out of 5 obese females that failed to produce blastocysts. In support of this idea, a recent study by Minge et al
We also found that the obesogenic diet increased serum fatty acid concentration and caused a marked increase in the oviductal leptin concentration. Leptin is essential for normal pre-implantation development of mouse embryos
In conclusion, exposure of oocytes and embryos to an obese reproductive environment was associated with qualitative and quantitative changes in mitochondria, oxidised redox state, increased oxidative load and impaired antioxidant capacities. Oocytes and embryo with compromised mitochondrial activity may not be able to exert tight regulation of focal substrate supply and demand and, as a result, generate ROS at rates that become developmentally toxic after fertilization
We propose that altered oocyte and early embryo mitochondrial metabolism, resulting from excessive nutrients exposure prior to and during conception may be responsible for poor reproductive outcomes frequently reported in obese women.
This study was conducted in accordance with the UK Home Office Animal (Scientific Procedures) Act 1986. Six week-old virgin females C57BL/6J mice (Charles River Laboratories, UK) were fed either a standard chow diet (7% simple sugars, 3% fat, 50% polysaccharide, 15% protein [w/w] RM1, Special Dietary Services, n = 10) or highly palatable obesogenic diet (10% simple sugars, 20% animal lard, 28% polysaccharide, 23% protein [w/w], Special Dietary Services, n = 10) supplemented with sweetened condensed milk and micronutrient mineral mix (AIN93G, Special Dietary Services)
Oviduct fluid was collected as described in
Mitochondria of living oocytes and zygotes were imaged using a Zeiss 510 uv-Vis CLSM META and a range of targeted fluorescent probes (Molecular Probes) as described previously
The distribution of active mitochondria and Δψm were analysed in eggs incubated with tetramtehyl rhodamine methyl ester (TMRM; 25 nM) in M2 medium at 37°C for 30 min. The TMRM is a fluorescent lipophilic cation and accumulates into mitochondria in response to the negative mitochondrial membrane potential. TMRM was excited using the 543 nm laser line and fluorescence measured using a 560 long-pass filter.
Measurements of NAD(P)H and FAD2+ autofluorescence intensity in oocytes and zygotes were used to estimate the mitochondrial redox potential. The reduced forms of pyridine nucleotides (NAD(P)H) are excited by ultraviolet light at 351 nm excitation line of the CLSM and measured between 435–485 nm. The oxidised form (NAD(P)+) is non-fluorescent. In contrast to NAD(P)H, it is the reduced form of flavoproteins (FADH2) that is non-fluorescent. Fluorescence of the oxidised form of flavoproteins (FAD2+) was excited at 458 nm and emitted fluorescence was collected throughout the 505–550 nm bandpass filter.
The resting redox state was defined as a function of the maximally oxidised and maximally reduced signals which were obtained by adding FCCP (1 µM) to drive the signals to maximal oxidation followed by addition of 1 mM NaCN which drives the signals to a maximally reduced state. The fluorescence signals are then normalised between 100 (maximal reduction to NAD(P)H and maximal oxidation to FAD2+) and 0 (maximal oxidation to NAD(P)+ and maximal reduction to FADH2), giving a value which is a measure of the resting relative redox state
For measurement of cytosolic ROS production, HEt (2 µM) was added to M2 medium and remained present throughout the experiment (15 min). This is a non-fluorescent derivative of the red fluorescent ethidium, and so an increase in red fluorescence (excited at 543 nm and measured at >560 nm) gives a measure of the rate of oxidation of the dye and therefore of the rate of ROS generation.
In order to measure GSH, cells were incubated with 50 µM MCB in M2 medium at 37° for 40 min, or until a steady state had been reached before images were acquired. Non-fluorescent MCB undergoes a reaction with glutathione catalysed by glutathione-s-transferase to yield a fluorescent adduct which therefore gives a measure of GSH content
Fluorescent images were obtained from at least from 3 oocytes/zygotes from 5 females per diet. Image analysis, differentiation and exponential curve fitting were performed using Origin 8 software (OriginLab Corporation).
Total DNA was extracted from groups of two oocytes and zygotes (n = 8 females/group) as described
Poly(A)+ RNA was isolated from snap-frozen oocytes (n = 20 oocytes/8 females/group) and zygotes (n = 10zygotes/8 females/group) using magnetic oligo(dT) beads (Dynabeads mRNA DIRECT Kit). cDNA synthesis was performed by random hexamer priming and the Transcriptor First Strand cDNA Synthesis Kit (Roche). qPCR took place on a Chromo4 thermocycler (MJ) using the Precision SybrGreen Master Mix (Primerdesign). Each assay was performed in duplicates using intron-spanning primers (Operon Biotechnologies GmbH). Stability of housekeeping genes was validated using geNorm application and
| Gene | Forward primer | Reverse primer | Reference sequence |
| TFAM |
|
|
NM_009360 |
| NRF1 |
|
|
NM_010938 |
| H2afz |
|
|
NM_016750 |
| 16SrRNA |
|
|
V00665 |
The number of cells per blastocyst and their distribution between the inner cell mass and the trophectoderm were counted by differential fluorochrome nuclear labelling
Fasted glucose, fatty acids and triglycerides concentrations were assessed using autoanalyser (LX20, Beckman Coulter) and the assay kits (Glucose; UV-hexokinase; nr. GLU 1442640; triglycerides; enzymatic GPO method; nr. TG 445850; total cholesterol; enzymatic method; nr. CHOL 467825) as described in
All results are expressed as mean ± SEM. Data were analysed by Student's t-test after testing for normal distribution using Graphpad Prism v. 2.01 (Graphpad Software, USA). A value of p<0.05 was considered significant.
We would like to thank Prof Henry Leese for his critical reading of the manuscript and Dr Michael Christie for his assistance and advice with the assay of leptin content.