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Xingxing Wang X Wang, Department of Obstetrics and Gynecology, The First Affiliated Hospital of Anhui Medical University, Hefei, China

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Huihui Yu H Yu, Department of Obstetrics and Gynecology, The First Affiliated Hospital of Anhui Medical University, Hefei, China

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Xuan Li X Li, Department of Obstetrics and Gynecology, The First Affiliated Hospital of Anhui Medical University, Hefei, China

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Ruixian Tian R Tian, Department of Obstetrics and Gynecology, The First Affiliated Hospital of Anhui Medical University, Hefei, China

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Chenyi Xu C Xu, Department of Obstetrics and Gynecology, The First Affiliated Hospital of Anhui Medical University, Hefei, China

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Tengteng Li T Li, Department of Obstetrics and Gynecology, The First Affiliated Hospital of Anhui Medical University, Hefei, China

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Jiajia Fei J Fei, Department of Obstetrics and Gynecology, The First Affiliated Hospital of Anhui Medical University, Hefei, China

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Xue Du X Du, Department of Obstetrics and Gynecology, The First Affiliated Hospital of Anhui Medical University, Hefei, China

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Zongzhi Yin Z Yin, Department of Obstetrics and Gynecology, The First Affiliated Hospital of Anhui Medical University, Hefei, China

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Hypoxia is closely associated with physiological and pathological conditions in the human body, and the myometrium is affected by hypoxic stress during pregnancy and delivery. Autophagy is a catabolic pathway involved in the regulation of apoptosis, proliferation and migration of a variety of cells, which can be activated under hypoxia. However, the mechanism and function of autophagy in uterine smooth muscle cells remained unclear. The aim of this study was to investigate the changes of autophagy in pregnant uterine smooth muscle cells (pUSMCs) under hypoxia and the effect of autophagy on myometrial cells proliferation during pregnancy. In this study, primary uterine smooth muscle cells were isolated from mice in late pregnancy and cultured under normoxic and hypoxic conditions respectively. Western blotting and immunofluorescence were used to detect the expression levels of autophagy-related proteins LC3B, P62, mTOR and p-mTOR under different culture conditions. Cell proliferation was assessed by CCK-8 assay. In addition, 3-Methyladenine (3-MA) was used to inhibit autophagy in hypoxia-treated pUSMCs and MHY1485 was used to activate mTOR. Studies have confirmed that under hypoxic conditions, autophagy is enhanced and cell proliferative viability is reduced in pUSMCs. Autophagy inhibitor 3-MA restored cell proliferation inhibited by hypoxia. Furthermore, hypoxia in pUSMCs led to a downregulation of p-mTOR/mTOR levels. The mTOR activator MHY1485 inhibited autophagy by preventing the binding of autophagosomes to lysosomes and reversed the hypoxia-induced inhibition of cell proliferation. Collectively, our results indicate that hypoxia upregulates autophagy through the mTOR pathway in pUSMCs, thereby inhibiting cell proliferation during pregnancy.

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Hui Wang School of Food Science, Department of Animal Science, Department of Animal Sciences, School of Food Science, Washington State University, Pullman, Washington 99164, USA
School of Food Science, Department of Animal Science, Department of Animal Sciences, School of Food Science, Washington State University, Pullman, Washington 99164, USA

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Yansong Xue School of Food Science, Department of Animal Science, Department of Animal Sciences, School of Food Science, Washington State University, Pullman, Washington 99164, USA

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Baolin Wang School of Food Science, Department of Animal Science, Department of Animal Sciences, School of Food Science, Washington State University, Pullman, Washington 99164, USA

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Junxing Zhao School of Food Science, Department of Animal Science, Department of Animal Sciences, School of Food Science, Washington State University, Pullman, Washington 99164, USA

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Xu Yan School of Food Science, Department of Animal Science, Department of Animal Sciences, School of Food Science, Washington State University, Pullman, Washington 99164, USA

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Yan Huang School of Food Science, Department of Animal Science, Department of Animal Sciences, School of Food Science, Washington State University, Pullman, Washington 99164, USA

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Min Du School of Food Science, Department of Animal Science, Department of Animal Sciences, School of Food Science, Washington State University, Pullman, Washington 99164, USA

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Mei-Jun Zhu School of Food Science, Department of Animal Science, Department of Animal Sciences, School of Food Science, Washington State University, Pullman, Washington 99164, USA
School of Food Science, Department of Animal Science, Department of Animal Sciences, School of Food Science, Washington State University, Pullman, Washington 99164, USA

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Accompanying the dramatic increase in maternal obesity, the incidence of type 1 diabetes (T1D) in children is also rapidly increasing. The objective of this study was to explore the effects of maternal obesity on the incidence of T1D in offspring using non-obese diabetic (NOD) mice, a common model for TID. Four-week-old female NOD mice were fed either a control diet (10% energy from fat, CON) or a high-fat diet (60% energy from fat) for 8 weeks before mating. Mice were maintained in their respective diets during pregnancy and lactation. All offspring mice were fed the CON to 16 weeks. Female offspring (16-week-old) born to obese dams showed more severe islet lymphocyte infiltration (major manifestation of insulitis) (P<0.01), concomitant with elevated nuclear factor kappa-light-chain-enhancer of activated B cells p65 signaling (P<0.01) and tumor necrosis factor alpha protein level (P<0.05) in the pancreas. In addition, maternal obesity resulted in impaired (P<0.05) glucose tolerance and lower (P<0.05) serum insulin levels in offspring. In conclusion, maternal obesity resulted in exacerbated insulitis and inflammation in the pancreas of NOD offspring mice, providing a possible explanation for the increased incidence of T1D in children.

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