Oral Plenary Session II - Fellows Plenary and Late-Breaking
Oral Plenary Sessions
Kjersti M. Aagaard, MD, PhD
Professor and Vice Chair of Research Department of Obstetrics and Gynecology, Division of MFM
Texas Children's Hospital, Baylor College of Medicine
Houston, TX, United States
Anxiety is a mood disorder associated with low levels of serotonin. Over 95% of the body’s serotonin is produced in the gut by enterochromaffin cells, and it affects the brain and behavior via signaling at the vagus nerve (the gut-brain axis). We have previously shown that non-human primate offspring exposed to maternal Western-Style diet (WSD) display anxiety persistent into juvenile life. To investigate the connection between maternal WSD and serotonin as a mechanism for the observed anxiety, we hypothesized that maternal WSD can persistently program offspring gut enterochromaffin cells.
Study Design:
Macaques were fed WSD or Chow control diet during gestation/lactation. Offspring were sampled at fetal necropsy (late third-trimester, n=4) or born vaginally and weaned onto a Chow diet for sampling at 3 years of age (peripuberty, n=8) (Fig. 1A). Ex vivo intestinal organoids were generated from fresh descending colon biopsy tissue at both timepoints and differentiated to contain serotonin-producing enterochromaffin cells. Secreted serotonin and serotonin-related gene expression were measured.
Results:
Maternal WSD-programmed fetal and juvenile intestinal organoids secreted decreased serotonin compared to Chow control organoids (fetal 0.006 versus 0.011 pg/cells, p= 0.021, Fig. 1B; 3 year-olds 0.010 versus 0.014 pg/cells, p= 0.033, Fig. 1C). At the Fetal stage, maternal WSD-programmed intestinal organoids expressed increased enterochromaffin cell marker expression (CHGA p= 0.0004) and decreased serotonin transporter expression (SERT, p=0.0009), with no statistical difference in serotonin rate limiting enzyme expression (TPH1) (Fig. 1D).
Conclusion:
We have observed that maternal WSD exposure disrupts enterochromaffin cell secretion of serotonin in the colon beginning in fetal life. This disruption is not normalized by a normal offspring diet, as low serotonin secretion is still observed when offspring are 3-years-old. Maternal WSD programs an altered serotonin pathway gene expression equilibrium, which may predispose the gut-brain axis of these offspring towards anxiety.