Maternal metabolic adaptations are essential for successful pregnancy outcomes. We
investigated how metabolic gestational processes are coordinated, whether there is a
functional link with internal clocks, and whether disruptions are related to
metabolic abnormalities in pregnancy, by studying day/night metabolic pathways in
murine models and samples from pregnant women with normally grown and
large-for-gestational age infants. In early mouse pregnancy, expression of hepatic
lipogenic genes was up-regulated and uncoupled from the hepatic clock. In late mouse
pregnancy, rhythmicity of energy metabolism-related genes in the muscle followed the
patterns of internal clock genes in this tissue, and coincided with enhanced lipid
transporter expression in the fetoplacental unit. Diurnal triglyceride patterns were
disrupted in human placentas from pregnancies with large-for-gestational age infants
and this overlapped with an increase in BMAL1 expression. Metabolic adaptations in
early pregnancy are uncoupled from the circadian clock, whereas in late pregnancy,
energy availability is mediated by coordinated muscle-placenta metabolic adjustments
linked to internal clocks. Placental triglyceride oscillations in the third trimester
of human pregnancy are lost in large-for-gestational age infants and may be regulated
by BMAL1. In summary, disruptions in metabolic and circadian rhythmicity are
associated with increased fetal size, with implications for the pathogenesis of
macrosomia.—Papacleovoulou, G., Nikolova, V., Oduwole, O., Chambers, J.,
Vazquez-Lopez, M., Jansen, E., Nicolaides, K., Parker, M., Williamson, C. Gestational
disruptions in metabolic rhythmicity of the liver, muscle, and placenta affect fetal
size.