2023
DOI: 10.1096/fj.202301230r
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Glycolysis: A fork in the path of normal and pathological pregnancy

Rui Gou,
Xiaohong Zhang

Abstract: Glucose metabolism is vital to the survival of living organisms. Since the discovery of the Warburg effect in the 1920s, glycolysis has become a major research area in the field of metabolism. Glycolysis has been extensively studied in the field of cancer and is considered as a promising therapeutic target. However, research on the role of glycolysis in pregnancy is limited. Recent evidence suggests that blastocysts, trophoblasts, decidua, and tumors all acquire metabolic energy at specific stages in a highly … Show more

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Cited by 10 publications
(4 citation statements)
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References 208 publications
(494 reference statements)
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“…Mammals develop in a hypoxic environment in utero with hypoxia being a known molecular trigger for normal fetal development and glycolysis being the predominant energy source. Increased secretion of glycolytic proteins in response to stress may stem from retained fetal pathways that allow for normal development in the setting of hypoxia [24,25,26,27]. Despite glycolytic metabolism, an anti-inflammatory phenotype was observed in both HIF-1α expressing and HIF-1α deficient neonatal BMDMs with hypoxic stress or LPS stimulation, suggesting that glycolysis may not induce a pro-inflammatory phenotype in neonatal BMDMs as has previously been described in adult BMDMs [28,29].…”
Section: Discussionmentioning
confidence: 83%
“…Mammals develop in a hypoxic environment in utero with hypoxia being a known molecular trigger for normal fetal development and glycolysis being the predominant energy source. Increased secretion of glycolytic proteins in response to stress may stem from retained fetal pathways that allow for normal development in the setting of hypoxia [24,25,26,27]. Despite glycolytic metabolism, an anti-inflammatory phenotype was observed in both HIF-1α expressing and HIF-1α deficient neonatal BMDMs with hypoxic stress or LPS stimulation, suggesting that glycolysis may not induce a pro-inflammatory phenotype in neonatal BMDMs as has previously been described in adult BMDMs [28,29].…”
Section: Discussionmentioning
confidence: 83%
“…At this stage, embryos exist in a reductive metabolic state where lactate helps maintain low pH and high reduction potential, which facilitates zygotic genome activation and erasure of epigenetic modifications. After the morula stage, glucose utilization increases in embryos as they begin employing the tricarboxylic acid cycle and oxidative phosphorylation for ATP production [27]. Hence, lactate levels gradually decline while TCA cycle intermediates like α-ketoglutarate rise in embryos.…”
Section: Discussionmentioning
confidence: 99%
“…Extra villous trophoblasts, crucial for maternal-fetal blood circulation, exhibit heightened metabolic activity during this period, are heavily reliant on glycolysis, and are thus expected to result in increased MGO and AGE production. 41 As gestation progresses beyond the first trimester, trophoblast subtypes transition from proliferative cytotrophoblast (more glycolytically active) to nonproliferating syncytiotrophoblast cells (less glycolytically active), with extra villous trophoblasts adapting to their roles, potentially stabilizing biomarker levels as placental maturation occurs. 7 , 42 This is in line with our observations that the AGEs CML, CEL, and MG-H2 in the placenta are all 3 negatively correlated with gestational age.…”
Section: Discussionmentioning
confidence: 99%