Balasubramanian P, Varde PA, Abdallah SL, Najjar SM, MohanKumar PS, MohanKumar SM. Differential effects of prenatal stress on metabolic programming in diet-induced obese and dietaryresistant rats. Am J Physiol Endocrinol Metab 309: E582-E588, 2015. First published July 28, 2015; doi:10.1152/ajpendo.00167.2015.-Stress during pregnancy is a known contributing factor for the development of obesity in the offspring. Since maternal obesity is on the rise, we wanted to identify the effects of prenatal stress in the offspring of diet-induced obese (DIO) rats and compare them with the offspring of dietaryresistant (DR) rats. We hypothesized that prenatal stress would make both DIO and DR offspring susceptible to obesity, but the effect would be more pronounced in DIO rats. Pregnant DIO and DR rats were divided into two groups: nonstressed controls (control) and prenatal stress (subjected to restraint stress, three times/day from days 14 to 21 of gestation). After recording birth weight and weaning weight, male offspring were weaned onto a chow diet for 9 wk and shifted to a high-fat (HF) diet for 1 wk. At the end of the 10th wk the animals were euthanized, and visceral adipose mass, blood glucose, serum insulin, and C-peptide levels were measured. Prenatal stress resulted in hyperinsulinemia and higher C-peptide levels without altering caloric intake, body weight gain, or fat mass in the DIO offspring after 1 wk of HF intake, but not in DR offspring. To determine the mechanism underlying the hyperinsulinemia, we measured the levels of CEACAM1 that are responsible for insulin clearance. CEACAM1 levels in the liver were reduced in prenatally stressed DIO offspring after the HF challenge, suggesting that preexisting genetic predisposition in combination with prenatal stress increases the risk for obesity in adulthood, especially when offspring are fed a HF diet. diet-induced obese; dietary resistant; hyperinsulinemia; fetal programming; carcinoembryonic antigen-related cell adhesion molecule 1 OBESITY IS ONE OF THE MAJOR HEALTH ISSUES that has worldwide prevalence (1). In addition to genetic and lifestyle factors, growing evidence suggests that prenatal conditions could also contribute to the development of obesity in the offspring. According to Barker's hypothesis, compromised in utero conditions can induce permanent alterations in tissue structure and function of the developing fetus and increase their susceptibility to diseases like obesity and diabetes in adult life (2,17).Several studies have shown that offspring of dams placed on low-protein diets or subjected to caloric restriction have low birth weight. These offspring subsequently undergo catchup growth that places them at higher risk for obesity, hypertension, and diabetes in adulthood (18,24,32). Apart from nutritional challenges, maternal stress that increases circulating glucocorticoids during pregnancy is also known to program the offspring for metabolic diseases (12,37,38). In humans, prenatal stress in the form of maternal bereavement or natural disasters d...