Hyperglycemia induces apoptosis in pre-implantation embryos through cell death effector pathways

K. H. Moley, M. M.Y. Chi, C. M. Knudson, S. J. Korsmeyer, M. M. Mueckler

Research output: Contribution to journalArticlepeer-review

299 Scopus citations


Although perinatal mortality rates have improved for pregnant diabetic women because of insulin therapy and tight metabolic control, infants of diabetics still experience significantly higher rates of congenital malformations and spontaneous miscarriages compared with those of non- diabetic women. Our results here indicate that hyperglycemic conditions, either in vivo or in vitro, modulate the expression of an apoptosis regulatory gene as early as the pre-implantation blastocyst stage in the mouse. Apoptosis in the mammalian pre-implantation blastocyst is a normal process, thought to protect the early embryo by eliminating abnormal cells. Here we demonstrate that expression of Bax, a Bcl-2-like protein, is increased at the blastocyst stage in the presence of high concentrations of glucose, and that these changes correlate morphologically with increased DNA fragmentation. Expression of Bax and caspase are necessary for this in vitro glucose-induced apoptotic event, and ceramide is involved in mediating this embryotoxic effect of glucose. We also show that these apoptotic cellular changes can be prevented in vivo by treating hyperglycemic mice with insulin before and immediately after conception. These findings emphasize the importance of tight glycemic control in diabetic women at the earliest stages after conception.

Original languageEnglish
Pages (from-to)1421-1424
Number of pages4
JournalNature medicine
Issue number12
StatePublished - Dec 1998


Dive into the research topics of 'Hyperglycemia induces apoptosis in pre-implantation embryos through cell death effector pathways'. Together they form a unique fingerprint.

Cite this