Abstract
There is mounting evidence that the placenta can be considered as a programming agent of adult health and diseases. Placental weight and shape at term are correlated with the development of metabolic diseases in adulthood in humans. Maternal obesity and malnutrition predispose the offspring to developing metabolic syndrome, a vicious cycle leading to transmission to subsequent generation(s), with differences in response and susceptibility according to the sex of the individual. Adaptations in placental phenotype in response to maternal diet and body composition alter fetal nutrient provision. This finding implies important epigenetic changes. However, the epigenetics of placental development in studies of developmental origins of health and disease (DOHaD) is still poorly documented, particularly concerning overnutrition. We used histology, microarray analyses and epigenetic techniques to investigate the effects of a high fat diet (HFD) or low protein diet on mouse placental development, respectively. We showed for the first time that not only the gene sets but also their biological functions affected by the HFD differed markedly between the two sexes. Remarkably, genes of the epigenetic machinery as well as global DNA methylation level showed sexual dimorphism. Imprinted gene expression was altered, with locus-specific changes in DNA methylation. Thus, these findings demonstrate a striking sexual dimorphism of programming trajectories in response to the same environmental challenge, implicating sex chromosome genes, not just hormones. Explaining the sex-specific causal variables and how males versus females respond and adapt, and to what extent, to environmental perturbations should help physicians and patients anticipate disease susceptibility.
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Introduction to the Sexually Dimorphic Effects of Gestational Obesity and Suboptimal Nutrition
According to the Developmental Origins of Adult Health and Disease (DOHaD) concept, environmental conditions during specific windows of mammalian development can have lasting effects on cell fate, organogenesis, metabolic pathways and physiology, thereby influencing life-long physical health and the susceptibility to lifestyle-induced diseases in adulthood (Barker and Osmond 1988; McMillen and Robinson 2005). There is evidence to suggest that maternal overnutrition, gestational diabetes and obesity are deleterious to the health of offspring, inducing the same range of defects as maternal mal- or undernutrition and leading to the development of metabolic syndrome (Armitage et al. 2005; Boloker et al. 2002; Dabelea et al. 2000; Levin and Govek 1998; Nathanielsz et al. 2007) in offspring, with a striking sex specificity (Dunn et al. 2010; Gabory et al. 2009, 2012, 2013; Gallou-Kabani et al. 2007). The number of overweight or obese women of child-bearing age is growing, reaching 25 % in Europe and 50 % in the US (WHO), and potentially triggering a vicious cycle, with transmission to subsequent generations and increasing prevalence of these lifestyle diet-induced disorders. Interestingly, the adverse metabolic consequences of dietary manipulations can be improved or prevented by applying mild food restriction or a normal control diet to the mother (Giraudo et al. 2010; Srinivasan et al. 2006), by reducing maternal obesity by bariatric surgery (Kral et al. 2006; Smith et al. 2009) or by the addition to the maternal diet of specific nutrients involved at different levels of carbon metabolism essential for DNA methylation (Boujendar et al. 2003; Burdge and Lillycrop 2010; Dolinoy et al. 2006; Lillycrop et al. 2005; Torrens et al. 2006; Waterland et al. 2007).
The principal modifiers of disease risk, presentation and treatment include sex and age. Differences between the sexes have been reported for most non-communicable diseases (NCDs), including metabolic diseases, hypertension, cardiovascular disease, cancer and psychiatric and neurological disorders. Sex differences in responses to drugs and diets have also been described, and many DOHaD reports have indicated that exposure to an adverse environment during specific windows of developmental programming may affect the long-term health and susceptibility to NCDs of the offspring in a sex-specific manner (Bale 2011; Barker 1992; Gabory et al. 2009; van Abeelen et al. 2011; Waddell and McCarthy 2012). Large sex differences in the incidence and progression of diseases suggest that sex-biased factors are an untapped source of factors providing protection against disease (Arnold and Lusis 2012).
Sociocultural considerations have largely obscured divergences in the biology of the sexes, which have been studied essentially only in terms of the organizational and activational effects of sex hormones after sexual differentiation. However, unequal gene expression by the sex chromosomes has an impact much earlier, beginning at conception, and may set the backdrop for events in later life (reviewed in Al-Khan et al. 2011; Clifton 2010; Gabory et al. 2009). The sex chromosomes have a disproportionately large impact on human health and disease. The unique evolutionary pathway of the X and Y chromosomes has resulted in these chromosomes having highly atypical gene contents and activities (Graves 2010), resulting in differences between the sexes even before the initiation of adrenal and gonad development (Penaloza et al. 2009).
In all adult tissues examined to date, including the gonads and brain, the expression of different genes with different functions from different networks is modulated in a sex-specific manner. Gene expression analyses, either for candidate genes or at the genome-wide level, show that both the trajectories under basal conditions and those modulating responses differ between the sexes (Gabory et al. 2009). The mechanisms regulating the differences between the sexes in adults have been investigated intensively in the liver, but dimorphic gene expression has also been reported in several mouse tissues, including the kidneys, lacrimal gland and brain (reviewed in Gabory et al. 2009). A microarray analysis revealed that 14 % (brain) to 70 % (liver) of active genes display sexual dimorphism. Interestingly, these genes cluster together not only on the sex chromosomes but also on several autosomes (Yang et al. 2006). van Nas et al. (2009) identified sexually dimorphic modules of networks of genes with highly correlated patterns of expression implicated in genetic and metabolic traits and genes affected by gonadal hormones in the adipose tissue, brain, liver and muscle. In adult liver, the genes mapping to the sex chromosomes play a lesser role in the modulation of sex-specific gene expression than gonadal hormones (Wauthier et al. 2010). Statistically significant sex differences have been reported for 78 % of the metabolites in the human plasma metabolome (Mittelstrass et al. 2011). For this reason, molecular investigations of the similarities and differences between the responses of male and female conceptuses to various maternal exposures are of considerable interest.
Sex differences in the rate of fetal growth have long been recognized (Lubchenco et al. 1963). The sex of the embryo affects the size of both the fetus and the placenta, together with the ability of the placenta to respond to adverse stimuli (Clifton 2010; Clifton et al. 2010; Mao et al. 2010). In mice and cattle, accelerated development is already evident in XY blastocysts; cell division among male embryos occurs more rapidly than in female embryos (Mittwoch 1993) and, in humans, boys grow more rapidly than girls from the earliest stages of gestation (Eriksson et al. 2009). These differences may start as early as the blastocyst stage in bovines: one third of the genes actively expressed in bovine blastocysts display sexually dimorphic expression (Bermejo-Alvarez et al. 2008, 2010). Analysis of genes involved in amino acid transport and metabolism identified sex differences both in average placental gene expression between male and female and in the relationships between placental gene expression and maternal factors (Sturmey et al. 2010). Ontological analysis of such data suggests a higher global transcriptional level in females and greater protein metabolism levels in males. Specifically, global glucose metabolism and pentose-phosphate pathway activity are twice and four times greater in bovine male vs. female blastocysts, respectively, with similar metabolic differences being seen for human embryos at the same stages (for review Bermejo-Alvarez et al. 2011). At birth, placental weights and FPI (fetus-to-placenta weight ratio index, reflecting placental efficiency) tend to be greater in boys than girls (Lampl et al. 2010). These observations suggest that males may be both more responsive to growth-promoting influences and more susceptible to supply disturbances (Lampl et al. 2010; Wallace et al. 2012).
As a critical messenger between the maternal environment and the fetus, the placenta may play a key role not only in buffering environmental effects transmitted by the mother but also in expressing and modulating effects due to preconceptional exposure of both the mother and the father to stressful conditions. Sexually dimorphic patterns of expression have recently been reported for individual genes or pathways in placentas from humans and rodents, potentially accounting for differences in the sensitivity of male and female fetuses to maternal diet (reviewed in Gabory et al. 2009). However, few groups have studied global sexual dimorphism in the placenta with microarrays, focusing in particular on the impact of maternal diet, asthma or stress on placental gene expression through systematic investigations of the relationship between diet and the expression of sexually dimorphic genes (Mao et al. 2010; Sood et al. 2006). Even fewer studies have investigated the associated epigenetic changes (Gabory et al. 2012; Gallou-Kabani et al. 2010).
Figure 1 shows how such influences may operate on the transmission of environmental influences to subsequent generation(s) and illustrates the central role of the placenta in the sex specificity of these parent-of-origin effects. Support for the possibility of inter- and transgenerational effects is also emerging, making it important to know the role played by the placenta and the possible maternal and or paternal epigenetic imprints carried by the gametes forming the zygote. Indeed, maternally or paternally transmitted, non-erased epigenetic alterations of key developmental genes may perturb early trophoblast development in a sex-specific manner (Fig. 1).
Placenta Is a Sexually Dimorphic Organ
During pregnancy, the placenta maintains fetal homeostasis by regulating nutrient transfer from the mother to the fetus. This ‘gateway’ to the fetus is affected by numerous environmental factors, each of which may modifies epigenetic marks and gene expression within the placenta (Novakovic and Saffery 2012). Various environmental factors, including nutrient status and tissue oxygenation, may modify placental development and function (Cross and Mickelson 2006; Liang et al. 2010). Studies of rodents and large animals have shown placental development to be highly adaptable, with many means of compensating for poor nutritional conditions (Coan et al. 2010; Constância et al. 2005; Gheorghe et al. 2010; Mao et al. 2010; Reynolds et al. 2010).
The placenta has traditionally been considered an asexual organ, and many studies focusing on the placenta have not taken the sex of the embryo into account (Clifton 2010). Predisposition to various diseases in adulthood, including type 2 diabetes (T2D), hypertension and cardiovascular disease (CVD), is affected by the food consumed by the mother during pregnancy. It thus appears likely that sex-specific placental functions contribute to the differences in frequency of these diseases between the sexes. The sex of the embryo affects the size of both the fetus and the placenta, together with morbidity and the ability of the placenta to respond to adverse stimuli (Clifton 2010; Clifton et al. 2010; Mao et al. 2010). Moreover, Wang et al. (2011) showed that the maternal decidual renin-angiotensin system (RAS) in humans is regulated in a sex-specific manner at term, both before and after labor. Thus, the sex of the fetus affects gene expression, indicating possible functional differences as a function of fetal sex.
The fact that boys tend to be longer at birth than girls suggests that the placenta may be more efficient for male than for female fetuses, although it may have a smaller reserve capacity. From the earliest stages of gestation, boys grow more rapidly than girls and are therefore at greater risk of undernutrition (Eriksson et al. 2009). Unfavorable programming, whether immediately before conception or during gestation, may result in various defects potentially translated into differences in susceptibility to disease between boys and girls (Clifton 2010; Dunn et al. 2010; Eriksson et al. 2009; Gabory et al. 2009; Gallou-Kabani et al. 2010; Ng et al. 2010). Thus, the placenta constitutes an ideal organ in which to study the sensing, by the fetus, of stresses, starvation, endocrine disruptors and obesity-prone diets or lifestyles, in a sex-specific manner.
Neither Sex Nor Maternal HFD Triggers Gross Morphological Changes in Placental Layers
We investigated the impact of a high-fat diet (HFD) during gestation on fetoplacental development in a mouse model. We collected placentas in the middle of the fetal period, when the morphological development of the placenta is complete and fetal growth is maximal (Gallou-Kabani et al. 2010). We observed a major effect of sex on placental weight, with male placentas being larger than female placentas. Under the HFD, the placental weight was increased in both males and females. There was no effect of sex or diet on fetal weight. Therefore the FPI was greater in females than in males and was reduced under a HFD.
Experimental and epidemiological studies in humans and animal models have demonstrated that predisposition to impaired glucose tolerance, blood pressure and coronary heart disease is associated with either a low or high fetus-to-placenta weight ratio and a decrease in FPI under maternal HFD, for both male and female placentas (Gallou-Kabani et al. 2010). This finding indicates a change in placental efficiency, which could be due to either a change in placental development or to gross morphological changes in the different layers. Using in situ hybridization with several probes, we could not detect any changes in the respective proportion of the two layers (Gallou-Kabani et al. 2010). To assess whether these weight changes were associated with morphological changes, we analyzed the placenta with classical histological approaches. No obvious changes were observed in the structure of the labyrinth or spongiotrophoblast. The proportion of the placenta occupied by the labyrinth was not affected by diet or sex of the offspring. However, as shown by the dysregulation of important genes involved in placental development, we cannot exclude subtle changes (Cross et al. 2003; Rawn and Cross 2008). Altogether this finding suggests that the observed increase in placental weight was distributed evenly between the layers. Moreover, overall placental and labyrinth shapes, estimated from minor and major lengths, did not differ between the four groups. Thus, neither the sex of the offspring nor HFD in the mother triggered gross morphological changes in the respective structure and size of the placental layers (Gabory et al. 2012).
Sexual Dimorphism and Sensitivity to Diet for 9/20 Genes from Four Clusters of Imprinted Genes
It has been suggested that changes in imprinted gene dosage in the placentas may compromise the prenatal control of nutritional resources (Charalambous et al. 2007). Indeed, monoallelic behavior and sensitivity to changes in regional epigenetic state render imprinted genes both vulnerable and adaptable. However, the underlying mechanisms remain unclear.
We investigated whether a HFD during pregnancy modified the expression of imprinted genes in the placenta. We compared gene expression patterns in total placenta homogenates, for male and female offspring, by the RT-qPCR analysis of 20 imprinted genes. Sexual dimorphism and/or sensitivity to diet were observed for nine genes from four clusters on chromosomes 6, 7, 12 and 17. Six genes (Slc22a1, Slc22a2, Slc22a3, Rtl1, Dlk1 and Dio3) displayed changes in expression pattern when the mother was fed the HFD. We observed sex-specific sensitivity to the HFD, with effects limited to or more pronounced in the female placenta for Dlk1, Dio3, Slc22a1 or in the male placenta for Slc22a2 only. Our results are therefore consistent with previous findings that female placentas display more striking changes in gene expression in response to maternal diet than do male placentas. As suggested by Penaloza et al. (2009), this difference in cell behavior and sensitivity appears to be driven by the genetic sex of the cells, with the effects of factors such as hormones subsequently being superimposed on this difference.
Concerning the chromosome 17 cluster (Slc22a2, Slc22a1 and Slc22a3), the sex steroid hormone estrogen down-regulates renal organic cation transport in animals and may contribute to sex-related differences in xenobiotic accumulation and excretion (Asaka et al. 2006; Pelis et al. 2007; Urakami et al. 2000). However, caution is required when extrapolating transport-related sex differences between species and organs. These data on sexual dimorphism in organic cation transport are nonetheless potentially interesting when trying to understand the differences between the sexes in terms of the response in the placenta. For the chromosome 12 cluster, an effect of diet was observed for the paternally expressed Dlk1, Rtl1 and Dio3 genes but not for the maternally expressed Gtl2/meg3 genes, with female placentas again being more sensitive than male placentas to the effects of the HFD.
This study was the first to demonstrate that the placentas of male and female fetuses from mothers fed a HFD displayed changes in the expression of selected imprinted genes from different clusters, with these changes differing between the sexes.
Differential CpG Methylation of the Igf2r DMR
The transporter genes Slc22a2 and Slc22a3 are imprinted specifically in mouse placenta (Wagschal and Feil 2006). The promoters of the repressed paternal alleles of these genes do not display DNA methylation (Sleutels et al. 2002). The Igf2r imprint control element (ICE), which is a differentially methylated région (DMR) containing 30 CpG, plays a crucial role in regulating many imprinted genes in this cluster. We therefore investigated whether adaptation of the nutrient supply to fetal demand in pregnant mice fed a HFD involved the ICE/DMR regulating these important placental transporter systems (Gallou-Kabani et al. 2010). In a bisulphite-sequencing analysis of all 30 CpG within the DMR of the chromosome 17 cluster, we found no statistically significant difference between the sexes or the two diets. However, a CpG by CpG analysis revealed sex- and diet-specific differential methylation of individual CpGs in two conspicuous subregions of the DMR. Significantly different levels of methylation between the sexes were found for the first four CpGs in fetuses from mothers fed the HFD. Similarly, different levels of methylation between the sexes were found for the next five CpG and for CpG 20 in fetuses from mothers fed the control diet (CD). CpG 2 was the only CpG displaying both diet response and sexual dimorphism (Gallou-Kabani et al. 2010).
Bioinformatic analysis suggested that the CpGs displaying sex- and/or diet-specific differential methylation in the DMR might lie within recognition elements or binding sites for transcription factors or factors involved in chromatin remodelling, or within a higher-order chromatin architecture including Pax4, Smarca3, Nrf2/Arp, Ppar/Rxr, Egr3, Rxr, Stat6 (Gallou-Kabani et al. 2010).
Placental Gene Expression Is Sexually Dimorphic Under CD and Under HFD
Using Affymetrix exon microarrays, we analyzed gene expression in our placenta samples. We obtained expression data for four groups: female (F) or male (M) placentas from mothers under the control (CD) or high-fat (HFD) diet (F CD, F HFD, M CD and M HFD). First, we analyzed the data to detect sexual dimorphism in gene expression by comparing M CD vs F CD and M HFD vs F HFD. Second, to describe the placental response to a maternal HFD challenge, we compared F HFD vs F CD and M HFD vs M CD. Altogether, for these four comparisons, a bioinformatic analysis was carried out using the Ingenuity Pathway Analysis (IPA) software.
We first investigated whether there was a basal sexual dimorphism between female and male placentas from mothers fed a CD during pregnancy. We detected 104 genes displaying sexual dimorphism, of which 97 were mapped in IPA: 54 with higher expression in female than in male placentas and 43 with higher expression in male than in female placentas (Fig. 2). Among the genes mapped in IPA, 97 genes were sexually dimorphic in CD conditions and 93 genes in HFD conditions. Interestingly, only 11 genes displayed sex-dimorphic expression in both CD and HFD placentas. Among these 11 genes, Adra1a, Eif2s3x, Kdm5c (Jarid1c) and Ogt were more strongly expressed in female placentas (the last three are located on the X-chromosome) and Cst6, Ppp2r2c, Zfp36l2, Ddx3y, Eif2s3y and Kdm5d (Jarid1d) were more strongly expressed in male placentas. Interestingly, four Y-linked genes were represented on the microarray: Ddx3y, Eif2s3y, Kdm5d and Sry. The expression of this last gene is undetectable in placenta. Therefore, we can observe male-specific expression for three of four Y-linked genes in our microarray data. Notably, the amplitude of the differences in gene expression levels observed between males and females was very close under a CD and under a HFD. Interestingly, concerning the known classical sex hormone receptor genes, only the expressions of the Estrogen Receptor Related beta (Esrrb) or Nr3b2 and the hormone nuclear receptor Retinoid X receptor gamma (Rxrg) or Nr2b3 genes were sexually dimorphic under a CD (more expressed in male and more expressed in female, respectively).
The Transcriptional Response of Placenta to Maternal HFD Is Female- and Male-Specific
To characterize the effect of the maternal HFD on gene expression and whether a HFD triggers different changes in males and females, we analyzed this effect in the two sexes separately. We compared the female HFD with the female CD microarrays and the male HFD with the male CD microarrays. We found that 168 genes were affected by maternal HFD in female placentas, with 164 genes mapped in IPA, whereas 190 genes were affected in male placentas, with 187 mapped in IPA. About half of these genes were upregulated and half downregulated in both female and male placentas (Fig. 3). Interestingly, only 16 genes were dysregulated in both sexes, with the same amplitude, namely CcdC56, Sh3bgrl3 and Sumo1, which were upregulated, and Cxcl2, GcGr, Klk8, Mpg, Pcca, Pdgfß, Pla2g15, Ppp2r3c, Rhbdf2, Slc7a2, Tmem62 and Zfp37, which were downregulated. Among dysregulated genes and gene families, some have been reported to be important for placental development: Adra2a, Ceacam10, Crabp2, Gata1, Gcm1, Mmp1a, Mmp 16, Pdgfß and Rarb (Cross et al. 2003; Rawn and Cross 2008; Watson and Cross 2005).
Several studies have reported differences in gene expression between male and female placentas in humans and mice (Clifton et al. 2009; Mao et al. 2010; Sood et al. 2006; Suter et al. 2010). In humans, Clifton et al. showed that the placenta adapts in a sexually dimorphic manner to chronic maternal asthma. The growth of female fetuses is reduced, increasing chances of survival, whereas normal growth of male fetuses is associated with a poor outcome in the case of acute asthma exacerbation (Clifton 2010; Clifton et al. 2009). In mice, Mao et al. (2010) reported that, in E12.5 mice fed a low-fat diet (10 %) or a very HFD (60 %), similar to the CD and HFD used in this study, respectively, or an intermediate chow diet (25 %), there were more changes in gene expression with both diets in female than male placentas. In the present report, but at a later stage, E15.5, we confirmed that the affected gene sets differed between females and males. However our transcriptomic analysis provides no evidence for a greater reactivity to maternal HFD in either male or female mouse placentas in terms of placental and fetal growth or the numbers of dysregulated genes. Moreover, using the Ingenuity Pathway Analysis, we show for the first time that the gene sets change not only from a quantitative point of view but also, more strikingly, from a qualitative point of view. Indeed, the associated biological functions affected by the HFD differed markedly between the two sexes. In the absence of a greater reactivity but with clearly different trajectories, it is difficult to say whether one sex copes better than the other under a HFD, as previously suggested in other contexts (Clifton 2010; Eriksson et al. 2009). Differences in adaptation between males and females may therefore be context-, species- and stage-specific.
Diet Effect and Sexual Dimorphism in Global DNA Methylation in Mouse Tissues and Placenta
Global DNA methylation was assessed by the LUMA technique, in which the ratio of genomic DNA digested by the methylation-sensitive enzyme HpaII to that digested with the methylation-insensitive enzyme MspI indicates the level of cytosine demethylation (Karimi et al. 2006). An effect of sex was observed under the CD. Male placentas displayed lower levels (3.3 %) of methylation than female placentas. Diet had an effect on global % methylation but was statistically significant only in females (2.4 %). Female placentas from mothers fed the HFD displayed lower levels of methylation. Such a global hypomethylation was also observed in brains of offspring of HFD-fed mouse mothers (Vucetic et al. 2010). However, it remains difficult to speculate about the potential role of the high fat/low carbohydrate composition of the diet on the one carbon metabolism, in the absence of relevant mechanisms to account for a potential link.
This dimorphism may be due to the presence of an inactive X (Xi) chromosome in the female. However, Weber et al. (2005) overturned previous views by showing that Xi was hypermethylated at only a subset of gene-rich regions and, unexpectedly, displayed overall hypomethylation with respect to its active counterpart. Hellman and Chess (2007) have shown that the active X (Xa) chromosome in females has levels of allele-specific methylation that are twice those of Xi. A bipartite methylation-demethylation program results in Xa-specific hypomethylation at gene promoters and hypermethylation at gene bodies in both male and female active Xa chromosomes (Hellman and Chess 2007).
We investigated this difference in methylation further by assessing the methylation levels of the two major repetitive elements containing most of the genomic 5-methylcytosine bases: LINE-1 (long interspersed nucleotide element-1) and SINE-1 (short interspersed nucleotide element-1), represented by human Alu elements and the homologous mouse B1 elements. The methylation levels of both LINE-1 and SINE-1 have been reported to be good indicators of cellular 5-methylcytosine level (i.e., global DNA methylation level; Fryer et al. 2009; Jeong and Lee 2005). In our placenta model, no difference in the level of LINE-1 or B1 repetitive element methylation was observed between the sexes or between the diets (CD and HFD). These differences are therefore probably located in non-genic regions, gene bodies and centromeric heterochromatin.
Effect of Maternal Diet and Sexual Dimorphism on the Epigenetic Machinery Enzymes
The mouse extraembryonic membranes, yolk sac and placenta are characterized by global undermethylation of DNA with respect to embryonic somatic lineages. The major differences in methylation between the two lineages probably affect non-gene regions such as, for example, centromeric heterochromatin (Ng et al. 2008). Indeed, in both chorionic villi and placental fibroblasts, large differences have been observed both globally and between various chromosome structures within individual metaphases (Kokalj-Vokac et al. 1998). As previously mentioned, female placentas displayed significantly higher levels of methylation than male placentas under control conditions (Gallou-Kabani et al. 2010). We also showed an effect of maternal HFD, with hypomethylation in female placentas only (Gallou-Kabani et al. 2010). However, the levels of expression of neither Dnmt3a, Dnmt3b nor Dnmt1 differed between the sexes or between diets. In contrast, this hypomethylation was consistent with the observation of Dnmt3l downregulation only in female HFD placentas. Dnmt3l has no DNA methylase activity but is a cofactor of the de novo DNA methyltransferases (Kobayashi et al. 2012; Smallwood et al. 2011). Our data do not exclude a role for Dnmt3a, Dnmt3b and Dnmt1 in global methylation differences. Indeed the expression of these genes and the levels of the corresponding proteins may have varied before the E15.5 stage. Time course studies and studies of the cell type distribution of DNA methylation during development are therefore of interest.
Six other epigenetic machinery genes, Kmt1a, Kmt1b, Kmt2f, Kdm5c, Kdm5d, and Prmt7, were dysregulated under maternal HFD as an effect of diet, sex of the fetus, or both. Kmt1a and Kmt1b encode methyltransferases involved in trimethylation of the lysine 9 residue of histone H3 (H3K9me3 is mostly associated with a repressed chromatin state). The two paralogues, Kdm5c and Kdm5d, demethylases of lysine 4 of histone H3 (H3K4me3 is mostly associated with an active chromatin state), map to the X and Y chromosomes, respectively. Kdm5c escapes X-inactivation and is more strongly expressed in females than in males (Li and Carrel 2008). Kdm5c and Kdm5d are highly similar in nucleotide and amino acid sequence, but whether the role and targets of these two enzymes are identical, divergent or with partial compensation in their functions is still unclear (Xu et al. 2008). Prmt7 is an arginine methyl transferase (H3R2) and Setd1a (Kmt2f) is a H3K4 methyltransferase. Little is known about these two enzymes and their role is not described in placenta.
The proteins encoded by Y-linked genes may or may not have the same functions, the same target sequences or the same patterns of expression, according to age or tissue, as their X paralogues. In our study, in placentas of HFD-fed mouse mothers, the Y- and X-linked histone demethylase paralogue genes Kdm5c and Kdm5d were sexually dimorphic. In another report, in mouse brain, expression of the Y version of the gene in male mice did not compensate for the dosage imbalance between the two sexes in the expression of their X homologs escaping X-inactivation. Figure 4 shows that, in placentas from mothers on a CD or HFD, the Y-linked Kdm5d gene expression in males was not able to compensate for the expression of Kdm5c, its X-linked paralogue escaping XIC, in females (Gabory et al. 2012). Thus the epigenetic enzymes produced by these two genes could mark the epigenome in a sex-specific manner, both at the quantitative and qualitative levels (Xu et al. 2002).
The involvement of all these enzymes in an important network is consistent with (1) documented crosstalk between the H3K4 and H3K9 methylation marks, with H3K9 methylation partly controlled by the Kmt1a and Kmt1b enzymes, and (2) crosstalks between histone methylation and acetylation and DNA methylation. Dnmt3l has been shown to recruit histone deacetylases (Deplus et al. 2002) and to interact with H3K4me3 (Ooi et al. 2007). Moreover, the H3K4 demethylase Kdm5c interacts with H3K9me3, which can be methylated by Kmt1a and 1b (Iwase et al. 2007). It will therefore be important to determine how the crosstalk between key repressive or activating marks and their modifying enzymes can be disturbed by environmental challenges, leading to developmental and metabolic malprogramming.
Effects of Maternal Diet and Sexual Dimorphism on Relevant Histone Marks
Since Kdm5c, Kdm5d, Kmt1a and Kmt1b enzymes are responsible for histone modifications of H3K4 and H3K9, respectively, we investigated whether the differences in gene expression led to differences in the global levels of pertinent histone methylation marks. In line with the changes in expression of histone modifying enzymes, we analyzed global histone modifications. The H3K4me3 signal was not sexually dimorphic, as might have been expected given the dimorphic expression of Kdm5c and Kdm5d, and was equivalent in both diets despite the dysregulation of Kmt2f. Similarly, H3K9me3 was not affected by diet despite the downregulation of Kmt1a and Kmt1b. However, Western blotting provides a global evaluation of histone marks and cannot exclude subtle changes in particular target sequences of these enzymes. Thus, diet itself or the mechanisms used by cells to compensate for dietary imbalances for adaptation must have a major impact on the epigenetic machinery. As previously highlighted for DNA methylation, time course studies and studies of the cell type distribution of histone marks during development are required.
Not Just Hormones: Role of X and Y Chromosome-Linked Genes
Increasing numbers of reports are challenging the traditional view of the influences of gonadal hormones and highlighting other roles for sex chromosomes (reviewed in Davies and Wilkinson 2006; Dunn et al. 2010; Gabory et al. 2009, 2013; Howerton and Bale 2012). In bovine blastocysts, sex determines the expression levels of one third of all actively expressed genes (Bermejo-Alvarez et al. 2010). Sexual dimorphism has also been observed in total embryonic cells isolated from mice at E10.5, before the occurrence of sexual differentiation. These cells responded differently to the dietary stressors applied, even before the production of fetal sex hormones (Penaloza et al. 2009). The genes present on the sex chromosomes (which are asymmetrically inherited between males and females) may influence sexually dimorphic gene expression (Davies and Wilkinson 2006). In most placental mammals, X inactivation is random. However, extraembryonic X inactivation is thought to be paternally imprinted in rodents. At least 150 loci are known to escape inactivation and may therefore be expressed from both X chromosomes (Carrel and Willard 2005). Studies in mice and rats demonstrating sex differences in placental responses to changes in the maternal environment may thus indicate a role for these escaped genes, as the placentas of female fetuses may produce twice as much of the corresponding proteins as those of male fetuses (Howerton and Bale 2012). Alternatively, the small number of expressed genes present on the Y chromosome may be involved. Many X-homologous regions are found on the Y chromosome, but most do not recombine and are referred to as male-specific regions. These regions contain 78 single and multicopy genes encoding about 27 different proteins in humans. In total, 29 genes are conserved in the pseudo-autosomal regions (PARs) of the X and Y chromosomes. In human term placentas, Sood et al. (2006) showed that many of the sex-correlated genes are located on the sex chromosomes, but that some are autosomal. Thus X- and Y-linked genes may modulate the expression of different sets of autosomal genes, leading to physiological differences between males and females (Gabory et al. 2013).
Conclusions: Why Sex Matters
These findings highlight the importance of studying both sexes in epidemiological protocols or dietary interventions in both humans and experimental animal models. Our results pave the way for explorations concerning the possible targeting, by fatty acids and other nutrients, of conspicuous regions in the genome harboring binding sites for the recruitment of diet- and tissue-specific chromatin remodeling complexes. Elucidation of the ways in which epigenetic modifications fix the effects of early environmental events, in a sex-specific manner, ensuring sustained responses to transient stimuli resulting in modified gene expression patterns and phenotypes later in life, remains a key challenge (Attig et al. 2010).
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Acknowledgments
These studies were supported by the Foundation Cœur et Artères (FCA No 05-T4), the Institut Benjamin Delessert, the Agence Nationale pour la Recherche (ANR 06-PNRA-022-01) and Contrat Cadre d’Aide au Projet d’Innovation Stratégique Industrielle “IT-Diab” OSEO-ISI (18/12/2008).
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Gabory, A. et al. (2014). Male and Female Placentas Have Divergent Transcriptomic and Epigenomic Responses to Maternal Diets: Not Just Hormones. In: Seckl, J., Christen, Y. (eds) Hormones, Intrauterine Health and Programming. Research and Perspectives in Endocrine Interactions, vol 12. Springer, Cham. https://doi.org/10.1007/978-3-319-02591-9_6
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