妊娠期の葉酸不足が子の肝臓・筋肉への異所性脂肪蓄積を促進 −将来の肥満・糖尿病予防に期待−

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2026-03-02 九州大学

九州大学らの国際共同研究は、妊娠期の葉酸(ビタミンB9)不足が子どもの将来的な異所性脂肪蓄積を促進することを明らかにした。動物実験では、母体の葉酸不足により産仔の肝臓・筋肉で一炭素代謝に関わるAmd1遺伝子の発現が低下し、脂肪酸のβ酸化が抑制され、脂肪肝や脂肪筋が生じやすくなった。さらにシンガポール出生コホートGUSTO解析でも、妊娠26週時の母体血中葉酸濃度が低いほど、6歳児の肝臓・筋肉脂肪量が多いことを確認。摂取量だけでなく血中濃度維持の重要性を示し、妊娠期栄養管理による肥満・糖尿病予防への応用が期待される。成果はDiabetes Research and Clinical Practice誌に掲載。

妊娠期の葉酸不足が子の肝臓・筋肉への異所性脂肪蓄積を促進 −将来の肥満・糖尿病予防に期待−
(参考図)妊娠中に葉酸が不足すると、子どもの成熟後に肥満や異所性脂肪蓄積(脂肪肝、脂肪筋)が生じた。これには、肝臓や骨格筋におけるAmd1遺伝子の発現低下による脂肪酸の代謝効率低下が関与していた。

<関連情報>

妊娠中の母親の葉酸値が低いと、男児の肝臓と筋肉における異所性脂肪蓄積が悪化する Low maternal folic acid during pregnancy exacerbates ectopic fat accumulation in the liver and muscle of male offspring

Tomoyo Kawakubo-Yasukochi ∙ Yoshikazu Hayashi ∙ Karen Tan ∙ … ∙ Eijiro Jimi ∙ Johan G. Eriksson ∙ Masato Hirata
Diabetes Research and Clinical Practice  Published:February 14, 2026
DOI:https://doi.org/10.1016/j.diabres.2026.113161

Highlights

  • In mice, low maternal FA disrupts hepatic one-carbon metabolism in adult male offspring, promoting metabolic dysfunction.
  • In mice, low maternal FA induces obesity and ectopic fat accumulation in male offspring.
  • In humans, maternal plasma FA levels are inversely associated with offspring ectopic fat, independent of FA supplementation.

Abstract

Background

Folic acid (FA), an essential nutrient for one-carbon metabolism, has been implicated in metabolic disease development. Although FA supplementation during pregnancy prevents neural tube defects, its broader metabolic effects remain unclear.

Methods

Eight-week-old C57BL/6 female mice were mated and fed an FA-deficient or control diet during gestation. Male offspring were weaned onto either a normal or Western-type diet, and monitored until 3 months of age. In the Growing Up in Singapore Towards healthy Outcomes (GUSTO) birth cohort, associations between maternal plasma FA levels during pregnancy and ectopic fat accumulation in offspring at age 6 years were examined.

Results

Maternal FA deficiency promoted ectopic fat accumulation in the liver and skeletal muscle of male offspring and increased obesity susceptibility. These effects were associated with disrupted one-carbon metabolism and impaired fatty acid β-oxidation, potentially due to reduced expression of Adenosylmethionine Decarboxylase 1 (Amd1) in male offspring. Consistently, in the GUSTO cohort, maternal plasma FA concentrations were inversely associated with hepatic and muscular fat accumulation in children.

Conclusion

Maternal FA status plays a critical role in regulating male offspring metabolic health. Maintaining adequate maternal plasma FA levels, rather than focusing solely on dietary intake, may be essential for preventing ectopic fat accumulation in the next generation.

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