Developmental Programming: Impact of Gestational Steroid and Metabolic Milieus on Mediators of Insulin Sensitivity in Prenatal Testosterone–Treated Female Sheep
Open accessAbstract
Prenatal testosterone (T) excess in sheep leads to peripheral insulin resistance (IR), reduced adipocyte size, and tissue-specific changes, with liver and muscle but not adipose tissue being insulin resistant. To determine the basis for the tissue-specific differences in insulin sensitivity, we assessed changes in negative (inflammation, oxidative stress, and lipotoxicity) and positive mediators (adiponectin and antioxidants) of insulin sensitivity in the liver, muscle, and adipose tissues of control and prenatal T–treated sheep. Because T excess leads to maternal hyperinsulinemia, fetal hyperandrogenism, and functional hyperandrogenism and IR in their female offspring, prenatal and postnatal interventions with antiandrogen, flutamide, and the insulin sensitizer rosiglitazone were used to parse out the contribution of androgenic and metabolic pathways in programming and maintaining these defects. Results showed that (1) peripheral IR in prenatal T–treated female sheep is related to increases in triglycerides and 3-nitrotyrosine, which appear to override the increase in high-molecular-weight adiponectin; (2) liver IR is a function of the increase in oxidative stress (3-nitrotyrosine) and lipotoxicity; (3) muscle IR is related to lipotoxicity; and (4) the insulin-sensitive status of visceral adipose tissue appears to be a function of the increase in antioxidants that likely overrides the increase in proinflammatory cytokines, macrophages, and oxidative stress. Prenatal and postnatal intervention with either antiandrogen or insulin sensitizer had partial effects in preventing or ameliorating the prenatal T–induced changes in mediators of insulin sensitivity, suggesting that both pathways are critical for the programming and maintenance of the prenatal T–induced changes and point to potential involvement of estrogenic pathways.
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In female offspring, excess androgen exposure changes the size of WAT adipocytes and increases chemokine and pro-inflammatory cytokine expression and dysregulated adiponectin expression, depending on the timing of exposure and WAT depot.
“There is a change in the size of WAT adipocytes [132, 136] and an increase in chemokine and pro-inflammatory cytokine expression and dysregulated adiponectin expression, depending on the timing of the androgen exposure and WAT depot in female offspring [132, 137].”
From Developmental programming of offspring adipose tissue biology and obesity risk (2021) · cites this paper as [132]
In experimental animals, excess androgen exposure in utero or in early neonatal life programmes the female offspring to have changes in adipose tissue biology.
“As shown in Table 7, work in experimental animals has shown that excess androgen exposure in utero or in early neonatal life programmes the female offspring to have changes in adipose tissue biology [132–135].”
From Developmental programming of offspring adipose tissue biology and obesity risk (2021) · cites this paper as [132]
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Self-citationGuo, X., Puttabyatappa, M., Domino, S., & Padmanabhan, V. (2020) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2020.110913 · Cited by 17 · see citing works
Self-citationDevelopmental programming of insulin resistance: are androgens the culprits?
Puttabyatappa, M., Sargis, R. M., & Padmanabhan, V. (2020) · Journal of Endocrinology · doi:10.1530/joe-20-0044 · Cited by 22 · see citing works
Self-citationPrenatal Testosterone Programming of Insulin Resistance in the Female Sheep
Puttabyatappa, M., & Padmanabhan, V. (2017) · Advances in experimental medicine and biology · doi:10.1007/978-3-319-70178-3_25 · Cited by 21 · see citing works
Self-citationSaadat, N., Puttabyatappa, M., Elangovan, V. R., Dou, J., Ciarelli, J. N., Thompson, R. C., Bakulski, K. M., & Padmanabhan, V. (2021) · Endocrinology · doi:10.1210/endocr/bqab225 · Cited by 12 · see citing works
Self-citationElangovan, V. R., Saadat, N., Ghnenis, A. B., Padmanabhan, V., & Vyas, A. K. (2023) · Scientific Reports · doi:10.1038/s41598-023-29212-9 · Cited by 12 · see citing works
Self-citationDou, J., Puttabyatappa, M., Padmanabhan, V., & Bakulski, K. M. (2020) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2020.111137 · Cited by 13 · see citing works
Self-citationPuttabyatappa, M., Ciarelli, J. N., Chatoff, A. G., Singer, K., & Padmanabhan, V. (2019) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2019.110691 · Cited by 10 · see citing works
Self-citationDou, J., Puttabyatappa, M., Padmanabhan, V., & Bakulski, K. M. (2020) · Chemosphere · doi:10.1016/j.chemosphere.2020.127000 · Cited by 10 · see citing works
Self-citationUnpacking PCOS Inflammation: From Misconceptions to Immune Networks
Robles, G. D., Wiggins, K. D., Mundo, Z. D. D., Ujagar, N. S., Nguyen, C. M., Seldin, M. M., Pacheco-Sanchez, G., & Nicholas, D. (2025) · Endocrinology · doi:10.1210/endocr/bqaf166 · Cited by 9 · see citing works
Jackson, I. J., Puttabyatappa, M., Anderson, M. J., Muralidharan, M., Veiga‐Lopez, A., Gregg, B. E., Limesand, S. W., & Padmanabhan, V. (2020) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2020.110950 · Cited by 9 · see citing works
Self-citationMotta, G., Thangaraj, S. V., & Padmanabhan, V. (2023) · Toxics · doi:10.3390/toxics12010015 · Cited by 8 · see citing works
Self-citationAbruzzese, G. A., Arboccó, F. C. V., Ferrer, M. J., Silva, A. F., & Motta, A. B. (2023) · Advances in experimental medicine and biology · doi:10.1007/978-3-031-32554-0_2 · Cited by 8 · see citing works
Halloran, K. M., Saadat, N., Pallas, B. D., Vyas, A. K., Sargis, R. M., & Padmanabhan, V. (2024) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2024.112234 · Cited by 8 · see citing works
Self-citationGuo, F., Mao, S. H., Long, Y., Zhou, B., Gao, L., & Huang, H. (2023) · Reproductive Sciences · doi:10.1007/s43032-023-01286-w · Cited by 7 · see citing works
Saadat, N., Pallas, B. D., Ciarelli, J. N., Vyas, A. K., & Padmanabhan, V. (2024) · Scientific Reports · doi:10.1038/s41598-024-56886-6 · Cited by 7 · see citing works
Self-citationAndrogen actions in metabolic tissues in polycystic ovary syndrome
MacRae, C. L., & Campbell, R. E. (2026) · Endocrinology · doi:10.1210/endocr/bqag001 · Cited by 5 · see citing works
Usman, T. O., Adeyanju, O. A., Areola, E. D., Badmus, O. O., Oyeyipo, I. P., Olaniyi, K. S., Oyabambi, A. O., & Olatunji, L. A. (2021) · Molecular and Cellular Biochemistry · doi:10.1007/s11010-020-04031-y · Cited by 5 · see citing works
Dou, J., Thangaraj, S. V., Puttabyatappa, M., Elangovan, V. R., Bakulski, K. M., & Padmanabhan, V. (2023) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2023.111868 · Cited by 5 · see citing works
Self-citationSaadat, N., Ciarelli, J. N., Pallas, B. D., Padmanabhan, V., & Vyas, A. K. (2023) · Endocrinology · doi:10.1210/endocr/bqad187 · Cited by 5 · see citing works
Self-citationCiarelli, J. N., Thangaraj, S. V., Sun, H., Domke, S., Alkhatib, B., Vyas, A. K., Gregg, B. E., Sargis, R. M., & Padmanabhan, V. (2024) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2024.112202 · Cited by 4 · see citing works
Self-citationIntrauterine androgen exposure impairs gonadal adipose tissue functions of adult female rats
Ferrer, M. J., Abruzzese, G. A., Heber, M. F., Ferreira, S. R., Arboccó, F. C. V., & Motta, A. B. (2022) · Theriogenology · doi:10.1016/j.theriogenology.2022.12.035 · Cited by 4 · see citing works
Puttabyatappa, M., Ciarelli, J. N., Chatoff, A. G., & Padmanabhan, V. (2021) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2021.111207 · Cited by 4 · see citing works
Self-citationDou, J., Thangaraj, S. V., Zhou, Y., Padmanabhan, V., & Bakulski, K. M. (2025) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2025.112655 · Cited by 3 · see citing works
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Takahashi, A., Arata, M., Noguchi, H., Purevdorj, T., Tamura, K., Takeda, A., Sugimoto, T., Shinohara, A., Aoki, H., Kinouchi, R., et al. (2026) · Steroids · doi:10.1016/j.steroids.2026.109809
- Authors
- Puttabyatappa, M., Andriessen, V., Mesquitta, M., Zeng, L., Pennathur, S., & Padmanabhan, V.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Padmanabhan, Vasantha
- ORCID
- Venue
- Endocrinology
- Publisher
- The Endocrine Society
- Published
- 2017-06-26
- Volume
- 158
- Issue
- 9
- Pages
- 2783-2798
- ISSN
- 0013-7227 (ISSN-L)
- 1945-7170
- OpenAlex
- W4239171726
- Cited by
- 42
- References
- 85
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 3 · 2023: 6 · 2022: 1 · 2021: 4 · 2020: 8 · 2019: 7 · 2018: 4 · 2017: 2
- FWCI
- 6.27
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Endocrinology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- Funders
- GlaxoSmithKline
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK020572)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P01HD044232)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- developmental programming, insulin resistance, insulin sensitivity, hyperandrogenism, flutamide, rosiglitazone, adiponectin, oxidative stress, nitrotyrosine, lipotoxicity, visceral adipose tissue, skeletal muscle insulin resistance, inflammation, antioxidants, sheep model
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