Cited by 104Birth, Development, and HealthEpigenetics and DNA MethylationGestational Diabetes Research and Management

Maternal Obesity, Maternal Overnutrition and Fetal Programming: Effects of Epigenetic Mechanisms on the Development of Metabolic Disorders

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Şanlı, Ezgi, Kabaran, Seray·2019·Current Genomics

Abstract

Background: Maternal obesity and maternal overnutrition, can lead to epigenetic alterations during pregnancy and these alterations can influence fetal and neonatal phenotype which increase the risk of metabolic disorders in later stages of life. Objective: The effects of maternal obesity on fetal programming and potential mechanisms of maternal epigenetic regulation of gene expression which have persistent effects on fetal health and development were investigated. Method: Review of the literature was carried out in order to discuss the effects of maternal obesity and epigenetic mechanisms in fetal programming of metabolic disorders. All abstracts and full-text articles were examined and the most relevant articles were included in this review. Results: Maternal obesity and maternal overnutrition during fetal period has important overall effects on long-term health. Maternal metabolic alterations during early stages of fetal development can lead to permanent changes in organ structures, cell numbers and metabolism. Epigenetic modifications (DNA methylation, histone modifications, microRNAs) play an important role in disease susceptibility in the later stages of human life. Maternal nutrition alter expression of hypothalamic genes which can increase fetal and neonatal energy intake. Epigenetic modifications may affect the increasing rate of obesity and other metabolic disorders worldwide since the impact of these changes can be passed through generations. Conclusion: Weight management before and during pregnancy, together with healthy nutritional intakes may improve the maternal metabolic environment, which can reduce the risks of fetal programming of metabolic diseases. Further evidence from long-term follow-up studies are needed in order to determine the role of maternal obesity on epigenetic mechanisms.

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  • DNA methylation, mediated by DNA methyltransferases (DNMTs), typically represses gene transcription when occurring in promoter regions.

    “DNA methylation, mediated by DNA methyltransferases (DNMTs), which typically repress gene transcription when occurring in promoter regions;”

    From Maternal Overnutrition and Fetal Programming: Long-Term Metabolic, Cognitive, and Epigenetic Consequences (2026) · cites this paper as [159]

    The DNA Methylation section describes methylation as an epigenetic mechanism, and the discussion of maternal high-fat diets mentions DNMT1 expression and altered methylation in promoter regions. Neither passage states that DNMTs mediate DNA methylation or that promoter methylation typically represses transcription. The copy provides related context but not the claim’s defining mechanism and effect; page numbers are unavailable. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • Maternal malnutrition, whether undernutrition, overnutrition, or obesity, can induce persistent epigenetic modifications that alter gene expression without changing the DNA sequence.

    “Maternal malnutrition (whether undernutrition, overnutrition, or obesity) can induce persistent epigenetic modifications that alter gene expression without changing the DNA sequence.”

    From Maternal Overnutrition and Fetal Programming: Long-Term Metabolic, Cognitive, and Epigenetic Consequences (2026) · cites this paper as [159]

    The Introduction’s epigenetic-mechanisms section (page unavailable) says maternal nutrition may permanently affect fetal gene expression through epigenetic mechanisms, and that deficient or excess dietary methyl donors can alter epigenetic patterns. The copy also discusses maternal undernutrition, but does not clearly establish persistent epigenetic modifications from undernutrition generally. It describes DNA methylation, histone modifications and microRNAs, without explicitly stating that the DNA sequence remains unchanged. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • Histone modifications such as acetylation, methylation, and phosphorylation influence chromatin structure and the accessibility of transcriptional machinery.

    “histone modifications (e.g., acetylation, methylation, phosphorylation) that influence chromatin structure and the accessibility of transcriptional machinery;”

    From Maternal Overnutrition and Fetal Programming: Long-Term Metabolic, Cognitive, and Epigenetic Consequences (2026) · cites this paper as [159]

    The Introduction section on epigenetic mechanisms describes histone acetylation and methylation, links histone modifications to altered chromatin structure, and discusses transcription-factor binding. It does not mention histone phosphorylation or explicitly address accessibility of transcriptional machinery. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Together, DNA methylation, histone modifications, and miRNA regulation form the molecular basis of fetal programming, through which maternal nutritional imbalance can imprint lasting effects on gene regulation, metabolism, and disease vulnerability in later life.

    “Together, these mechanisms form the molecular basis of fetal programming, through which maternal nutritional imbalance can imprint lasting effects on gene regulation, metabolism, and disease vulnerability in later life [157,158,159].”
  • microRNAs (miRNAs) are small non-coding RNAs that post-transcriptionally regulate gene expression.

    “regulation by microRNAs (miRNAs), small non-coding RNAs that post-transcriptionally regulate gene expression.”

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Authors
Şanlı, E., & Kabaran, S.
Affiliations
Eastern Mediterranean University (CY)
Corresponding author
Kabaran, Seray
Venue
Current Genomics
Published
2019-01-02
Volume
20
Issue
6
Pages
419-427
ISSN
1389-2029 (ISSN-L)
OpenAlex
W2986784440
Cited by
104
References
88
Citations by year
2026: 16 · 2025: 22 · 2024: 15 · 2023: 18 · 2022: 10 · 2021: 16 · 2020: 6 · 2019: 1
FWCI
1.74
Type
journal article
Language
en
Open access
Locations
  • Current Genomics (publishedVersion)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Eastern Mediterranean University Institutional Repository (Eastern Mediterranean University) (submittedVersion, cc-by-nc-nd)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
Keywords
maternal obesity, maternal overnutrition, fetal programming, epigenetic mechanisms, DNA methylation, histone modifications, microRNA, metabolic disorders, hypothalamic gene expression, energy intake, intergenerational effects, prenatal nutrition, maternal weight management

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