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Semaglutide ameliorates metabolic disorders in offspring via regulation of oocyte ROS of pre-pregnancy obesity mice

Jun-kai Zhang1,2,3, Xiao-ping Li1,2,4, Yang Tang1,2,5, Li-ping Zeng1,2,6, Xuan Liu1,2, Jian-li Zhang1,2, Cai-yu Chen1,2, Shuo Zheng1,2, Zhi-zhao Liu7, Xue Gong1,2, Pedro A. Jose8, Li Guo9, Chun-yu Zeng1,2,6
1 Department of Cardiology, Daping Hospital, Third Military Medical University (Army Medical University), Chongqing 400042, China
2 Key Laboratory of Geriatric Cardiovascular and Cerebrovascular Disease Research, Ministry of Education of China, Chongqing Key Laboratory for Hypertension Research, Chongqing Cardiovascular Clinical Research Center, Chongqing Institute of Cardiology, Chongqing 400042, China
3 Department of Cardiology, Sichuan Provincial Corps Hospital of Chinese People’s Armed Police Force (Sichuan Corps Hospital of PAP), Leshan 614000, China
4 Department of Cardiology, 921 Hospital of Joint Logistics Support Force People’s Liberation Army of China (the Second Affiliated Hospital of Hunan Normal University), Changsha 410081, China
5 Key Laboratory of Biorheological Science and Technology, Ministry of Education, College of Bioengineering, Chongqing University, Chongqing 400044, China
6 Department of Cardiology, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China
7 Chongqing Institute of Green and Intelligent Technology, Chinese Academy of Sciences, Chongqing 400714, China
8 Division of Renal Diseases & Hypertension, The George Washington University School of Medicine & Health Sciences, Washington, DC, USA
9 Endocrinology Department, The First Affiliated Hospital of The Third Military Medical University (Army Medical University), Chongqing 400038, China
Correspondence to: Li Guo: dearpeardog@126.com, Chun-yu Zeng: chunyuzeng01@163.com,
DOI: 10.1038/s41401-025-01501-1
Received: 11 July 2024
Accepted: 29 January 2025
Advance online: 21 February 2025

Abstract

Pre-pregnancy obesity (PPO) seriously threatens the health of both mother and offspring. Pre-pregnancy weight management is particularly important for the prevention of metabolic diseases in offspring. Semaglutide is one of the most effective glucagon-like peptide-1 agonizts for the management of obesity and metabolic diseases, but little is known about its effect on the long-term health of offspring. In this study we investigated the effects of semaglutide administered before pregnancy on the offspring health from PPO mice. PPO mice model was established by feeding with high-fat diet for 16 weeks, and then injected with semaglutide (30 nmol/kg-1·d-1, sc.) for 22 days before pregnancy. After the treatment, the mice were mated with normal males or underwent in vitro fertilization (IVF) for offspring reproduction. We showed that the semaglutide treatment not only improved the lipid and glucose metabolic disorders and fertility of PPO mice, but also significantly reversed the overweight, impaired energy balance, adipose inflammatory state, lipid and glucose metabolic disorders and insulin resistance of their IVF offspring. By conducting RNA-seq analysis, SOD activity and malondialdehyde assays in ovaries, as well as ROS staining in oocytes, we revealed that the semaglutide treatment reduced the elevated oxidative stress in ovaries and high ROS levels in oocytes from PPO mice, possibly through activating the PI3K/AKT pathway and improving the state of SOD. Interestingly, incubation of oocytes from semaglutide-treated dams with H2O2 (100 μM) in vitro during IVF blocked the protective effects of semaglultide against the metabolic disorders in the offspring. In conclusion, semaglutide treatment before pregnancy effectively alleviates obesity-related metabolic disorders in offspring. The regulation of ROS in oocytes plays a crucial role in the protective effects of semaglutide.

Keywords: pre-pregnancy obesity; semaglutide; ROS; metabolic disorders; offspring; In vitro fertilization

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