Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Transgenerational congenital heart defects

Sweet and sour story of maternal diabetes and birth defects

Pregestational diabetes is linked to an increased risk of congenital disorders, including cardiac and craniofacial defects, but the underlying mechanisms are unclear. Using a hyperglycemic mouse model, Nishino et al. show that ectopic retinoic acid signaling in the anterior heart field causes aberrant tissue patterning and associated pathologies1.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: Hyperglycemia leads to a shift in the anterior–posterior retinoic acid signaling gradient, causing patterning defects and pathological outcomes.

References

  1. Nishino, T. et al. Nat. Cardiovasc. Res. https://doi.org/10.1038/s44161-023-00367-y (2023).

    Article  Google Scholar 

  2. Gabbay-Benziv, R., Reece, E. A., Wang, F. & Yang, P. World J. Diabetes 6, 481–488 (2015).

    Article  PubMed  PubMed Central  Google Scholar 

  3. Schraw, J. M., Langlois, P. H. & Lupo, P. J. Ann. Epidemiol. 53, 14–20 (2021).

    Article  PubMed  Google Scholar 

  4. Kelly, R. G., Buckingham, M. E. & Moorman, A. F. Cold Spring Harb. Perspect. Med. 4, a015750 (2014).

    Article  PubMed  PubMed Central  Google Scholar 

  5. Stefanovic, S., Etchevers, H. C. & Zaffran, S. J. Cardiovasc. Dev. Dis. 8, 42 (2021).

    CAS  PubMed  PubMed Central  Google Scholar 

  6. Stefanovic, S. et al. eLife 9, e55124 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Rankin, S. A. et al. eLife 10, e69288 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Stefanovic, S. & Zaffran, S. Mech. Dev. 143, 9–19 (2017).

    Article  CAS  PubMed  Google Scholar 

  9. Perl, E. & Waxman, J. S. Subcell. Biochem. 95, 119–149 (2020).

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to James F. Martin.

Ethics declarations

Competing interests

The authors declare no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Steimle, J.D., Martin, J.F. Sweet and sour story of maternal diabetes and birth defects. Nat Cardiovasc Res 2, 1107–1108 (2023). https://doi.org/10.1038/s44161-023-00380-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s44161-023-00380-1

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing