Maternal obesity is thought to increase the offspring's risk of juvenile
obesity and
metabolic diseases; however, the mechanism(s) whereby excess maternal nutrition affects fetal development remain poorly understood. Here, we investigated in nonhuman primates the effect of chronic high-fat diet (HFD) on the development of fetal metabolic systems. We found that fetal offspring from both lean and obese mothers chronically consuming a HFD had a 3-fold increase in liver
triglycerides (TGs). In addition, fetal offspring from HFD-fed mothers (O-HFD) showed increased evidence of hepatic oxidative stress early in the third trimester, consistent with the development of
nonalcoholic fatty liver disease (
NAFLD). O-HFD animals also exhibited elevated hepatic expression of gluconeogenic
enzymes and
transcription factors. Furthermore, fetal
glycerol levels were 2-fold higher in O-HFD animals than in control fetal offspring and correlated with maternal levels. The increased fetal hepatic TG levels persisted at P180, concurrent with a 2-fold increase in percent body fat. Importantly, reversing the maternal HFD to a
low-fat diet during a subsequent pregnancy improved fetal hepatic TG levels and partially normalized gluconeogenic
enzyme expression, without changing maternal
body weight. These results suggest that a developing fetus is highly vulnerable to excess
lipids, independent of maternal diabetes and/or
obesity, and that exposure to this may increase the risk of pediatric
NAFLD.