Lane R H, Kelley D E, Ritov V H, Tsirka A E, Gruetzmacher E M
Department of Pediatrics, UCLA School of Medicine, Mattel Children's Hospital at UCLA, Los Angeles, California 90095, USA.
Pediatr Res. 2001 Jul;50(1):83-90. doi: 10.1203/00006450-200107000-00016.
Uteroplacental insufficiency and subsequent intrauterine growth retardation (IUGR) affects postnatal metabolism. In juvenile rats, IUGR alters skeletal muscle mitochondrial gene expression and reduces mitochondrial NAD(+)/NADH ratios, both of which affect beta-oxidation flux. We therefore hypothesized that gene expression and function of mitochondrial beta-oxidation enzymes would be altered in juvenile IUGR skeletal muscle. To test this hypothesis, mRNA levels of five key mitochondrial enzymes (carnitine palmitoyltransferase I, trifunctional protein of beta-oxidation, uncoupling protein-3, isocitrate dehydrogenase, and mitochondrial malate dehydrogenase) and intramuscular triglycerides were quantified in 21-d-old (preweaning) IUGR and control rat skeletal muscle. In isolated skeletal muscle mitochondria, enzyme function of the trifunctional protein of beta-oxidation and isocitrate dehydrogenase were measured because both enzymes compete for mitochondrial NAD(+). Carnitine palmitoyltransferase I, the trifunctional protein of beta-oxidation, and uncoupling protein 3 mRNA levels were significantly increased in IUGR skeletal muscle, whereas mRNA levels of isocitrate dehydrogenase and mitochondrial malate dehydrogenase were unchanged. Similarly, trifunctional protein of beta-oxidation activity was increased in IUGR skeletal muscle mitochondria, and isocitrate dehydrogenase activity was unchanged. Interestingly, skeletal muscle triglycerides were significantly increased in IUGR skeletal muscle. We conclude that uteroplacental insufficiency alters IUGR skeletal muscle mitochondrial lipid metabolism, and we speculate that the changes observed in this study play a role in the long-term morbidity associated with IUGR.
子宫胎盘功能不全及随后的宫内生长受限(IUGR)会影响出生后的新陈代谢。在幼年大鼠中,IUGR会改变骨骼肌线粒体基因表达并降低线粒体NAD(+)/NADH比值,这两者都会影响β-氧化通量。因此,我们推测幼年IUGR骨骼肌中线粒体β-氧化酶的基因表达和功能会发生改变。为了验证这一假设,我们对21日龄(断奶前)IUGR大鼠和对照大鼠骨骼肌中五种关键线粒体酶(肉碱棕榈酰转移酶I、β-氧化三功能蛋白、解偶联蛋白-3、异柠檬酸脱氢酶和线粒体苹果酸脱氢酶)的mRNA水平以及肌肉内甘油三酯进行了定量分析。在分离的骨骼肌线粒体中,我们测量了β-氧化三功能蛋白和异柠檬酸脱氢酶的酶功能,因为这两种酶都竞争线粒体NAD(+)。IUGR骨骼肌中肉碱棕榈酰转移酶I、β-氧化三功能蛋白和解偶联蛋白3的mRNA水平显著升高,而异柠檬酸脱氢酶和线粒体苹果酸脱氢酶的mRNA水平未发生变化。同样,IUGR骨骼肌线粒体中β-氧化三功能蛋白的活性增加,而异柠檬酸脱氢酶的活性未发生变化。有趣的是,IUGR骨骼肌中的骨骼肌甘油三酯显著增加。我们得出结论,子宫胎盘功能不全会改变IUGR骨骼肌线粒体脂质代谢,并且我们推测本研究中观察到的变化在与IUGR相关的长期发病中起作用。