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孕期母体内分泌对营养调控的适应性变化:对母体血浆瘦素和皮质醇的影响以及对胎儿脂肪组织发育的编程作用

Maternal endocrine adaptation throughout pregnancy to nutritional manipulation: consequences for maternal plasma leptin and cortisol and the programming of fetal adipose tissue development.

作者信息

Bispham J, Gopalakrishnan G S, Dandrea J, Wilson V, Budge H, Keisler D H, Broughton Pipkin F, Stephenson T, Symonds M E

机构信息

Academic Division of Child Health, School of Human Development, University Hospital, Nottingham NG7 2UH, United Kingdom.

出版信息

Endocrinology. 2003 Aug;144(8):3575-85. doi: 10.1210/en.2003-0320.

DOI:10.1210/en.2003-0320
PMID:12865340
Abstract

Maternal nutrient restriction at specific stages of gestation has differential effects on fetal development such that the offspring are programmed to be at increased risk of adult disease. We investigated the effect of gestational age and maternal nutrition on the maternal plasma concentration of leptin and cortisol together with effects on fetal adipose tissue deposition plus leptin, IGF-I, IGF-II ligand, and receptor mRNA abundance near to term. Singleton bearing ewes were either nutrient restricted (NR; consuming 3.2-3.8 MJ/d of metabolizable energy) or fed to appetite (consuming 8.7-9.9 MJ/d) over the period of maximal placental growth, i.e. between 28 and 80 d gestation. After 80 d gestation, ewes were either fed to calculated requirements, consuming 6.7-7.5 MJ/d, or were fed to appetite and consumed 8.0-10.9 MJ/d. Pregnancy resulted in a rise in plasma leptin concentration by 28 d gestation, which continued up to 80 d gestation when fed to appetite but not with nutrient restriction. Plasma cortisol was also lower in NR ewes up to 80 d gestation, a difference no longer apparent when food intake was increased. At term, irrespective of maternal nutrition in late gestation, fetuses sampled from ewes NR in early gestation possessed more adipose tissue, whereas when ewes were fed to appetite throughout gestation, fetal adipose tissue deposition and leptin mRNA abundance were both reduced. These changes may result in the offspring of NR mothers being at increased risk of obesity in later life.

摘要

孕期特定阶段的母体营养限制对胎儿发育有不同影响,使得后代成年后患疾病的风险增加。我们研究了胎龄和母体营养对母体血浆中瘦素和皮质醇浓度的影响,以及对足月时胎儿脂肪组织沉积、瘦素、胰岛素样生长因子-I(IGF-I)、胰岛素样生长因子-II配体和受体mRNA丰度的影响。在胎盘最大生长期间,即妊娠28至80天,单胎母羊要么营养受限(NR;消耗3.2 - 3.8兆焦/天的可代谢能量),要么按食欲喂养(消耗8.7 - 9.9兆焦/天)。妊娠80天后,母羊要么按计算需求量喂养,消耗6.7 - 7.5兆焦/天,要么按食欲喂养,消耗8.0 - 10.9兆焦/天。妊娠导致血浆瘦素浓度在妊娠28天时升高,按食欲喂养时这种升高持续到妊娠80天,但营养受限时则不然。妊娠80天前,NR母羊的血浆皮质醇也较低,当食物摄入量增加时,这种差异不再明显。足月时,无论妊娠后期母体营养状况如何,早期妊娠营养受限母羊所产胎儿的脂肪组织更多,而当母羊在整个妊娠期按食欲喂养时,胎儿脂肪组织沉积和瘦素mRNA丰度均降低。这些变化可能导致营养受限母亲的后代成年后肥胖风险增加。

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