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营养限制的时机与胎儿脂肪组织发育的编程

Timing of nutrient restriction and programming of fetal adipose tissue development.

作者信息

Symonds Michael E, Pearce Sarah, Bispham Jayson, Gardner David S, Stephenson Terence

机构信息

Centre for Reproduction and Early Life, Institute of Clinical Research, Queen's Medical Centre, University Hospital, Nottingham NG7 2UH, UK.

出版信息

Proc Nutr Soc. 2004 Aug;63(3):397-403. doi: 10.1079/pns2004366.

Abstract

It is apparent from epidemiological studies that the timing of maternal nutrient restriction has a major influence on outcome in terms of predisposing the resulting offspring to adult obesity. The present review will consider the extent to which maternal age, parity and nutritional restriction at defined stages of gestation can have important effects on fat deposition and endocrine sensitivity of adipose tissue in the offspring. For example, in 1-year-old sheep the offspring of juvenile mothers have substantially reduced fat deposition compared with those born to adult mothers. Offspring of primiparous adult mothers, however, show increased adiposity compared with those born to multiparous mothers. These offspring of multiparous ewes show retained abundance of the brown adipose tissue-specific uncoupling protein 1 at 1 month of age. A stimulated rate of metabolism in brown fat of these offspring may act to reduce adipose tissue deposition in later life. In terms of defined windows of development that can programme adipose tissue growth, maternal nutrient restriction targetted over the period of maximal placental growth results in increased adiposity at term in conjunction with enhanced abundance of mRNA for the insulin-like growth factor-I and -II receptors. In contrast, nutrient restriction in late gestation, coincident with the period of maximal fetal growth, has no major effect on adiposity but results in greater abundance of specific mitochondrial proteins, i.e. voltage-dependent anion channel and/or uncoupling protein 2. These adaptations may increase the predisposal of these offspring to adult obesity. Increasing maternal nutrition in late gestation, however, can result in proportionately less fetal adipose tissue deposition in conjunction with enhanced abundance of uncoupling protein 1.

摘要

流行病学研究表明,孕期母体营养限制的时间对后代成年后肥胖的易感性有重大影响。本综述将探讨母体年龄、胎次以及孕期特定阶段的营养限制在多大程度上会对后代脂肪沉积和脂肪组织内分泌敏感性产生重要影响。例如,1岁绵羊中,幼年母羊的后代与成年母羊的后代相比,脂肪沉积显著减少。然而,初产成年母羊的后代与经产母羊的后代相比,肥胖程度增加。这些经产母羊的后代在1月龄时棕色脂肪组织特异性解偶联蛋白1含量仍然丰富。这些后代棕色脂肪中加快的代谢速率可能会在其成年后减少脂肪组织沉积。就可调控脂肪组织生长的特定发育窗口期而言,在胎盘生长最快的时期进行母体营养限制,会导致足月时肥胖增加,同时胰岛素样生长因子-I和-II受体的mRNA丰度增强。相比之下,在妊娠后期,即胎儿生长最快的时期进行营养限制,对肥胖没有重大影响,但会导致特定线粒体蛋白,即电压依赖性阴离子通道和/或解偶联蛋白2的丰度更高。这些适应性变化可能会增加这些后代成年后肥胖的易感性。然而,在妊娠后期增加母体营养,可能会导致胎儿脂肪组织沉积相应减少,同时解偶联蛋白1的丰度增强。

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