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围产期的脂质代谢及其对出生后发育的影响。

Lipid metabolism during the perinatal phase, and its implications on postnatal development.

作者信息

Herrera E, López-Soldado I, Limones M, Amusquivar E, Ramos M P

机构信息

Facultad de Ciencias Experimentales y de la Salud, Universidad San Pablo-CEU, Madrid, Spain.

出版信息

Int J Vitam Nutr Res. 2006 Jul;76(4):216-24. doi: 10.1024/0300-9831.76.4.216.

Abstract

During pregnancy, lipid metabolism plays a major role to warrant the availability of substrates to the foetus. By using different experimental designs in the rat we have been able to answer several questions that were open about the short- and long-term effects of alterations of lipid metabolism during the perinatal stage. The first one was to demonstrate the importance of maternal body fat depot accumulation during the first half of pregnancy. We found that conditions like undernutrition circumscribed to this specific period when foetal growth is still small, that impede such fat accumulation not only restrain intrauterine development but also have long-term consequences, as shown by an impaired glucose tolerance when adults. Secondly, undernutrition during suckling has major long-term effect decreasing body weight, even though food intake was kept normal from the weaning period. Present findings also show that a diet rich in omega-3 fatty acids during pregnancy and lactation has negative effects on offspring development, but cross fostered experiments showed that the effect was a consequence of the intake of these fatty acids during the lactation period rather than during pregnancy. Pups from dams that were fed a fish oil-rich diet during pregnancy and lactation were found to have altered glucose/insulin relationship at the age of 10 weeks. Since a omega-3 fatty acid-rich diet decreases milk yield during lactation, additional experiments were carried out to determine whether decreased food intake, altered dietary fatty acid composition, or both were responsible for the long-term effects on the glucose/insulin axis. Results show that the decreased food intake caused by a omega-3 fatty acid-rich diet rather than the change in milk composition during suckling was responsible for the reduced pancreatic glucose responsiveness to insulin release at 16 weeks of age. In conclusion, present findings indicate that impaired maternal fat accumulation during early pregnancy and food intake during lactation, rather than a difference in dietary fatty acid composition have a greater influence on postnatal development and affect glucose/insulin relationships in adult rats.

摘要

在孕期,脂质代谢发挥着重要作用,以确保为胎儿提供底物。通过在大鼠中采用不同的实验设计,我们得以回答了一些关于围产期脂质代谢改变的短期和长期影响的开放性问题。第一个问题是证明孕期前半段母体脂肪储存积累的重要性。我们发现,在胎儿生长仍较小时,限制在这个特定时期的营养不良,会阻碍这种脂肪积累,不仅会抑制子宫内发育,还会产生长期后果,比如成年后葡萄糖耐量受损。其次,哺乳期间的营养不良对体重有重大长期影响,即使从断奶期开始食物摄入量保持正常。目前的研究结果还表明,孕期和哺乳期富含ω-3脂肪酸的饮食对后代发育有负面影响,但交叉寄养实验表明,这种影响是哺乳期而非孕期摄入这些脂肪酸的结果。在孕期和哺乳期喂食富含鱼油饮食的母鼠所生的幼崽,在10周龄时葡萄糖/胰岛素关系发生了改变。由于富含ω-3脂肪酸的饮食会降低哺乳期的产奶量,因此进行了额外实验,以确定食物摄入量减少、饮食脂肪酸组成改变,还是两者共同作用导致了对葡萄糖/胰岛素轴的长期影响。结果表明,富含ω-3脂肪酸的饮食导致的食物摄入量减少,而非哺乳期间乳汁成分的变化,是16周龄时胰腺对胰岛素释放的葡萄糖反应性降低的原因。总之,目前的研究结果表明,孕早期母体脂肪积累受损和哺乳期食物摄入量,而非饮食脂肪酸组成的差异,对产后发育有更大影响,并影响成年大鼠的葡萄糖/胰岛素关系。

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