Kappeler Laurent, De Magalhaes Filho Carlos, Leneuve Patricia, Xu Jie, Brunel Nadège, Chatziantoniou Christos, Le Bouc Yves, Holzenberger Martin
Institut National de la Santé et de la Recherche Médicale, Centre De Recherche Saint Antoine, Paris, France.
Endocrinology. 2009 Jan;150(1):314-23. doi: 10.1210/en.2008-0981. Epub 2008 Sep 18.
Increasing evidence suggests a developmental origin for a number of human diseases, notably after intrauterine or postnatal nutrient deprivation. Nutritional changes readily translate into alterations of somatic growth. However, whereas intrauterine growth retardation often shows postnatal catch-up growth, recovery from food restriction immediately after birth is limited. Therefore, we investigated whether early postnatal nutrition (undernutrition and overfeeding) modifies plasticity of growth through developmental control of the somatotropic hormone axis. We used cross-fostering in mice to induce changes in early nutrition, and examined endocrine growth regulation and the development of specific disease phenotypes in adults. We showed that underfeeding during the early postnatal period delayed growth, whereas overfeeding accelerated it. In both cases, final body size was permanently altered. We found coordinated alterations in pituitary GH, plasma IGF-I and acid labile subunit, and gene expression of hypothalamic GHRH during postnatal development. These changes were consistent with the observed phenotypes. Alterations in the somatotropic axis persisted throughout adulthood. Although limited to the early postnatal period, both underfeeding and overfeeding led to reduced glucose tolerance later in life. These metabolic abnormalities were in line with defective insulin secretion in restricted mice and insulin resistance in overfed mice. Moreover, both restricted and overfed mice had increased arterial blood pressure, suggestive of vascular impairment. Our findings indicate a significant link between early postnatal diet, somatotropic development, and specific late onset diseases in mice. We suggest that, together with other hormones like leptin, IGF-I may play a role in modulating hypothalamic stimulation of the developing somatotropic function.
越来越多的证据表明,许多人类疾病都有发育起源,尤其是在子宫内或出生后营养缺乏之后。营养变化很容易转化为体细胞生长的改变。然而,虽然宫内生长迟缓通常会出现出生后的追赶生长,但出生后立即从食物限制中恢复的程度是有限的。因此,我们研究了出生后早期营养(营养不足和过度喂养)是否通过生长激素轴的发育控制来改变生长可塑性。我们在小鼠中采用交叉寄养来诱导早期营养变化,并检查成年小鼠的内分泌生长调节和特定疾病表型的发展。我们发现,出生后早期营养不足会延迟生长,而过度喂养则会加速生长。在这两种情况下,最终体型都会永久性改变。我们发现,在出生后发育过程中,垂体生长激素、血浆胰岛素样生长因子-I和酸性不稳定亚基以及下丘脑生长激素释放激素的基因表达存在协同变化。这些变化与观察到的表型一致。生长激素轴的改变在成年期持续存在。虽然仅限于出生后早期,但营养不足和过度喂养都会导致后期生活中葡萄糖耐量降低。这些代谢异常与营养受限小鼠的胰岛素分泌缺陷和过度喂养小鼠的胰岛素抵抗一致。此外,营养受限和过度喂养的小鼠血压都升高,提示血管受损。我们的研究结果表明,出生后早期饮食、生长激素发育与小鼠特定的迟发性疾病之间存在重要联系。我们认为,与瘦素等其他激素一起,胰岛素样生长因子-I可能在调节下丘脑对发育中的生长激素功能的刺激中发挥作用。