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孕期高盐饮食会影响胎儿和子代肾脏肾素-血管紧张素系统。

High-salt diets during pregnancy affected fetal and offspring renal renin-angiotensin system.

机构信息

Institute for Fetology and Reproductive Medicine Center, First Hospital of Soochow University, Suzhou 215006, People's Republic of China.

出版信息

J Endocrinol. 2013 Jun 1;218(1):61-73. doi: 10.1530/JOE-13-0139. Print 2013 Jul.

DOI:10.1530/JOE-13-0139
PMID:23620529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4406098/
Abstract

Intrauterine environments are related to fetal renal development and postnatal health. Influence of salty diets during pregnancy on renal functions and renin-angiotensin system (RAS) was determined in the ovine fetuses and offspring. Pregnant ewes were fed high-salt diet (HSD) or normal-salt diet (NSD) for 2 months during middle-to-late gestation. Fetal renal functions, plasma hormones, and mRNA and protein expressions of the key elements of renal RAS were measured in the fetuses and offspring. Fetal renal excretion of sodium was increased while urine volume decreased in the HSD group. Fetal blood urea nitrogen was increased, while kidney weight:body weight ratio decreased in the HSD group. The altered ratio was also observed in the offspring aged 15 and 90 days. Maternal and fetal plasma antidiuretic hormone was elevated without changes in plasma renin activity and Ang I levels, while plasma Ang II was decreased. The key elements of local renal RAS, including angiotensinogen, angiotensin converting enzyme (ACE), ACE2, AT1, and AT2 receptor expression in both mRNA and protein, except renin, were altered following maternal high salt intake. The results suggest that high intake of salt during pregnancy affected fetal renal development associated with an altered expression of the renal key elements of RAS, some alterations of fetal origins remained after birth as possible risks in developing renal or cardiovascular diseases.

摘要

宫内环境与胎儿肾脏发育和出生后健康有关。本研究旨在探讨妊娠期间高盐饮食对绵羊胎儿和后代肾脏功能和肾素-血管紧张素系统(RAS)的影响。妊娠母羊在妊娠中期至晚期连续 2 个月给予高盐饮食(HSD)或正常盐饮食(NSD)。测量胎儿和后代的肾脏功能、血浆激素以及肾脏 RAS 关键元素的 mRNA 和蛋白表达。结果显示,HSD 组胎儿肾脏排钠增加,尿量减少。HSD 组胎儿血尿素氮升高,肾脏重量/体重比降低,这种变化在 15 天和 90 天龄的后代中也观察到。母羊和胎儿血浆抗利尿激素升高,但血浆肾素活性和 Ang I 水平无变化,而血浆 Ang II 降低。母体高盐摄入后,局部肾 RAS 的关键元素,包括血管紧张素原、血管紧张素转换酶(ACE)、ACE2、AT1 和 AT2 受体的 mRNA 和蛋白表达均发生改变,但肾素除外。这些结果表明,妊娠期间高盐摄入影响胎儿肾脏发育,与 RAS 肾脏关键元素的表达改变有关,出生后这些改变可能会增加肾脏或心血管疾病的发生风险。

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