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母亲肥胖和高脂饮食会导致后代代谢综合征。

Maternal obesity and high-fat diet program offspring metabolic syndrome.

作者信息

Desai Mina, Jellyman Juanita K, Han Guang, Beall Marie, Lane Robert H, Ross Michael G

机构信息

Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Department of Obstetrics and Gynecology, Perinatal Research Laboratories, Torrance, CA; Department of Obstetrics and Gynecology, David Geffen School of Medicine, University of California, Los Angeles, CA.

Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Department of Obstetrics and Gynecology, Perinatal Research Laboratories, Torrance, CA.

出版信息

Am J Obstet Gynecol. 2014 Sep;211(3):237.e1-237.e13. doi: 10.1016/j.ajog.2014.03.025. Epub 2014 Mar 14.

Abstract

OBJECTIVE

We determined the potential programming effects of maternal obesity and high-fat (HF) diet during pregnancy and/or lactation on offspring metabolic syndrome.

STUDY DESIGN

A rat model of maternal obesity was created using an HF diet prior to and throughout pregnancy and lactation. At birth, pups were cross-fostered, thereby generating 4 paradigms of maternal diets during pregnancy/lactation: (1) control (Con) diet during pregnancy and lactation (Con/Con), (2) HF during pregnancy and lactation (HF/HF), (3) HF during pregnancy alone (HF/Con), and (4) HF during lactation alone (Con/HF).

RESULTS

Maternal phenotype during pregnancy and the end of lactation evidenced markedly elevated body fat and plasma corticosterone levels in HF dams. In the offspring, the maternal HF diet during pregnancy alone programmed increased offspring adiposity, although with normal body weight, whereas the maternal HF diet during lactation increased both body weight and adiposity. Metabolic disturbances, particularly that of hyperglycemia, were apparent in all groups exposed to the maternal HF diet (during pregnancy and/or lactation), although differences were apparent in the manifestation of insulin resistant vs insulin-deficient phenotypes. Elevated systolic blood pressure was manifest in all groups, implying that exposure to an obese/HF environment is disadvantageous for offspring health, regardless of pregnancy or lactation periods. Nonetheless, the underlying mechanism may differ because offspring that experienced in utero HF exposure had increased corticosterone levels.

CONCLUSION

Maternal obesity/HF diet has a marked impact on offspring body composition and the risk of metabolic syndrome was dependent on the period of exposure during pregnancy and/or lactation.

摘要

目的

我们确定了孕期和/或哺乳期母体肥胖及高脂(HF)饮食对后代代谢综合征的潜在程序化影响。

研究设计

在怀孕前及整个孕期和哺乳期使用高脂饮食建立母体肥胖大鼠模型。出生时,幼崽进行交叉寄养,从而产生孕期/哺乳期母体饮食的4种模式:(1)孕期和哺乳期为对照(Con)饮食(Con/Con),(2)孕期和哺乳期为高脂饮食(HF/HF),(3)仅孕期为高脂饮食(HF/Con),以及(4)仅哺乳期为高脂饮食(Con/HF)。

结果

孕期和哺乳期结束时母体的表型显示,高脂饮食组母鼠的体脂和血浆皮质酮水平显著升高。在后代中,仅孕期母体高脂饮食使后代肥胖增加,尽管体重正常,而哺乳期母体高脂饮食则使体重和肥胖均增加。在所有暴露于母体高脂饮食(孕期和/或哺乳期)的组中均出现代谢紊乱,尤其是高血糖,尽管胰岛素抵抗与胰岛素缺乏表型的表现存在明显差异。所有组均出现收缩压升高,这意味着暴露于肥胖/高脂环境对后代健康不利,无论孕期或哺乳期如何。尽管如此,潜在机制可能不同,因为在子宫内暴露于高脂环境的后代皮质酮水平升高。

结论

母体肥胖/高脂饮食对后代身体组成有显著影响,代谢综合征风险取决于孕期和/或哺乳期的暴露时期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a07/4149836/78eff4b01535/nihms592844f1.jpg

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