The Institute of Materia Medica and Department of Pharmaceutics, College of Pharmacy, The Third Military Medical University, Chongqing, China ; Department of Gastroenterology, Research Institute of Surgery, Da ping Hospital, The Third Military Medical University, Chongqing, China.
Department of Ultrasound, Research Institute of Surgery, Da ping Hospital, The Third Military Medical University, Chongqing, China.
J Inflamm (Lond). 2013 Nov 19;10:35. doi: 10.1186/1476-9255-10-35. eCollection 2013.
The epigenetic plasticity hypothesis indicates that pregnancy exposure may result in adult-onset diseases, including hypertension, diabetes and cardiovascular disease, in offspring. In a previous study, we discovered that prenatal exposure to inflammatory stimulants, such as lipopolysaccharides (LPS), could lead to hypertension in adult rat offspring. In the present study, we further demonstrate that maternal inflammation induces cardiac hypertrophy and dysfunction via ectopic over-expression of nuclear transcription factor κB (NF- κB), and pyrrolidine dithiocarbamate (PDTC) can protect cardiac function by reducing maternal inflammation.
Pregnant SD rats were randomly divided into three groups and intraperitoneally injected with a vehicle, LPS (0.79 mg/kg), or LPS (0.79 mg/kg) plus PDTC (100 mg/kg) at 8 to 12 days of gestation. The offspring were raised until 4 and 8 months old, at which point an echocardiographic study was performed. The left ventricular (LV) mass index and apoptosis were examined.
At 4 months of age, the LPS offspring exhibited augmented posterior wall thickness. These rats displayed left ventricle (LV) hypertrophy and LV diastolic dysfunction as well as a higher apoptotic index, a higher level of Bax and a lower level of Bcl-2 at 8 months of age. The protein levels of NF-κB (p65) in the myocardium of the offspring were measured at this time. NF-κB protein levels were higher in the myocardium of LPS offspring. The offspring that were prenatally treated with PDTC displayed improved signs of blood pressure (BP) and LV hypertrophy.
Maternal inflammation can induce cardiac hypertrophy in offspring during aging accompanied with hypertension emergence and can be rescued by the maternal administration of PDTC (the inhibitor of NF-κB).
表观遗传可塑性假说表明,孕期暴露于炎症刺激物等环境因素可能导致后代成年后出现高血压、糖尿病和心血管疾病等疾病。在之前的研究中,我们发现产前暴露于炎症刺激物,如脂多糖(LPS),可导致成年大鼠后代高血压。在本研究中,我们进一步证明母体炎症通过核转录因子κB(NF-κB)的异位过度表达诱导心肌肥厚和功能障碍,吡咯烷二硫代氨基甲酸盐(PDTC)通过减少母体炎症来保护心脏功能。
将怀孕的 SD 大鼠随机分为三组,在妊娠 8-12 天经腹腔注射溶剂、LPS(0.79mg/kg)或 LPS(0.79mg/kg)加 PDTC(100mg/kg)。将后代饲养至 4 个月和 8 个月大,此时进行超声心动图研究。检查左心室(LV)质量指数和细胞凋亡。
在 4 个月大时,LPS 后代的后壁厚度增加。这些大鼠表现出左心室(LV)肥厚和 LV 舒张功能障碍,以及更高的细胞凋亡指数、更高的 Bax 水平和更低的 Bcl-2 水平。此时还测量了后代心肌中的 NF-κB(p65)蛋白水平。LPS 后代心肌中的 NF-κB 蛋白水平较高。产前用 PDTC 治疗的后代血压(BP)和 LV 肥厚改善。
母体炎症可在后代衰老过程中诱导心肌肥厚,伴高血压发生,并可通过母体给予 PDTC(NF-κB 抑制剂)得到挽救。