Thompson Jennifer A, Sarr Ousseynou, Piorkowska Karolina, Gros Robert, Regnault Timothy R H
Department of Physiology and Pharmacology, The University of Western London, Ontario, Canada Department of Obstetrics and Gynaecology, The University of Western London, Ontario, Canada
Department of Obstetrics and Gynaecology, The University of Western London, Ontario, Canada Lawson Health Research Institute, The University of Western London, Ontario, Canada Children's Health Research Institute, The University of Western London, Ontario, Canada.
J Physiol. 2014 Dec 15;592(24):5429-43. doi: 10.1113/jphysiol.2014.275016. Epub 2014 Oct 31.
The association between intrauterine growth restriction (IUGR) and hypertension is well established, yet the interaction between IUGR and other pathogenic contributors remains ill-defined. This study examined the independent and interactive effects of fetal growth reduction resulting in low birth weight (LBW), and postnatal Western diet (WD) on vascular function. Growth reduction was induced in pregnant guinea pigs by uterine artery ablation. LBW and normal birth weight (NBW) offspring were randomly assigned to a control diet (CD) or a WD. In young adulthood, length-tension curves were generated in aortic rings and responses to methacholine (MCh) were evaluated in the carotid and aorta using wire myography. Relative to NBW/CD, aortae of NBW/WD offspring were stiffer, as determined by a leftward shift in the length-tension curve, yet the shift in the LBW/CD curve was considerably greater. Aortic stiffening was most severe in LBW/WD (slope: NBW/CD, 1.97 ± 0.04; NBW/WD, 2.16 ± 0.04; LBW/CD, 2.28 ± 0.05; LBW/WD, 2.34 ± 0.07). Maximal responses (Emax) to MCh were significantly blunted in the aorta of LBW/CD vs. NBW/CD (P < 0.05) and in LBW/WD vs. NBW/WD offspring (P < 0.05); but WD alone had no influence on MCh responses. Emax values for carotid responses to MCh were reduced in LBW/CD vs. NBW/CD (P < 0.05). Thus, aortic stiffening was influenced more by LBW than by a postnatal WD and the most severe stiffening was observed in LBW/WD offspring. In contrast, blunted endothelial responses in LBW/CD offspring were not exacerbated by WD. IUGR may have a greater independent impact on vascular function than a postnatal WD.
宫内生长受限(IUGR)与高血压之间的关联已得到充分证实,但IUGR与其他致病因素之间的相互作用仍不明确。本研究探讨了导致低出生体重(LBW)的胎儿生长受限以及出生后西方饮食(WD)对血管功能的独立和交互作用。通过子宫动脉消融诱导怀孕豚鼠出现生长受限。将低出生体重和正常出生体重(NBW)的后代随机分为对照饮食(CD)组或西方饮食组。在成年早期,利用线肌描记法在主动脉环上绘制长度-张力曲线,并评估颈动脉和主动脉对乙酰甲胆碱(MCh)的反应。相对于NBW/CD组,NBW/WD组后代的主动脉更僵硬,这可通过长度-张力曲线向左移位来确定,但LBW/CD组曲线的移位幅度更大。LBW/WD组的主动脉僵硬最为严重(斜率:NBW/CD组为1.97±0.04;NBW/WD组为2.16±0.04;LBW/CD组为2.28±0.05;LBW/WD组为2.34±0.07)。与NBW/CD组相比,LBW/CD组主动脉对MCh的最大反应(Emax)显著减弱(P<0.05),与NBW/WD组相比,LBW/WD组后代的主动脉对MCh的最大反应也显著减弱(P<0.05);但单独的西方饮食对MCh反应没有影响。与NBW/CD组相比,LBW/CD组颈动脉对MCh的反应的Emax值降低(P<0.05)。因此,主动脉僵硬受低出生体重的影响大于出生后的西方饮食,并且在LBW/WD组后代中观察到最严重的僵硬。相比之下,WD并未加剧LBW/CD组后代内皮反应的减弱。IUGR对血管功能的独立影响可能比出生后的西方饮食更大。