孕期母亲过量摄入盐分或果糖会使后代出现特定性别的、对压力和果糖敏感的高血压。

Excess maternal salt or fructose intake programmes sex-specific, stress- and fructose-sensitive hypertension in the offspring.

作者信息

Gray Clint, Gardiner Sheila M, Elmes Matthew, Gardner David S

机构信息

1School of Veterinary Medicine and Science,University of Nottingham,Sutton Bonington Campus,Sutton Bonington,Leicestershire LE12 5RD,UK.

3School of Medicine,University of Nottingham,Queens Medical Centre,Nottingham NG7 2UH,UK.

出版信息

Br J Nutr. 2016 Feb 28;115(4):594-604. doi: 10.1017/S0007114515004936. Epub 2015 Dec 10.

Abstract

The Western diet is typically high in salt and fructose, which have pressor activity. Maternal diet can affect offspring blood pressure, but the extent to which maternal intake of excess salt and fructose may influence cardiovascular function of the offspring is unknown. We sought to determine the effect of moderate maternal dietary intake of salt and/or fructose on resting and stimulated cardiovascular function of the adult male and female offspring. Pregnant rats were fed purified diets (± 4% salt) and water (± 10% fructose) before and during gestation and through lactation. Male and female offspring were weaned onto standard laboratory chow. From 9 to 14 weeks of age, cardiovascular parameters (basal, circadian and stimulated) were assessed continuously by radiotelemetry. Maternal salt intake rendered opposite-sex siblings with a 25-mmHg difference in blood pressure as adults; male offspring were hypertensive (15 mmHg mean arterial pressure (MAP)) and female offspring were hypotensive (10 mmHg MAP) above and below controls, respectively. Sex differences were unrelated to endothelial nitric oxide activity in vivo, but isolation-induced anxiety revealed a significantly steeper coupling between blood pressure and heart rate in salt-exposed male offspring but not in female offspring. MAP of all offspring was refractory to salt loading but sensitive to subsequent dietary fructose, an effect exacerbated in female offspring from fructose-fed dams. Circadian analyses of pressure in all offspring revealed higher mean set-point for heart rate and relative non-dipping of nocturnal pressure. In conclusion, increased salt and fructose in the maternal diet has lasting effects on offspring cardiovascular function that is sex-dependent and related to the offspring's stress-response axis.

摘要

西方饮食通常盐和果糖含量较高,二者都具有升压活性。母体饮食会影响后代血压,但母体摄入过量盐和果糖对后代心血管功能的影响程度尚不清楚。我们试图确定母体适度摄入盐和/或果糖对成年雄性和雌性后代静息和刺激状态下心血管功能的影响。在妊娠前、妊娠期间及哺乳期,给怀孕大鼠喂食纯化饮食(±4%盐)和水(±10%果糖)。雄性和雌性后代断奶后喂食标准实验室饲料。在9至14周龄时,通过无线电遥测连续评估心血管参数(基础、昼夜节律和刺激状态下的参数)。母体盐摄入量使成年后的异性同胞血压相差25 mmHg;雄性后代高血压(平均动脉压(MAP)为15 mmHg),雌性后代低血压(MAP为10 mmHg),分别高于和低于对照组。性别差异与体内内皮一氧化氮活性无关,但隔离诱导的焦虑显示,盐暴露雄性后代的血压与心率之间的耦合明显更陡,而雌性后代则不然。所有后代的MAP对盐负荷无反应,但对随后的饮食果糖敏感,这种影响在喂食果糖的母鼠所生的雌性后代中更为明显。对所有后代压力的昼夜节律分析显示,心率的平均设定点较高,夜间压力相对无下降。总之,母体饮食中盐和果糖增加对后代心血管功能有持久影响,这种影响具有性别依赖性,且与后代的应激反应轴有关。

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