Intapad Suttira, Dasinger John Henry, Brown Andrew D, Fahling Joel M, Esters Joyee, Alexander Barbara T
Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson, Mississippi.
Women's Health Research Center, University of Mississippi Medical Center, Jackson, Mississippi.
Pediatr Res. 2016 Jun;79(6):962-70. doi: 10.1038/pr.2016.14. Epub 2016 Feb 8.
The incidence of metabolic disease increases in early menopause. Low birth weight influences the age at menopause. Thus, this study tested the hypothesis that intrauterine growth restriction programs early reproductive aging and impaired glucose homeostasis in female rats.
Estrous cyclicity, body composition, and glucose homeostasis were determined in female control and growth-restricted rats at 6 and 12 mo of age; sex steroids at 12 mo.
Glucose intolerance was present at 6 mo of age prior to cessation of estrous cyclicity and increased adiposity in female growth-restricted rats. However, female growth-restricted rats exhibited persistent estrus and a significant increase in adiposity, fasting glucose, and testosterone at 12 mo of age (P < 0.05). Insulin release in response to a glucose challenge was blunted in conjunction with a reduction in protein expression of pancreatic glucose transporter type 2 and estrogen receptor-α at 12 mo of age in female growth-restricted rats (P < 0.05).
This study demonstrated that slow fetal growth programmed glucose intolerance that developed prior to early estrous acyclicity; yet, fasting glucose levels were elevated in conjunction with increased adiposity, accelerated cessation of estrous cyclicity and a shift toward testosterone excess at 12 mo of age in female growth-restricted rats.
代谢性疾病的发病率在早期绝经时会增加。低出生体重会影响绝经年龄。因此,本研究检验了以下假设:子宫内生长受限会导致雌性大鼠早期生殖衰老和葡萄糖稳态受损。
在6月龄和12月龄时,测定雌性对照大鼠和生长受限大鼠的发情周期、身体组成和葡萄糖稳态;在12月龄时测定性激素水平。
在发情周期停止和雌性生长受限大鼠肥胖增加之前,6月龄时就出现了葡萄糖不耐受。然而,雌性生长受限大鼠在12月龄时表现出持续发情,肥胖、空腹血糖和睾酮显著增加(P < 0.05)。在12月龄时,雌性生长受限大鼠对葡萄糖刺激的胰岛素释放减弱,同时胰腺葡萄糖转运蛋白2型和雌激素受体-α的蛋白表达降低(P < 0.05)。
本研究表明,胎儿生长缓慢导致在早期发情周期紊乱之前就出现了葡萄糖不耐受;然而,在12月龄时,雌性生长受限大鼠的空腹血糖水平升高,同时伴有肥胖增加、发情周期加速停止以及向睾酮过量转变。