Ma Huijuan, Sales Vicencia M, Wolf Ashley R, Subramanian Sathish, Matthews Tucker J, Chen Michael, Sharma Aparna, Gall Walt, Kulik Wim, Cohen David E, Adachi Yusuke, Griffin Nicholas W, Gordon Jeffrey I, Patti Mary-Elizabeth, Isganaitis Elvira
Research Division, Joslin Diabetes Center and Harvard Medical School, Boston, Massachusetts 02115.
Department of Endocrinology and Metabolism, Hebei General Hospital, Shijiazhuang, Hebei, 050051, China.
Endocrinology. 2017 Aug 1;158(8):2441-2452. doi: 10.1210/en.2017-00288.
Prenatal undernutrition and low birth weight are associated with risk of type 2 diabetes and obesity. Prenatal caloric restriction results in low birth weight, glucose intolerance, obesity, and reduced plasma bile acids (BAs) in offspring mice. Because BAs can regulate systemic metabolism and glucose homeostasis, we hypothesized that BA supplementation could prevent diet-induced obesity and glucose intolerance in this model of developmental programming. Pregnant dams were food restricted by 50% from gestational days 12.5 to 18.5. Offspring of both undernourished (UN) and control (C) dams given unrestricted diets were weaned to high-fat diets with or without supplementation with 0.25% w/w ursodeoxycholic acid (UDCA), yielding four experimental groups: C, UN, C + UDCA, and UN + UDCA. Glucose homeostasis, BA composition, liver and intestinal gene expression, and microbiota composition were analyzed in the four groups. Although UDCA supplementation ameliorated diet-induced obesity in C mice, there was no effect in UN mice. UDCA similarly lowered fasting insulin, and improved glucose tolerance, pyruvate tolerance, and liver steatosis in C, but not UN, animals. BA composition differed significantly, and liver and ileal expression of genes involved in BA metabolism (Cyp7b1, Shp) were differentially induced by UDCA in C vs UN animals. Bacterial taxa in fecal microbiota correlated with treatment groups and metabolic parameters. In conclusion, prenatal undernutrition alters responsiveness to the metabolic benefits of BA supplementation, with resistance to the weight-lowering and insulin-sensitizing effects of UDCA supplementation. Our findings suggest that BA metabolism may be a previously unrecognized contributor to developmentally programmed diabetes risk.
产前营养不良和低出生体重与2型糖尿病和肥胖风险相关。产前热量限制会导致后代小鼠出生体重低、葡萄糖不耐受、肥胖以及血浆胆汁酸(BA)减少。由于胆汁酸可调节全身代谢和葡萄糖稳态,我们推测补充胆汁酸可预防该发育编程模型中饮食诱导的肥胖和葡萄糖不耐受。怀孕母鼠在妊娠第12.5天至18.5天期间食物摄入量减少50%。对营养不良(UN)母鼠和对照(C)母鼠的后代在断奶后给予高脂饮食,分别添加或不添加0.25% w/w的熊去氧胆酸(UDCA),从而产生四个实验组:C、UN、C + UDCA和UN + UDCA。对这四组小鼠的葡萄糖稳态、胆汁酸组成、肝脏和肠道基因表达以及微生物群组成进行了分析。虽然补充UDCA改善了C组小鼠饮食诱导的肥胖,但对UN组小鼠没有效果。UDCA同样降低了C组动物的空腹胰岛素水平,并改善了其葡萄糖耐量、丙酮酸耐量和肝脂肪变性,但对UN组动物没有作用。胆汁酸组成存在显著差异,UDCA对C组和UN组动物中参与胆汁酸代谢的基因(Cyp7b1、Shp)在肝脏和回肠的表达诱导不同。粪便微生物群中的细菌分类群与治疗组和代谢参数相关。总之,产前营养不良改变了对补充胆汁酸代谢益处的反应性,对补充UDCA的减肥和胰岛素增敏作用产生抵抗。我们的研究结果表明,胆汁酸代谢可能是发育编程糖尿病风险中一个先前未被认识的因素。