Kasper Philipp, Vohlen Christina, Dinger Katharina, Mohr Jasmine, Hucklenbruch-Rother Eva, Janoschek Ruth, Köth Jessica, Matthes Jan, Appel Sarah, Dötsch Jörg, Alejandre Alcazar Miguel A
Translational Experimental Pediatrics, University Hospital for Pediatrics and Adolescent Medicine, Faculty of Medicine, University of Cologne, 50937 Cologne, Germany.
Metabolism and Perinatal Programming, University Hospital for Pediatrics and Adolescent Medicine, Faculty of Medicine, University of Cologne, 50937 Cologne, Germany.
Endocrinology. 2017 Oct 1;158(10):3399-3415. doi: 10.1210/en.2017-00489.
Childhood obesity is associated with renal diseases. Maternal obesity is a risk factor linked to increased adipocytokines and metabolic disorders in the offspring. Therefore, we studied the impact of maternal obesity on renal-intrinsic insulin and adipocytokine signaling and on renal function and structure. To induce maternal obesity, female mice were fed a high-fat diet (HFD) or a standard diet (SD; control group) prior to mating, during gestation, and throughout lactation. A third group of dams was fed HFD only during lactation (HFD-Lac). After weaning at postnatal day (P)21, offspring of all groups received SD. Clinically, HFD offspring were overweight and insulin resistant at P21. Although no metabolic changes were detected at P70, renal sodium excretion was reduced by 40%, and renal matrix deposition increased in the HFD group. Mechanistically, two stages were differentiated. In the early stage (P21), compared with the control group, HFD showed threefold increased white adipose tissue, impaired glucose tolerance, hyperleptinemia, and hyperinsulinemia. Renal leptin/Stat3-signaling was activated. In contrast, the Akt/ AMPKα cascade and Krüppel-like factor 15 expression were decreased. In the late stage (P70), although no metabolic differences were detected in HFD when compared with the control group, leptin/Stat3-signaling was reduced, and Akt/AMPKα was activated in the kidneys. This effect was linked to an increase of proliferative (cyclinD1/D2) and profibrotic (ctgf/collagen IIIα1) markers, similar to leptin-deficient mice. HFD-Lac mice exhibited metabolic changes at P21 similar to HFD, but no other persistent changes. This study shows a link between maternal obesity and metabolic programming of renal structure and function and intrinsic-renal Stat3/Akt/AMPKα signaling in the offspring.
儿童肥胖与肾脏疾病相关。母体肥胖是与后代脂肪细胞因子增加和代谢紊乱相关的一个风险因素。因此,我们研究了母体肥胖对肾脏内在胰岛素和脂肪细胞因子信号传导以及肾功能和结构的影响。为诱导母体肥胖,在交配前、妊娠期和整个哺乳期,给雌性小鼠喂食高脂饮食(HFD)或标准饮食(SD;对照组)。第三组母鼠仅在哺乳期喂食HFD(HFD-Lac)。在出生后第21天(P21)断奶后,所有组的后代均接受SD。临床上,HFD组后代在P21时超重且存在胰岛素抵抗。尽管在P70时未检测到代谢变化,但HFD组肾钠排泄减少了40%,肾基质沉积增加。从机制上看,可分为两个阶段。在早期阶段(P21),与对照组相比,HFD组白色脂肪组织增加了三倍,葡萄糖耐量受损,出现高瘦素血症和高胰岛素血症。肾脏中瘦素/Stat3信号被激活。相反,Akt/AMPKα级联反应和Krüppel样因子15表达降低。在晚期阶段(P70),尽管与对照组相比HFD组未检测到代谢差异,但瘦素/Stat3信号传导减弱,而肾脏中Akt/AMPKα被激活。这种效应与增殖(细胞周期蛋白D1/D2)和促纤维化(结缔组织生长因子/胶原蛋白IIIα1)标志物的增加有关,类似于瘦素缺陷小鼠。HFD-Lac组小鼠在P21时表现出与HFD组相似的代谢变化,但没有其他持续性变化。这项研究表明母体肥胖与后代肾脏结构和功能的代谢编程以及肾脏内在的Stat3/Akt/AMPKα信号传导之间存在联系。