大鼠妊娠和哺乳期的胃肠道容量、肠激素和食欲变化。

Gastrointestinal capacity, gut hormones and appetite change during rat pregnancy and lactation.

机构信息

School of Life, Health and Chemical Sciences, The Open University, Milton Keynes, UK.

出版信息

Reproduction. 2019 May;157(5):431-443. doi: 10.1530/REP-18-0414.

Abstract

Pregnancy and lactation increase maternal appetite and adiposity, which in humans can lead to long-term body mass retention. Previous rat reproduction studies suggest that appetite-inhibiting gut hormone, peptide-YY (PYY), is elevated, despite hyperphagia also that gastrointestinal size increases. The present study characterised changes in orexigenic (appetite-stimulating) ghrelin and anorexigenic (appetite-inhibiting) PYY and glucagon-like peptide-1 (GLP-1), and gastrointestinal architecture during pregnancy and lactation, in matched fed and fasted plasma and gut tissue samples taken during the dark phase. Enteroendocrine cells were immunolabelled, and gut masses and lengths were measured. Fasted plasma ghrelin reduced during pregnancy: it was lowest by day 18, recovered to control values at parturition, then increased by the end of lactation. Ghrelin-immunoreactive stomach cells and stomach ghrelin concentrations were highest at birth, prior to the onset of lactation-associated hyperphagia. Plasma fed GLP-1 concentrations were elevated during pregnancy, and together with higher colon concentrations of PYY and GLP-1 during early lactation, they were associated with gastrointestinal tissue expansion, not satiety. Body mass increased during lactation, whereas white adipose tissue depots depleted. Extensive gut remodelling coincided with elevated colon concentrations of PYY and GLP-1. Modifications included stomach and caecum expansion, and duodenal, ascending and descending colon circumference increases, all peaking by day 10 of lactation; increased intestinal masses and lengths peaking at lactation day 10 for small intestine and lactation day 25 for large intestine. If these physical tissue increases persist post-partum, they could accelerate future nutrient assimilation and storage in dams, and may contribute to increased obesity risk.

摘要

妊娠和哺乳会增加母体食欲和脂肪堆积,这可能导致长期的体重滞留。之前的大鼠生殖研究表明,尽管摄食量增加,但抑制食欲的肠激素肽 YY(PYY)水平升高,同时胃肠道大小也增加。本研究在黑暗期采集匹配喂养和禁食的血浆和肠道组织样本,以确定妊娠和哺乳期食欲刺激型(促进食欲)ghrelin 和食欲抑制型(抑制食欲)PYY 和胰高血糖素样肽-1(GLP-1)以及胃肠道结构的变化。对肠内分泌细胞进行免疫标记,并测量肠道质量和长度。禁食血浆 ghrelin 在妊娠期间减少:在第 18 天最低,分娩时恢复到对照值,然后在哺乳期结束时增加。胃 ghrelin 免疫反应性细胞和胃 ghrelin 浓度在出生时最高,在开始与哺乳相关的过度摄食之前。血浆喂养 GLP-1 浓度在妊娠期间升高,与早期哺乳期结肠中更高的 PYY 和 GLP-1 浓度一起,与胃肠道组织扩张而不是饱腹感有关。哺乳期体重增加,而白色脂肪组织减少。广泛的肠道重塑伴随着结肠中 PYY 和 GLP-1 浓度的升高。改变包括胃和盲肠扩张,以及十二指肠、升结肠和降结肠周长增加,所有这些都在哺乳期第 10 天达到峰值;小肠的肠道质量和长度在哺乳期第 10 天达到峰值,大肠在哺乳期第 25 天达到峰值。如果这些组织增加在产后持续存在,它们可能会加速母鼠未来的营养吸收和储存,并可能导致肥胖风险增加。

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