School of Public Health, Fujian Medical University, Fuzhou, Fujian, China.
Pediatr Res. 2021 Jan;89(1):143-149. doi: 10.1038/s41390-020-0877-7. Epub 2020 Apr 18.
Increasing evidence suggests that postnatal overfeeding induces childhood obesity, which is strongly associated with metabolic syndrome. Insulin resistance is a risk factor for metabolic syndrome. MicroRNA-221 (miR-221) is involved in the development of obesity and has been reported to negatively regulate insulin sensitivity. However, the underlying mechanism remains unclear.
Rats raised in small litters (SLs, three pups/dam, n = 10) and normal litters (NLs, 10 pups/dam, n = 10) were used to model early postnatal overfeeding and act as controls, respectively. miR-221 and proteins related to the phosphoinositide 3-kinases (PI3K)/protein kinase B (AKT) pathway were assessed in the liver.
Early postnatal overfeeding significantly increased body weight, visceral fat index, blood glucose, serum triglycerides, and the homeostasis model assessment of insulin resistance at 9 weeks. Real-time polymerase chain reaction (PCR) and western blot analysis revealed that postnatal overfeeding induced insulin receptor and insulin receptor substrate 2 expression, but decreased PI3K and AKT phosphorylation in the liver. Quantitative real-time PCR showed that hepatic miR-221 was significantly overexpressed in the SL group.
These results indicate that postnatal overfeeding induces hepatic miR-221 overexpression and impairs the PI3K/AKT signal pathway, which may cause insulin resistance.
We first report postnatal overfeeding induces hepatic miR-221 expression. Postnatal overfeeding impairs PI3K/AKT pathway in the liver of adult rats. Postnatal overfeeding induces obesity and high blood glucose. Avoidance of overfeeding during early postnatal life may prevent obesity and T2DM.
越来越多的证据表明,产后过度喂养会导致儿童肥胖,而儿童肥胖与代谢综合征密切相关。胰岛素抵抗是代谢综合征的一个危险因素。microRNA-221(miR-221)参与肥胖的发生,并且已被报道负向调节胰岛素敏感性。然而,其潜在机制尚不清楚。
采用小窝仔(SL,每窝 3 只仔鼠,n=10)和正常窝仔(NL,每窝 10 只仔鼠,n=10)喂养的大鼠来模拟早期产后过度喂养,并分别作为对照。在肝脏中评估 miR-221 和与磷脂酰肌醇 3-激酶(PI3K)/蛋白激酶 B(AKT)通路相关的蛋白。
早期产后过度喂养在 9 周时显著增加了体重、内脏脂肪指数、血糖、血清甘油三酯和胰岛素抵抗的稳态模型评估值。实时聚合酶链反应(PCR)和 Western blot 分析显示,产后过度喂养诱导了胰岛素受体和胰岛素受体底物 2 的表达,但降低了肝脏中 PI3K 和 AKT 的磷酸化。定量实时 PCR 显示 SL 组肝脏 miR-221 表达明显上调。
这些结果表明,产后过度喂养诱导了肝脏 miR-221 的过度表达,并损害了 PI3K/AKT 信号通路,这可能导致胰岛素抵抗。
我们首次报道了产后过度喂养诱导了肝脏 miR-221 的表达。产后过度喂养损害了成年大鼠肝脏中的 PI3K/AKT 通路。产后过度喂养会导致肥胖和高血糖。避免早期产后过度喂养可能预防肥胖和 T2DM。