Phase I Clinical Trials Unit, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China.
Department of Obstetrics and Gynecology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China.
Life Sci. 2020 Oct 15;259:118281. doi: 10.1016/j.lfs.2020.118281. Epub 2020 Aug 12.
Intrauterine growth restriction (IUGR) can increase the risk of hypertension and kidney disease at adulthood due to fetal programming. In our previous study, we found that supplementation with low concentration of ouabain during pregnancy could restore glomerulus numbers at birth, rescuing kidney development. However, the metabolic pattern of kidney in IUGR offspring and the effect of ouabain have not been evaluated.
In this study, based on GC-MS and LC-MS platforms, we used the protein restriction rat model to explore the molecular mechanisms of kidney damage induced by IUGR and the protective effect of ouabain.
The results showed that malnutrition could induce IUGR in rat offspring at the 20th gestational day but ouabain treatment could partially reverse the body and kidney weight loss. Ouabain treatment could upregulate arginine, N-acetylornithine and carbamoyl phosphate as well as adenine nucleotide and guanine nucleotide downregulated by low-protein diet. Moreover, six metabolites were identified to be significantly correlated with fetal kidney weight, with 3 metabolites involved in arginine metabolism (arginine, N-acetylornithine, urea) and UDP-glucuronate correlated positively, while lysine and anthranilate correlated negatively.
The results suggested that the underlying mechanism of ouabain against renal maldevelopment involved the metabolic regulation, particularly the arginine metabolism, which played an important role in the development of fetal kidney.
宫内生长受限(IUGR)可通过胎儿编程增加成年后患高血压和肾脏疾病的风险。在我们之前的研究中,我们发现妊娠期间补充低浓度哇巴因可以恢复出生时的肾小球数量,从而挽救肾脏发育。然而,IUGR 后代肾脏的代谢模式和哇巴因的作用尚未得到评估。
本研究基于 GC-MS 和 LC-MS 平台,使用蛋白质限制大鼠模型,探讨了 IUGR 诱导的肾脏损伤的分子机制以及哇巴因的保护作用。
结果表明,营养不良可在第 20 天的妊娠大鼠后代中引起 IUGR,但哇巴因治疗可部分逆转体重和肾脏重量减轻。哇巴因治疗可上调精氨酸、N-乙酰鸟氨酸和氨甲酰磷酸以及低蛋白饮食下调的腺嘌呤核苷酸和鸟嘌呤核苷酸。此外,鉴定出 6 种代谢物与胎儿肾脏重量显著相关,其中 3 种代谢物与精氨酸代谢有关(精氨酸、N-乙酰鸟氨酸、尿素),UDP-葡萄糖醛酸呈正相关,而赖氨酸和邻氨基苯甲酸呈负相关。
研究结果表明,哇巴因对抗肾脏发育不良的潜在机制涉及代谢调节,特别是精氨酸代谢,这在胎儿肾脏发育中起着重要作用。