Department of Integrative Physiology and Pharmacology, Liberty University College of Osteopathic Medicine, Lynchburg, VA 24502, USA.
Nutrients. 2021 Apr 30;13(5):1521. doi: 10.3390/nu13051521.
Diet is a leading causative risk factor for morbidity and mortality worldwide, yet it is rarely considered in the design of preclinical animal studies. Several of the nutritional inadequacies reported in Americans have been shown to be detrimental to kidney health; however, the mechanisms responsible are unclear and have been largely attributed to the development of diabetes or hypertension. Here, we set out to determine whether diet influences the susceptibility to kidney injury in male C57Bl/6 mice. Mice were fed a standard chow diet, a commercially available "Western" diet (WD), or a novel Americanized diet (AD) for 12 weeks prior to the induction of kidney injury using the folic acid nephropathy (FAN) or unilateral renal ischemia reperfusion injury (uIRI) models. In FAN, the mice that were fed the WD and AD had worse histological evidence of tissue injury and greater renal expression of genes associated with nephrotoxicity and monocyte infiltration as compared to mice fed chow. Mice fed the AD developed more severe renal hypertrophy following FAN, and gene expression data suggest the mechanism for FAN differed among the diets. Meanwhile, mice fed the WD had the greatest circulating interleukin-6 concentrations. In uIRI, no difference was observed in renal tissue injury between the diets; however, mice fed the WD and AD displayed evidence of suppressed inflammatory response. Taken together, our data support the hypothesis that diet directly impacts the severity and pathophysiology of kidney disease and is a critical experimental variable that needs to be considered in mechanistic preclinical animal studies.
饮食是全球发病率和死亡率的主要致病风险因素,但在临床前动物研究的设计中很少考虑到这一点。据报道,美国人存在几种营养不足的情况,这些情况已被证明对肾脏健康有害;然而,其负责的机制尚不清楚,并且在很大程度上归因于糖尿病或高血压的发展。在这里,我们着手确定饮食是否会影响雄性 C57Bl/6 小鼠对肾脏损伤的易感性。在使用叶酸肾病 (FAN) 或单侧肾缺血再灌注损伤 (uIRI) 模型诱导肾脏损伤之前,将小鼠分别用标准的饲料饮食、市售的“西方”饮食 (WD) 或新型的美式饮食 (AD) 喂养 12 周。在 FAN 中,与用饲料喂养的小鼠相比,用 WD 和 AD 喂养的小鼠的组织损伤的组织学证据更差,并且与肾毒性和单核细胞浸润相关的基因在肾脏中的表达更高。在用 FAN 治疗后,用 AD 喂养的小鼠发生更严重的肾肥大,并且基因表达数据表明 FAN 在不同饮食之间的机制不同。同时,用 WD 喂养的小鼠具有最高的循环白细胞介素-6 浓度。在 uIRI 中,饮食之间在肾脏组织损伤方面没有差异;然而,用 WD 和 AD 喂养的小鼠显示出炎症反应受到抑制的证据。总之,我们的数据支持饮食直接影响肾脏疾病的严重程度和病理生理学的假说,并且是需要在机制性临床前动物研究中考虑的关键实验变量。