Desai M, Crowther N J, Lucas A, Hales C N
Department of Clinical Biochemistry, University of Cambridge, Addenbrooke's Hospital, USA.
Br J Nutr. 1996 Oct;76(4):591-603. doi: 10.1079/bjn19960065.
Recent epidemiological studies in people whose birth weights were recorded many years ago suggest links between impaired growth during early life and the development of diseases, including diabetes, much later in life. The long-term effects of retarded early growth are proposed to result from malnutrition at critical periods of fetal or infant development leading to reduction in the growth of organs and permanent changes in their metabolism or structure, or both. In order to investigate this, a rat model was established which involved feeding either a diet containing 200 g protein/kg or an isoenergetic diet containing 80 g protein/kg to pregnant and lactating rats. In addition, cross-fostering techniques were employed which allowed a separate evaluation of the prenatal or the postnatal periods. The offspring were studied at 21 d of age or were weaned onto a normal laboratory chow and studied at 11 months of age. The 80 g protein/kg diet during pregnancy did not affect the overall reproductive although more subtle differences were evident. Permanent growth retardation was evident in offspring subjected to maternal protein restriction during the postnatal period. At 21 d of age the offspring of protein-restricted mothers exhibited selective changes in organ growth: compared with the body weight, the lung and brain experienced a smaller decrease in weight: the heart, kidney and thymus decreased proportionately: whereas, the pancreas, spleen, muscle and liver showed a greater reduction in weight. In older animals the muscle weight was lower in the male rats and the relative weight of pancreas was increased in the female rats.
近期对多年前记录了出生体重的人群进行的流行病学研究表明,生命早期生长发育受损与许多年后包括糖尿病在内的疾病发展之间存在关联。早期生长发育迟缓的长期影响被认为是由于胎儿或婴儿发育关键期的营养不良导致器官生长减缓以及其代谢或结构发生永久性改变,或两者皆有。为了对此进行研究,建立了一种大鼠模型,给怀孕和哺乳期的大鼠喂食每千克含200克蛋白质的饮食或每千克含80克蛋白质的等能量饮食。此外,采用了交叉寄养技术,以便分别评估产前或产后阶段。对21日龄的后代进行研究,或将其断奶后喂食正常实验室饲料,并在11月龄时进行研究。孕期每千克含80克蛋白质的饮食对整体繁殖没有影响,尽管更细微的差异是明显的。产后接受母体蛋白质限制的后代出现了永久性生长迟缓。在21日龄时,蛋白质限制组母亲的后代在器官生长方面表现出选择性变化:与体重相比,肺和脑重量下降幅度较小;心脏、肾脏和胸腺按比例下降;而胰腺、脾脏、肌肉和肝脏重量下降幅度更大。在年龄较大的动物中,雄性大鼠的肌肉重量较低,雌性大鼠的胰腺相对重量增加。