Combined prenatal and postnatal protein restriction influences adult kidney structure, function, and arterial

Chantal C Hoppe1, Roger G Evans, Karen M Moritz

  • 1Department of Anatomy and Cell Biology, Monash University, Victoria 3800, Australia. Chantal.Hoppe@med.monash.edu.au

Insights

Life-long protein restriction in rats led to fewer nephrons but lower adult blood pressure. The postnatal environment significantly influences developmental programming outcomes.

Area of Science:

  • Developmental programming
  • Nutritional science
  • Renal physiology

Background:

  • Prenatal protein restriction's effects on adult renal and cardiovascular function are known.
  • Effects of life-long protein restriction are less understood, especially in developing regions.

Purpose of the Study:

  • To investigate the effects of combined pre- and postnatal protein restriction on adult arterial pressure and renal function in rats.
  • To determine the impact of increased dietary sodium on these parameters.
  • To quantify nephron number in protein-restricted rats.

Main Methods:

  • Male Sprague-Dawley rats were fed low-protein (LP) or normal-protein (NP) diets throughout pregnancy and post-birth.
  • Nephron number, mean arterial pressure (MAP), and renal function were assessed at postnatal day 135.
  • A subset of rats received a high-salt diet from weaning.

Main Results:

  • LP rats had 31% fewer nephrons than NP rats.
  • MAP was lower in LP rats (120 mmHg) compared to NP rats (128 mmHg).
  • Increased salt intake did not significantly alter MAP but appeared to increase glomerular filtration rate in LP rats.

Conclusions:

  • Protein restriction induces a severe nephron deficit.
  • Contrary to expectations, protein restriction resulted in lower adult MAP.
  • Postnatal environment is crucial in determining developmental programming outcomes.

Related Concept Videos

Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
Overview of Protein Metabolism01:21

Overview of Protein Metabolism

Proteins are broken down into amino acids during digestion. Unlike fats and carbohydrates, which are stored for later use, proteins are not. Instead, amino acids are either used to produce ATP through oxidation or contribute to the creation of new proteins for the growth and repair of the body. Any surplus amino acids from the diet are converted into glucose or triglycerides rather than excreted.
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
Factors Affecting Protein-Drug Binding: Patient-Related Factors01:29

Factors Affecting Protein-Drug Binding: Patient-Related Factors

Protein-drug binding, a pivotal aspect of pharmacokinetics, is subject to considerable variability influenced by an array of patient-related factors. The intricate interplay of age, individual differences, and pathological conditions significantly impact the binding dynamics and subsequent pharmacological effects.
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
Diabetic Nephropathy01:28

Diabetic Nephropathy

Definition Diabetic nephropathy is a chronic kidney complication that results from prolonged hyperglycemia.Prevalence It is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide, affecting up to half of individuals with diabetes.Pathophysiology • Sustained hyperglycemia triggers multiple hemodynamic and metabolic changes in the kidney. • Early in the disease, increased renal blood flow and glomerular hyperfiltration occur due to afferent arteriolar...
Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...