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Published on: May 5, 2018
Maternal Fructose Intake Exacerbates Cardiac Remodeling in Offspring with Ventricular Pressure Overload
Steve Leu1,2, Kay L H Wu1, Wei-Chia Lee3
1Institute for Translational Research in Biomedicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833401, Taiwan.
Insights
Excessive maternal fructose intake during pregnancy and lactation exacerbates cardiac remodeling in offspring subjected to pressure overload. This developmental programming increases fibrosis and oxidative stress, impacting cardiac gene expression.
Area of Science:
- Cardiovascular Physiology
- Developmental Programming
- Nutritional Science
Background:
- Metabolic syndrome and cardiovascular diseases can arise from developmental programming influenced by prenatal stress.
- Maternal nutrition during critical developmental periods significantly impacts offspring health outcomes.
Purpose of the Study:
- To investigate the impact of excessive maternal fructose exposure during pregnancy and lactation on cardiac development and pressure overload-induced cardiac hypertrophy in rat offspring.
Main Methods:
- A rat model was used, with maternal fructose exposure during gestation and lactation.
- Offspring underwent transverse aortic constriction (TAC) at 3 months to induce cardiac pressure overload.
- Echocardiography, histopathology, and molecular analyses (NGS, RT-PCR) were performed post-TAC.
Main Results:
- Maternal fructose exposure (MFE) increased heart weight and cardiac wall thickness in TAC offspring.
- MFE exacerbated myocardial fibrosis and oxidative stress in TAC offspring.
- MFE modulated cardiac hypertrophy-associated gene expression and upregulated p38-MAPK signaling.
Conclusions:
- Maternal fructose intake during pregnancy and lactation negatively impacts offspring cardiac development.
- MFE worsens pressure overload-induced cardiac remodeling, fibrosis, and oxidative stress.
- Prenatal nutritional interventions are crucial for preventing long-term cardiovascular consequences.
Abstract:
Recent studies demonstrated that metabolic syndrome and cardiovascular diseases could be elicited by developmental programming, which is regulated by prenatal nutritional and environmental stress. In this study, we utilized a rat model to examine the effect of excessive maternal fructose intake during pregnancy and lactation on cardiac development and progression of pressure overload-induced cardiac hypertrophy in offspring. Transverse aortic constriction (TAC) was performed on 3-month-old male offspring to induce ventricular pressure overload. Four weeks post-TAC, echocardiographic assessment as well as histopathological and biochemical examinations were performed on the myocardium of the offspring. Echocardiographic and gross examinations showed that heart weight, interventricular septal thickness in diastole (IVD; d), and left ventricular posterior wall thickness in diastole (LVPW; d) were elevated in offspring with TAC and further increased by maternal fructose exposure (MFE). However, the left ventricular ejection function was not significantly affected. Myocardial histopathological examination revealed that the indices of fibrosis and oxidative stress were higher in offspring with MFE and TAC than those in animals receiving either treatment. Molecular examinations on the myocardium demonstrated an MFE-induced upregulation of p38-MAPK signaling. Next generation sequence (NGS) analysis indicated a modulation of the expression levels of several cardiac hypertrophy-associated genes, including GPR22, Myh7, Nppa, P2RX4, and Npy by MFE. Subsequent RT-PCR indicated that MFE regulated the expression levels of genes responsive to cardiac hypertrophy (i.e., Myh-7, ANP) and oxidative stress (i.e., GR, GPx, and NQO-1). In conclusion, MFE during pregnancy and lactation modulated myocardial gene expression, increased oxidative stress, and exacerbated ventricular pressure overload-induced cardiac remodeling in rat offspring.
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