Early metabolic and hemodynamic indicators of kidney dysfunction in mice offspring from parental low protein diet

Fabiola Diniz1, Francesca Edgington-Giordano1, Samir S El-Dahr1

  • 1Section of Pediatric Nephrology, Department of Pediatrics, Tulane University School of Medicine, New Orleans, LA, 70112, USA.

PubMed

Insights

Maternal low-protein diet (LPD) causes kidney damage in offspring before blood pressure changes. Early metabolic alterations signal kidney damage, highlighting the need for monitoring in offspring of malnourished parents.

Area of Science:

  • Nephrology
  • Developmental Biology
  • Nutritional Science

Background:

  • Maternal malnutrition, specifically a low-protein diet (LPD), leads to offspring oligonephropathy, increasing risks for hypertension and chronic kidney disease.
  • Subclinical kidney function alterations in offspring are often overlooked, delaying diagnosis and intervention.
  • This study investigates early kidney morphology changes in offspring exposed to maternal LPD before significant functional decline.

Purpose of the Study:

  • To examine the initial impact of a maternal low-protein diet (LPD) on kidney morphology and function in offspring.
  • To identify early indicators of kidney damage in the first filial (F1) generation.
  • To establish a link between parental LPD and offspring kidney development.

Main Methods:

  • Histological analysis of kidney morphology.
  • Assessment of kidney metabolic and hemodynamic panels.
  • Utilized Linear Discriminant Analysis (LDA) and Principal Component Analysis (PCA) for statistical evaluation.
  • Studied 12-week-old F1 mice from parents (F0) fed either LPD or normal-protein diet (NPD).

Main Results:

  • Offspring (F1) from LPD-fed parents exhibited reduced body and kidney weight at birth and P20, with normalized body weight but persistent low kidney weight at 12 weeks.
  • Abnormal kidney morphology, including dilated tubules, oligonephropathy, and cysts, was observed and worsened with age.
  • Early metabolic changes included increased urine albumin, plasma creatinine, urea, and BUN, strongly correlated with parental LPD.
  • While hemodynamics were largely unchanged, some male offspring showed altered systolic blood pressure, indicating potential sex-specific effects.

Conclusions:

  • Significant kidney damage occurs in offspring of LPD-fed parents before detectable blood pressure changes.
  • Subtle alterations in kidney metabolic function serve as early indicators of kidney damage.
  • These findings underscore the importance of monitoring kidney health in offspring exposed to maternal malnutrition, with implications for both animal models and human health.
Abstract