The impact of maternal obesity on polycystic kidney disease progression in a mouse model

Sarah J Miller1, Kaitlyn Hill2, Isabella Darby1

  • 1Department of Internal Medicine, Division of Nephrology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States.

Insights

Maternal obesity did not worsen polycystic kidney disease (PKD) in offspring mice. However, reexposure to a high-fat diet worsened PKD in female offspring, suggesting a diet-dependent effect on disease progression.

Area of Science:

  • Nephrology
  • Endocrinology
  • Developmental Biology

Background:

  • The rising prevalence of maternal obesity presents a significant public health concern.
  • Obesity is linked to accelerated cyst growth in autosomal dominant polycystic kidney disease (ADPKD).
  • The impact of maternal obesity on offspring's polycystic kidney disease (PKD) progression remains largely unknown.

Purpose of the Study:

  • To investigate the influence of maternal obesity on the progression of polycystic kidney disease (PKD) in offspring.
  • To determine if maternal high-fat diet (HFD) exposure affects PKD severity in Pkd1 mutant mice.

Main Methods:

  • Induced maternal obesity using HFD in Pkd1RC/RC mice, an ADPKD model.
  • Assessed PKD progression in offspring over one year.
  • Reexposed offspring to HFD to evaluate diet-specific effects on disease severity.

Main Results:

  • Maternal obesity alone did not significantly alter PKD severity in offspring at 3 months or 1 year of age.
  • Reexposure to HFD in adulthood exacerbated PKD in female offspring, indicated by increased cyst index, number, and area.
  • Fibrosis and blood urea nitrogen levels were not significantly affected by maternal obesity or refeeding HFD.

Conclusions:

  • Maternal obesity during gestation and lactation does not inherently worsen PKD in offspring.
  • Post-weaning dietary challenges, specifically HFD reexposure, can accelerate PKD progression in female offspring born to obese mothers.
  • These findings highlight a potential sex-specific, diet-mediated acceleration of PKD in offspring of obese mothers.