Maternal vitamin A deficiency programs offspring visceral hypersensitivity through RARβ-COX-2/PGE2 signaling

Mengxia Tang1, Lue Gou1, Wenzhi Bao1

  • 1Department of Pediatrics, Affiliated Hospital of Zunyi Medical University, China; Guizhou Children's Hospital, China; Guizhou Biomanufacturing Laboratory, Affiliated Hospital of Zunyi Medical University, China.

Insights

Maternal vitamin A deficiency (VAD) in rats caused visceral hypersensitivity (VH) in offspring. Postnatal vitamin A supplementation (VAS) partially reversed these effects, suggesting a nutritional link to IBS development.

Area of Science:

  • Gastroenterology and Nutritional Science
  • Developmental Biology
  • Immunology

Background:

  • Visceral hypersensitivity (VH) is a key factor in irritable bowel syndrome (IBS).
  • Maternal vitamin A deficiency (VAD) is linked to offspring gastrointestinal issues, but its role in VH is unclear.
  • Understanding the mechanisms behind VAD-induced VH is crucial for developing early interventions.

Purpose of the Study:

  • To investigate the impact of maternal VAD on offspring VH development.
  • To explore the underlying molecular mechanisms involving retinoic acid receptors and inflammatory pathways.
  • To assess the therapeutic potential of postnatal vitamin A supplementation (VAS) and vitamin A (VA) intervention.

Main Methods:

  • Utilized a maternal VAD rat model to study offspring VH.
  • Analyzed intestinal retinoic acid receptor beta (RARβ), cyclooxygenase-2 (COX-2), and prostaglandin E2 (PGE2) pathways in enteric glial cells (EGCs).
  • Employed a sodium butyrate (NaB)-induced IBS model and in vitro EGC experiments to examine the effects of VA and retinoic acid (RA).

Main Results:

  • Maternal VAD induced VH in offspring, characterized by downregulated RARβ and activated COX-2/PGE2/EP2 axis in EGCs.
  • Postnatal VAS partially reversed these VH-associated changes.
  • VA intervention in an IBS model alleviated VH and symptoms, potentially via suppression of the TLR4/MyD88/NF-κB pathway in EGCs.

Conclusions:

  • Maternal VAD contributes to offspring VH through mechanisms involving RARβ and the COX-2/PGE2 pathway.
  • Postnatal VAS and RA show therapeutic potential for VAD-induced VH and IBS-like symptoms.
  • The RA-RARβ axis presents a potential target for early nutritional interventions in IBS.