Abstract

BackgroundThere are a number of complications that can occur if there is under-nutrition during pregnancy followed by a period of rapid catch-up growth, including a higher chance of adult obesity, insulin resistance and hypertriglyceridemia. The purposes of this study were to investigate the effects of fetal under-nutrition during late pregnancy and lactation on blood pressure, visceral fat tissue, gene expressions and to evaluate changes after amlodipine- losartan combination treatment.MethodsThe rats were divided into three groups: the control (C) group, the food restriction (FR: 50 % food restricted diet) group, and the CX group, which was treated with Cozaar XQ (amlodipine- losartan combination drug) in FR rats from postnatal 4 to 20 weeks. Masson’s trichrome staining was performed in the heart tissues. The amount of abdominal visceral fat tissues was measured. Western blot analysis such as angiotensin converting enzyme (ACE), angiotensin II receptor type IA (ATIA), troponin I (Tn I) and endothelial nitric oxide synthase (eNOS) were performed.ResultsBody weights were significantly higher in the FR group compared with the C group at weeks 8 and 20 and lower in the CX group at week 20. Blood pressure was significantly higher in the FR group compared with the C group at week 20 and lower in the CX group at weeks 12 and 20. The amount of abdominal visceral fat was significantly higher in the FR group compared with the C group at weeks 8, 12 and 20 and significantly lower in the CX group at weeks 16 and 20. Protein expression of ATIA and eNOS were significantly reduced in the CX group at weeks 16 and 20. ACE was significantly reduced in the CX group at week 20 and Tn I was significantly reduced in the CX group at week 16.ConclusionsWhen there is fetal under-nutrition during pregnancy, it leads to obesity, high blood pressure, hypertriglyceridemia and several gene changes in offspring. Amlodipine-losartan combination treatment was able to lower obesity, hypertension, hypertriglyceridemia and several gene changes in rats suffering from fetal under-nutrition during pregnancy.

Highlights

  • There are a number of complications that can occur if there is under-nutrition during pregnancy followed by a period of rapid catch-up growth, including a higher chance of adult obesity, insulin resistance and hypertriglyceridemia

  • The rats were divided into three groups: the control (C) group (n = 20), the food restriction (FR: 50 % food restriction diet (n = 40)] group, CX group (n = 40), which was treated with Cozaar XQ in the FR rats from postnatal 4 to 20 weeks

  • Body weight was significantly decreased in the CX group compared with the FR group at week 20 (FR vs. CX; 582.10 ± 19.70 g vs. 552.30 ± 1.09 g, p

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Summary

Introduction

There are a number of complications that can occur if there is under-nutrition during pregnancy followed by a period of rapid catch-up growth, including a higher chance of adult obesity, insulin resistance and hypertriglyceridemia. The purposes of this study were to investigate the effects of fetal under-nutrition during late pregnancy and lactation on blood pressure, visceral fat tissue, gene expressions and to evaluate changes after amlodipine- losartan combination treatment. Due to maternal under-nutrition, is a critical problem, especially in developing countries. It can lead to the development of metabolic syndrome (MS), hypertension, coronary heart disease and diabetes in adulthood [1]. We know little about the precise mechanisms of fetal programing, some mechanisms have been more extensively studied including glucocorticoid exposure, the role of the kidneys and the renin angiotensin system (RAS) [4, 5]. Other pathophysiological pathways have been investigated, such as the role of the brain and oxidative stress, sympathetic nervous system, and epigenetic changes [4]

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