Abstract

Early life nutritional imbalances are risk factors for metabolic dysfunctions in adulthood, but the long term effects of perinatal exposure to high versus low protein diets are not completely understood. We exposed C57BL/6J offspring to a high protein/low carbohydrate (HP/LC) or low protein/high carbohydrate (LP/HC) diet during gestation and lactation, and measured metabolic phenotypes between birth and 10 months of age in male offspring. Perinatal HP/LC and LP/HC exposures resulted in a decreased ability to clear glucose in the offspring, with reduced baseline insulin and glucose concentrations in the LP/HC group and a reduced insulin response post-glucose challenge in the HP/LC group. The LP/HC diet group also showed reduced birth and weanling weights, whereas the HP/LC offspring displayed increased weanling weight with increased adiposity beyond 5 months of age. Gene expression profiling of hypothalamus and liver revealed alterations in diverse molecular pathways by both diets. Specifically, hypothalamic transcriptome and pathway analyses demonstrated perturbations of MAPK and hedgehog signaling, processes associated with neural restructuring and transmission, and phosphate metabolism by perinatal protein imbalances. Liver transcriptomics revealed changes in purine and phosphate metabolism, hedgehog signaling, and circadian rhythm pathways. Our results indicate maternal protein imbalances perturbing molecular pathways in central and peripheral metabolic tissues, thereby predisposing the male offspring to metabolic dysfunctions.

Highlights

  • Metabolic syndrome and type 2 diabetes mellitus (T2DM) have reached epidemic proportions worldwide (Saklayen, 2018)

  • As gene expression differences involved in metabolically relevant pathways in the hypothalamus and liver may underlie the differing metabolic phenotypes in adulthood, we aim to investigate how early-life nutritional imbalances contribute to metabolic syndrome outcomes in adulthood

  • intrauterine growth restriction (IUGR) low protein/high carbohydrate (LP/HC) weighed significantly less than controls throughout the study, but the higher body weights of high protein/low carbohydrate (HP/LC) at weaning did not persist over time and after 3 months HP/LC body weights normalized and were not different from controls (Figure 1C)

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Summary

Introduction

Metabolic syndrome and type 2 diabetes mellitus (T2DM) have reached epidemic proportions worldwide (Saklayen, 2018). Individual studies of high and low protein maternal diets have shown their influence on body weight, metabolic phenotypes and programming of food intake in offspring (Oken and Gillman, 2003; Frias and Grove, 2012). Our previous mouse study on intrauterine growth restriction (IUGR) induced by a low protein maternal diet demonstrated sex-specific phenotypic differences in offspring at 9 months of age (Bhasin et al, 2009). Previous studies have not systematically compared the effect of low protein/high carbohydrate (LP/HC) versus high protein/low carbohydrate (HP/LC) maternal diets on modulating tissue-specific gene expression profiles in key metabolic tissues and the associated pathological metabolic variations in offspring. As gene expression differences involved in metabolically relevant pathways in the hypothalamus (the control center of energy balance and metabolism) and liver (critical for lipid and glucose homeostasis) may underlie the differing metabolic phenotypes in adulthood, we aim to investigate how early-life nutritional imbalances contribute to metabolic syndrome outcomes in adulthood

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