Abstract

Intrauterine growth restriction (IUGR) and consumption of a high saturated fat diet (HFD) increase the risk of hypercholesterolemia, a leading cause of morbidity and mortality. The mechanism through which the cumulative impact of IUGR and in utero exposure to a maternal HFD increase cholesterol levels remains unknown. Cholesterol 7α hydroxylase (Cyp7a1) initiates catabolism of cholesterol to bile acids for elimination from the body, and is regulated by microRNA-122 (miR-122). We hypothesized that IUGR rats exposed to a maternal HFD would have increased cholesterol and decreased Cyp7a1 protein levels in juvenile rats, findings which would be normalized by administration of a miR-122 inhibitor. To test our hypothesis we used a rat model of surgically induced IUGR and fed the dams a regular diet or a HFD from prior to conception through lactation. At the time of weaning, IUGR female rats exposed to a maternal HFD had increased hepatic cholesterol, decreased hepatic Cyp7a1 protein and hepatic bile acids, and increased hepatic miR-122 compared to non-IUGR rats exposed to the same HFD. In vivo inhibition of miR-122 increased hepatic Cyp7a1 protein and decreased hepatic cholesterol. Our findings suggest that IUGR combined with a maternal HFD decreased cholesterol catabolism to bile acids, in part, via miR-122 inhibition of Cyp7a1.

Highlights

  • Intrauterine growth restriction (IUGR) results from inadequate fetal nutrition during gestation and increases the risk of hypercholesterolemia in adulthood (Forsdahl, 1978; Barker et al, 1989, 1993)

  • The primary finding in this study is that female rats subjected to IUGR and a maternal high saturated fat diet (HFD) had increased hepatic cholesterol, decreased hepatic Cyp7a1 protein and bile acids, and increased miR-122

  • Inhibition of miR-122 in IUGR+HFD female rats increased Cyp7a1 protein and decreased hepatic cholesterol in IUGR+HFD rats. These findings suggest that one pathway through which IUGR induces hepatic cholesterol accumulation may be via increased miR-122 inhibition of Cyp7a1, causing decreased cholesterol catabolism to bile acids

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Summary

Introduction

Intrauterine growth restriction (IUGR) results from inadequate fetal nutrition during gestation and increases the risk of hypercholesterolemia in adulthood (Forsdahl, 1978; Barker et al, 1989, 1993). The liver regulates hepatic cholesterol levels through multiple pathways. One of these pathways involves catabolism of cholesterol to bile acids and excretion from the body via cholesterol 7 alpha-hydroxylase (Cyp7a1). Other pathways regulating liver sterol metabolism include the following: transcriptional regulation of de novo cholesterol production by Sterol regulatory element binding protein 2 (Srebp2), multistep regulation of the ratelimiting enzyme of sterol synthesis 3-hydroxy-3-methylglutarylCoA reductase (Hmgcr), import of cholesterol from the plasma via the low density lipoprotein (LDL) receptor (Ldlr), export of high density lipoprotein (HDL) cholesterol to the plasma via ATP binding cassette transporters g1 (Abcg1) and Abca, and export of very-low density lipoprotein (VLDL) cholesterol to the plasma by Fatty acid synthase (Fasn) and Microsomal transferase protein (Mtp)

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