Abstract

Maternal obesity has been associated with kidney disorders in male offspring. Our previous studies have demonstrated that Sirtuin (SIRT)1, an essential regulator of metabolic stress responses, is suppressed in the offspring as the result of maternal high-fat diet (HFD) consumption, which is likely to underpin the adverse metabolic and renal outcomes. To examine if SIRT1 overexpression or activation early in life can protect the offspring kidney, wild-type (WT) and transgenic (Tg) offspring were born to the same diet-induced obese female C57BL/6 mice through breeding with hemizygous SIRT1-transgenic (Tg) male mice and examined for renal pathological changes. In separate experiments, SIRT1 activator SRT1720 (25 mg/kg/2 days i.p) was administrated in WT offspring over 6 weeks of postnatal high-fat diet exposure. The results show that offspring born to obese dams have increased kidney weight, higher levels of renal triglycerides, and increased expression of oxidative stress, inflammatory, and fibrotic markers, as well as increased albuminuria compared to offspring of control dams. Both SIRT1 overexpression and SRT1720 treatment attenuated renal lipid contents and expression of lipogenesis, oxidative stress, and inflammatory markers; however, fibrosis was modestly reduced and albuminuria was not affected. The findings suggest that SIRT1 therapy can ameliorate some pathological mechanisms of kidney programming due to maternal obesity but may not be sufficient to prevent the resulting chronic kidney injury.

Highlights

  • Obesity is a global health concern due to its prevalence and impact on the development of various diseases such as type 2 diabetes and hypertension, as well as secondary comorbidities including chronic kidney diseases (CKD)

  • We have shown in a rat model that SIRT1 expression is suppressed in male offspring born to obese dams in association with increased renal lipid accumulation [8]

  • Increased expression of SIRT1 was confirmed in MHFS mice by in MHFS mice by both qRT-PCR and immunoblot (p < 0.001 and p < 0.05, respectively)

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Summary

Introduction

Obesity is a global health concern due to its prevalence and impact on the development of various diseases such as type 2 diabetes and hypertension, as well as secondary comorbidities including chronic kidney diseases (CKD). The levels of circulating lipid and fatty acids are much higher than in non-obese individuals and can accumulate into non-adipose tissues such as heart, liver, pancreas, and kidney. Renal lipid accumulation or ‘lipotoxicity’ has been suggested to be the direct cause of structural and functional changes in mesangial cells, podocytes, and tubular cells [1,2], leading to obesity-related nephropathy [3]. Obesity-mediated diabetes and hypertension contribute to the development of CKD. Recent evidence suggests that the effects of obesity on CKD can be intergenerational due to intrauterine foetal programming. Maternal obesity and high-fat diet consumption during pregnancy have been found to result in metabolic disorders such as glucose intolerance, Nutrients 2019, 11, 146; doi:10.3390/nu11010146 www.mdpi.com/journal/nutrients

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