As sodium (Na) retention by the kidney is not fully efficient until the final weeks of a normal gestation, prematurely born infants are at high risk of Na depletion. We hypothesize that early-life sodium depletion contributes to delayed somatic growth and increased cardiometabolic risks associated with premature birth, via programmed increases in autonomic activity. To model early-life Na depletion, mice were weaned at 3 weeks of age onto custom variations of a soy-free diet (Teklad 2920x) containing either low (0.04% n=6m+8f) or high (0.30% n=8m+8f) Na. At 6 weeks of age, all mice were returned to standard (0.15% Na) diet. Energy flux was studied using NMR and a multiplexed phenotyping system (Promethion) at 6, 7, 8, 10, and 18 weeks of age, and data were analyzed by General Linear Modeling to account for covariates such as fat-free mass (FFM) and fat mass. Low Na supply caused delayed gains in FFM (diet x age interaction p<0.01) but no change in fat mass (p>0.77) in both sexes. In male mice supplied low Na in early life, food intake was reduced for weeks to months after return to normal diet even after correction for FFM and fat masses (diet p<0.01, diet x age p=0.93), primarily due to smaller meal sizes. Water intake was increased (diet p<0.01, diet x age p=0.03), primarily due to more drinking events. Total daily energy expenditure was also increased even after correction for FFM mass, fat mass, and food intake (diet p<0.01, diet x age p>0.99), though no changes in locomotion were observed (p>0.60). Throughout, female mice exhibited qualitatively similar yet quantitatively smaller effects. A parallel study indicated that after low Na supply, basal metabolic rate was increased at 8 weeks of age (n=8m each, +16%, p=0.01), and this increase was abolished with autonomic blockade via hexamethonium (30 mg/kg, ip; p=0.02). Finally, preliminary data (n=4 vs 5) indicate Ucp1 mRNA may be increased in inguinal fat at 6 (2.8-fold p=0.08) and 18 weeks of age (2.2-fold p=0.12) in the low Na group. Together these findings support the concept that Na depletion in early life is sufficient to program persistent cardiometabolic and autonomic dysfunctions long after Na repletion.
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