Maternal Fructose Intake Exacerbates Cardiac Remodeling in Offspring with Ventricular Pressure Overload.
Steve LeuKay Li-Hui WuWei-Chia LeeYou-Lin TainJulie Y H ChanPublished in: Nutrients (2021)
Recent studies demonstrated that metabolic syndrome and cardiovascular diseases could be elicited by developmental programming, which is regulated by prenatal nutritional and environmental stress. In this study, we utilized a rat model to examine the effect of excessive maternal fructose intake during pregnancy and lactation on cardiac development and progression of pressure overload-induced cardiac hypertrophy in offspring. Transverse aortic constriction (TAC) was performed on 3-month-old male offspring to induce ventricular pressure overload. Four weeks post-TAC, echocardiographic assessment as well as histopathological and biochemical examinations were performed on the myocardium of the offspring. Echocardiographic and gross examinations showed that heart weight, interventricular septal thickness in diastole (IVD; d), and left ventricular posterior wall thickness in diastole (LVPW; d) were elevated in offspring with TAC and further increased by maternal fructose exposure (MFE). However, the left ventricular ejection function was not significantly affected. Myocardial histopathological examination revealed that the indices of fibrosis and oxidative stress were higher in offspring with MFE and TAC than those in animals receiving either treatment. Molecular examinations on the myocardium demonstrated an MFE-induced upregulation of p38-MAPK signaling. Next generation sequence (NGS) analysis indicated a modulation of the expression levels of several cardiac hypertrophy-associated genes, including GPR22, Myh7, Nppa, P2RX4, and Npy by MFE. Subsequent RT-PCR indicated that MFE regulated the expression levels of genes responsive to cardiac hypertrophy (i.e., Myh-7, ANP) and oxidative stress (i.e., GR, GPx, and NQO-1). In conclusion, MFE during pregnancy and lactation modulated myocardial gene expression, increased oxidative stress, and exacerbated ventricular pressure overload-induced cardiac remodeling in rat offspring.
Keyphrases
- left ventricular
- hypertrophic cardiomyopathy
- oxidative stress
- high fat diet
- diabetic rats
- cardiac resynchronization therapy
- heart failure
- acute myocardial infarction
- mitral valve
- left atrial
- gene expression
- aortic stenosis
- poor prognosis
- metabolic syndrome
- high glucose
- weight gain
- birth weight
- dna damage
- optical coherence tomography
- pregnancy outcomes
- body mass index
- transcription factor
- coronary artery disease
- aortic valve
- risk assessment
- endothelial cells
- cell proliferation
- skeletal muscle
- uric acid
- cardiovascular risk factors
- bioinformatics analysis
- dairy cows
- stress induced
- acute coronary syndrome
- body weight
- life cycle
- pulmonary arterial hypertension
- atrial fibrillation
- climate change