We previously demonstrated that prenatal choline supplementation (CS) mitigates metabolic abnormalities in mouse offspring exposed to maternal obesity. In this preliminary study we examined whether prenatal and postnatal CS can protect against the development of metabolic dysfunction-associated steatotic liver disease (MASLD) in offspring exposed to an obesogenic environment. C57BL/6J mice were exposed to a maternal high-fat (HF) diet in utero and a postnatal Western Diet (WD) to induce MASLD. Choline was supplemented before and during gestation and lactation, after weaning, or throughout these periods. We found that maternal HF worsened histological scoring of MASLD when offspring were exposed to the WD during the postnatal period (HF-WD) (p < 0.05). Lifelong CS was the most effective on mitigating glucose intolerance, hepatomegaly, visceral adiposity, and histological scoring of steatohepatitis compared to HF-WD without CS or with CS in the prenatal or postnatal period only (all p < 0.05). HF-WD increased leptin levels (p < 0.05) which was mitigated by lifelong CS in offspring of both sexes. HF-WD led to global DNA hypermethylation (p < 0.05) in male offspring only, which was prevented by CS at any time point. Deuterium label (d9) tracing of choline metabolism demonstrated that CS at any time point increased choline oxidation as reflected by the elevated d9-betaine/d9-choline enrichment ratio yet reduced choline-derived methyl group use for the remethylation as reflected by the lower d3-methionine/d9-betaine ratio (p < 0.05). In conclusion, lifelong CS provided an effective approach to alleviate the severity of MASLD programmed by prenatal and postnatal obesogenic feeding in mice.
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