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Maternal birth weight is an indicator of preterm delivery: the Japan environment and children's study. 产妇出生体重是早产的指标:日本环境与儿童研究。
IF 1.7 4区 医学 Q2 Medicine Pub Date : 2024-05-22 DOI: 10.1017/S2040174424000126
Rie Kudo, Noriyuki Iwama, Hirotaka Hamada, Hasumi Tomita, Kazuma Tagami, Natsumi Kumagai, Naoto Sato, Seiya Izumi, Kasumi Sakurai, Zen Watanabe, Mami Ishikuro, Taku Obara, Nozomi Tatsuta, Tetsuro Hoshiai, Hirohito Metoki, Masatoshi Saito, Junichi Sugawara, Shinichi Kuriyama, Takahiro Arima, Nobuo Yaegashi

This study aimed to investigate the association between maternal birth weight (MBW) with preterm delivery (PTD) in the Japanese population. To this end, a total of 78,972 Japanese pregnant women were included in a prospective birth cohort study. Multiple logistic regression and multinominal logistic regression models were applied to investigate the associations of MBW with PTD (delivery from 22 to < 37 weeks of gestation), early PTD (delivery from 22 to < 34 weeks), and late PTD (delivery from 34 to < 37 weeks). The results showed that MBW was inversely associated with PTD, early PTD, and late PTD (p-for-trend < 0.0001, 0.0014, and < 0.0001, respectively). The adjusted odds ratios per each 500 g of MBW decrease were 1.167 (95% confidence interval [CI]: 1.118-1.218) for PTD, 1.174 (95% CI: 1.070-1.287) for early PTD and 1.151 (95% CI: 1.098-1.206) for late PTD. The effect size of the association of MBW with early PTD was similar to that with late PTD. This study demonstrated for the first time an association of a low MBW with PTD, early PTD, and late PTD in a Japanese nationwide cohort.

本研究旨在调查日本人口中产妇出生体重(MBW)与早产(PTD)之间的关系。为此,一项前瞻性出生队列研究共纳入了 78,972 名日本孕妇。应用多元逻辑回归和多项式逻辑回归模型研究了 MBW 与早产(妊娠 22 周至小于 37 周分娩)、早期早产(妊娠 22 周至小于 34 周分娩)和晚期早产(妊娠 34 周至小于 37 周分娩)之间的关系。结果显示 MBW 与 PTD、早期 PTD 和晚期 PTD 成反比(p-趋势分别为 <0.0001、0.0014 和 <0.0001)。MBW 每减少 500 克,PTD 的调整几率比为 1.167(95% 置信区间 [CI]:1.118-1.218),早期 PTD 为 1.174(95% 置信区间:1.070-1.287),晚期 PTD 为 1.151(95% 置信区间:1.098-1.206)。MBW 与早期 PTD 的相关效应大小与晚期 PTD 相似。这项研究首次在日本全国性队列中证明了低 MBW 与 PTD、早期 PTD 和晚期 PTD 的关系。
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引用次数: 0
Long-term outcomes of visual motor integration and motor development children with retinopathy of prematurity. 早产儿视网膜病变患儿视觉运动整合和运动发育的长期结果。
IF 1.7 4区 医学 Q2 Medicine Pub Date : 2024-05-10 DOI: 10.1017/S2040174424000151
Seval Kutlutürk Yıkılmaz, Gokhan Celik, Murat Gunay, Osman Kizilay, Zeliha Candan Algun

Premature infants have a risk of neurodevelopmental deficits. Little is known, however, about how retinopathy of prematurity (ROP) affects visual motor integration (VMI), which is necessary for both fine motor skills and further school abilities. Due to the systemic escape of bevacizumab in the treatment of ROP, concerns regarding the long-term neurodevelopmental effect of the drug have arisen. The aim is to evaluate VMI and motor development long-term outcomes after intravitreal bevacizumab (IVB) injection and laser treatment for ROP. Two groups of premature children were included: Bevacizumab group - 16 premature children who received IVB treatment and laser group - 23 premature children who underwent laser photocoagulation treatment in this single center cross-sectional study. At 2-6 years of age, VMI (Beery-Buktenica Developmental Test), motor development (Peabody Developmental Motor Scales-2), visual acuity, and refractive status were assessed. The incidence of abnormal visual function was significantly higher in bevacizumab group than in laser group (p = 0.022). The incidence of abnormal VMI skill was significantly higher in bevacizumab group than in laser group (p = 0.024). Incidences of abnormal gross, fine, and total motor skills were significantly higher in bevacizumab group compared to laser group (p < 0.05). Premature children who received bevacizumab for ROP demonstrated significantly lower VMI and motor development features than those with laser treatment at preschool age. Although our results suggest the relevance of bevacizumab injection in impaired VMI and motor development outcomes, general level of sickness rather than treatment might be the cause of delayed motor development.

早产儿有神经发育缺陷的风险。然而,人们对早产儿视网膜病变(ROP)如何影响视觉运动统合(VMI)知之甚少,而视觉运动统合是精细运动技能和进一步学习能力的必要条件。由于贝伐珠单抗在治疗早产儿视网膜病变的过程中会全身逃逸,因此人们对该药物对神经发育的长期影响产生了担忧。本研究旨在评估玻璃体内注射贝伐珠单抗(IVB)和激光治疗早产儿视网膜病变后 VMI 和运动发育的长期效果。研究对象包括两组早产儿:在这项单中心横断面研究中,贝伐单抗组--16 名早产儿接受了 IVB 治疗,激光组--23 名早产儿接受了激光光凝治疗。在 2-6 岁时,对 VMI(Beery-Buktenica 发育测试)、运动发育(Peabody 发育运动量表-2)、视力和屈光状态进行了评估。贝伐单抗组的视功能异常发生率明显高于激光组(P = 0.022)。贝伐单抗组的 VMI 技能异常发生率明显高于激光组(p = 0.024)。与激光组相比,贝伐单抗组大运动、精细运动和全面运动技能异常的发生率明显更高(p < 0.05)。接受贝伐珠单抗治疗的早产儿在学龄前的 VMI 和运动发育特征明显低于接受激光治疗的早产儿。尽管我们的研究结果表明,贝伐珠单抗注射剂与VMI和运动发育受损有关,但一般疾病水平而非治疗可能是导致运动发育迟缓的原因。
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引用次数: 0
Sodium overload during postnatal phases impairs diastolic function and exacerbates reperfusion arrhythmias in adult rats. 出生后钠离子超载会损害成年大鼠的舒张功能并加剧再灌注心律失常。
IF 1.7 4区 医学 Q2 Medicine Pub Date : 2024-05-09 DOI: 10.1017/S204017442400014X
Marina Conceição Dos Santos Moreira, Allancer Divino de Carvalho Nunes, Paulo Ricardo Lopes, Cintia do Carmo Silva, Stefanne Madalena Marques, Lara Marques Naves, Matheus Lobo Perez Dias, Fernanda Cristina Alcântara Santos, Rodrigo Mello Gomes, Carlos Henrique Xavier, Carlos Henrique de Castro, Gustavo Rodrigues Pedrino

Sodium overload during childhood impairs baroreflex sensitivity and increases arterial blood pressure and heart rate in adulthood; these effects persist even after high-salt diet (HSD) withdrawal. However, the literature lacks details on the effects of HSD during postnatal phases on cardiac ischemia/reperfusion responses in adulthood. The current study aimed to elucidate the impact of HSD during infancy adolescence on isolated heart function and cardiac ischemia/reperfusion responses in adulthood. Male 21-day-old Wistar rats were treated for 60 days with hypertonic saline solution (NaCl; 0.3M; experimental group) or tap water (control group). Subsequently, both groups were maintained on a normal sodium diet for 30 days. Subsequently, the rats were euthanized, and their hearts were isolated and perfused according to the Langendorff technique. After 30 min of the basal period, the hearts were subjected to 20 min of anoxia, followed by 20 min of reperfusion. The basal contractile function was unaffected by HSD. However, HSD elevated the left ventricular end-diastolic pressure during reperfusion (23.1 ± 5.2 mmHg vs. 11.6 ± 1.4 mmHg; p < 0.05) and increased ectopic incidence period during reperfusion (208.8 ± 32.9s vs. 75.0 ± 7.8s; p < 0.05). In conclusion, sodium overload compromises cardiac function after reperfusion events, diminishes ventricular relaxation, and increases the severity of arrhythmias, suggesting a possible arrhythmogenic effect of HSD in the postnatal phases.

儿童期钠超载会损害气压反射敏感性,并在成年后增加动脉血压和心率;即使在停止高盐饮食(HSD)后,这些影响仍会持续。然而,关于出生后阶段的高盐饮食对成年后心脏缺血/再灌注反应的影响,缺乏详细的文献资料。本研究旨在阐明婴幼儿时期的 HSD 对成年后离体心脏功能和心脏缺血/再灌注反应的影响。21 天大的雄性 Wistar 大鼠接受高渗盐水(NaCl;0.3M;实验组)或自来水(对照组)治疗 60 天。随后,两组均以正常钠饮食维持 30 天。随后,对大鼠实施安乐死,并按照 Langendorff 技术分离和灌注大鼠心脏。基础期 30 分钟后,对大鼠心脏进行 20 分钟缺氧,然后再灌注 20 分钟。基础收缩功能不受 HSD 的影响。然而,HSD 升高了再灌注期间的左心室舒张末压(23.1 ± 5.2 mmHg vs. 11.6 ± 1.4 mmHg;p < 0.05),并增加了再灌注期间的异位发生期(208.8 ± 32.9s vs. 75.0 ± 7.8s;p < 0.05)。总之,钠负荷过重会损害再灌注事件后的心脏功能,降低心室松弛,并增加心律失常的严重程度,这表明 HSD 在出生后阶段可能具有致心律失常作用。
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引用次数: 0
Bocconia frutescens L. induces neurological defects in rat offspring Bocconia frutescens L.诱发大鼠后代神经系统缺陷
IF 1.7 4区 医学 Q2 Medicine Pub Date : 2024-04-29 DOI: 10.1017/s2040174424000138
V.E. Bolado-García, A.A. Corona-Morales, M.A. Núñez-Murrieta, A.J. Martínez, Y.A. Gheno-Heredia, A. Sánchez-Medina, I. Santiago-Roque

Nearly 80% of the world’s population trusts traditional medicine and plant-based drug compounds to improve health, and more than 50% of women who participated in a study have used herbal remedies during pregnancy. Bocconia frutescens L. is a plant native to tropical America, where infusion of its leaves has been widely used for the treatment of several gastrointestinal disorders. We have already shown that orogastric consumption of B. frutescens L. during the organogenesis period at concentrations equivalent to human consumption produces teratogenic effects in rats, but effects on progeny development have not yet been studied. In this study, we aimed to investigate the possible association between the consumption of B. frutescens L. at a dose equivalent to that consumed by humans and the neurological development of rat progeny. Pregnant Wistar rats were administered lyophilized B. frutescens L. extract at 300 mg/kg/day or vehicle via the orogastric route during the organogenesis period (gestation days 7–13). The physical development and sensory and motor maturation of their offspring during lactation were analyzed with a battery of reflex and physical tests. B. frutescens L. produced a significant delay in physical development and sensorimotor maturation, compared to the control group. Proton nuclear magnetic resonance spectroscopy analysis showed signals for both flavonoids and alkaloids in the B. frutescens L. extract. We conclude that the delay in physical and neurological development could be interpreted as alterations in the maturation of some neuronal circuitries induced by B. frutescens L.

世界上有近 80% 的人相信传统医学和植物药物复合物来改善健康状况,参与一项研究的妇女中有 50% 以上在怀孕期间使用过草药疗法。Bocconia frutescens L. 是一种原产于美洲热带地区的植物,其叶片浸泡液被广泛用于治疗多种胃肠道疾病。我们已经证明,在大鼠器官形成期口服浓度相当于人类食用量的 Bocconia frutescens L. 会产生致畸效应,但对后代发育的影响尚未研究。在这项研究中,我们的目的是调查食用相当于人类食用剂量的洋二仙草与大鼠后代神经系统发育之间可能存在的联系。在大鼠器官形成期(妊娠第 7-13 天),通过口胃途径给妊娠 Wistar 大鼠服用冻干叶枯素提取物(300 毫克/千克/天)或药物。通过一系列反射和体能测试分析了哺乳期后代的体格发育、感官和运动成熟情况。与对照组相比,B.frutescens L.会导致后代的身体发育和感觉运动成熟明显延迟。质子核磁共振光谱分析显示,洋地黄提取物中含有黄酮类和生物碱信号。我们得出的结论是,身体和神经系统发育的延迟可解释为 B. frutescens L. 诱导的某些神经元回路成熟的改变。
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引用次数: 0
Methylation profiles at birth linked to early childhood obesity 出生时的甲基化特征与儿童早期肥胖有关
IF 1.7 4区 医学 Q2 Medicine Pub Date : 2024-04-25 DOI: 10.1017/s2040174424000060
Delphine Lariviere, Sarah J.C. Craig, Ian M. Paul, Emily E. Hohman, Jennifer S. Savage, Robert O. Wright, Francesca Chiaromonte, Kateryna D. Makova, Matthew L. Reimherr
Childhood obesity represents a significant global health concern and identifying its risk factors is crucial for developing intervention programs. Many “omics” factors associated with the risk of developing obesity have been identified, including genomic, microbiomic, and epigenomic factors. Here, using a sample of 48 infants, we investigated how the methylation profiles in cord blood and placenta at birth were associated with weight outcomes (specifically, conditional weight gain, body mass index, and weight-for-length ratio) at age six months. We characterized genome-wide DNA methylation profiles using the Illumina Infinium MethylationEpic chip, and incorporated information on child and maternal health, and various environmental factors into the analysis. We used regression analysis to identify genes with methylation profiles most predictive of infant weight outcomes, finding a total of 23 relevant genes in cord blood and 10 in placenta. Notably, in cord blood, the methylation profiles of three genes (PLIN4, UBE2F, and PPP1R16B) were associated with all three weight outcomes, which are also associated with weight outcomes in an independent cohort suggesting a strong relationship with weight trajectories in the first six months after birth. Additionally, we developed a Methylation Risk Score (MRS) that could be used to identify children most at risk for developing childhood obesity. While many of the genes identified by our analysis have been associated with weight-related traits (e.g., glucose metabolism, BMI, or hip-to-waist ratio) in previous genome-wide association and variant studies, our analysis implicated several others, whose involvement in the obesity phenotype should be evaluated in future functional investigations.
儿童肥胖症是一个重大的全球健康问题,确定其风险因素对于制定干预计划至关重要。许多与肥胖症发病风险相关的 "omics "因素已被确定,包括基因组、微生物组和表观基因组因素。在此,我们利用 48 个婴儿样本,研究了出生时脐带血和胎盘中的甲基化图谱如何与 6 个月大时的体重结果(特别是条件体重增加、体重指数和体重身长比)相关。我们利用Illumina Infinium MethylationEpic芯片描述了全基因组DNA甲基化图谱,并将儿童和产妇健康信息以及各种环境因素纳入分析。我们利用回归分析确定了甲基化图谱最能预测婴儿体重结果的基因,在脐带血中发现了 23 个相关基因,在胎盘中发现了 10 个相关基因。值得注意的是,在脐带血中,三个基因(PLIN4、UBE2F 和 PPP1R16B)的甲基化图谱与所有三个体重结果相关,这三个基因也与一个独立队列中的体重结果相关,表明它们与出生后头六个月的体重轨迹关系密切。此外,我们还开发了一种甲基化风险评分(MRS),可用于识别儿童肥胖的高危人群。虽然我们的分析发现的许多基因在以前的全基因组关联研究和变异研究中与体重相关特征(如葡萄糖代谢、体重指数或臀围与腰围比)有关,但我们的分析还发现了其他一些基因,这些基因与肥胖表型的关系应在未来的功能研究中加以评估。
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引用次数: 0
Female rats consuming an iron and omega-3 fatty acid deficient diet preconception require combined iron and omega-3 fatty acid supplementation for the prevention of bone impairments in offspring. 孕前摄入缺铁和欧米伽-3 脂肪酸饮食的雌性大鼠需要同时补充铁和欧米伽-3 脂肪酸,以防止后代骨骼受损。
IF 1.7 4区 医学 Q2 Medicine Pub Date : 2024-04-24 DOI: 10.1017/S2040174424000102
Estelle Venter, L. Zandberg, Philip van Zyl Venter, C. Smuts, Herculina S. Kruger, Jeannine Baumgartner
We previously showed in rats that pre- and postnatal deficiencies in iron and omega-3 (n-3) fatty acids can impair bone development, with additive and potentially irreversible effects when combined. This study aimed to investigate, in female rats consuming a combined iron and n-3 fatty acid deficient (ID + n-3 FAD) diet preconception, whether supplementation with iron and docosahexaenoic/eicosapentaenoic acid (DHA/EPA), alone and in combination, can prevent bone impairments in offspring. Using a 2 × 2 factorial design, female Wistar rats consuming an ID + n-3 FAD diet preconception were randomised to receive an: 1) iron supplemented (Fe + n-3 FAD), 2) DHA/EPA supplemented (ID + DHA/EPA), 3) Fe + DHA/EPA, or 4) ID + n-3 FAD diet from gestational day 10 throughout pregnancy and lactation. Post-weaning, offspring (n = 24/group; male:female = 1:1) remained on the respective experimental diets for three weeks until postnatal day 42-45. Offspring born to female rats consuming a control diet preconception and an Fe+DHA/EPA diet throughout pregnancy and lactation served as non-deficient reference group (Control+Fe+DHA/EPA). Bone mineral density (BMD) was measured using dual-energy X-ray absorptiometry and bone strength using three-point bending tests. Only offspring in the Fe+DHA/EPA group had significantly higher spine and femur BMD, and higher femur stiffness than offspring in the ID + n-3 FAD group, and had similar spine BMD and femur stiffness as the Control + Fe + DHA/EPA group. Offspring in the Fe + DHA/EPA group further had significantly higher femur strength (ultimate load) than the other experimental groups, and a similar femur strength as the Control + Fe + DHA/EPA group. This study shows that only combined iron and DHA/EPA supplementation can prevent bone impairments in offspring of female rats consuming an iron and n-3 FA deficient diet preconception.
我们曾在大鼠身上发现,产前和产后铁和欧米加-3(n-3)脂肪酸的缺乏会损害骨骼发育,当两者同时缺乏时,会产生叠加效应,并可能产生不可逆的影响。本研究旨在调查在孕前摄入铁和 n-3 脂肪酸缺乏(ID + n-3 FAD)饮食的雌性大鼠中,单独或联合补充铁和二十二碳六烯酸/二十碳五烯酸(DHA/EPA)是否能预防后代的骨骼损伤。采用 2 × 2 因式设计,将孕前食用 ID + n-3 FAD 饮食的雌性 Wistar 大鼠随机分配到下列食物中:1)铁补充剂(Fe + n-3 FAD);2)DHA/EPA;3)DHA/EPA;4)DHA/EPA:1)铁补充剂(Fe + n-3 FAD);2)DHA/EPA补充剂(ID + DHA/EPA);3)Fe + DHA/EPA;或 4)ID + n-3 FAD。断奶后,后代(n = 24/组;雄性:雌性 = 1:1)继续食用各自的实验饮食三周,直到出生后第 42-45 天。雌性大鼠在怀孕前食用对照组饮食,并在整个孕期和哺乳期食用铁+DHA/EPA饮食,其后代作为非缺乏参照组(对照组+铁+DHA/EPA)。采用双能 X 射线吸收测定法测量骨质密度(BMD),采用三点弯曲试验测量骨强度。与 ID + n-3 FAD 组相比,只有 Fe + DHA/EPA 组的后代的脊柱和股骨 BMD 明显更高,股骨硬度也更高,而脊柱 BMD 和股骨硬度与对照组 + Fe + DHA/EPA 组相似。铁+DHA/EPA组的后代的股骨强度(极限负荷)也明显高于其他实验组,与对照组+铁+DHA/EPA组的后代的股骨强度相似。这项研究表明,只有同时补充铁和 DHA/EPA 才能防止孕前摄入铁和 n-3 FA 缺乏饮食的雌性大鼠的后代出现骨骼损伤。
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引用次数: 0
Essential oil supplementation in milk replacers: short- and long-term impacts on feed efficiency, the faecal microbiota and the plasma metabolome in dairy calves. 代乳品中添加精油:对奶牛饲料效率、粪便微生物群和血浆代谢组的短期和长期影响。
IF 1.7 4区 医学 Q2 Medicine Pub Date : 2024-04-02 DOI: 10.1017/S2040174424000084
Sonia Andrés, Chiara Gini, Fabrizio Ceciliani, Daniel Gutiérrez-Expósito, Noive Arteche-Villasol, Alba Martín, Paola Cremonesi, Fiorenza Faré, Morteza Hosseini Ghaffari, F Javier Giráldez, Latifa Abdennebi-Najar

Early supplementation with oregano essential oil (EO) in milk replacer (MR) may improve growth, immune responses, the microbiota and the metabolome in dairy calves during pre-weaning and in adulthood. Sixteen female dairy calves (3 days of age) were divided in two groups (n = 8/group): the control group (no EO) and the EO group (0.23 ml of EO in MR during 45 days). After weaning, calves were kept in a feedlot and fed ad libitum. The animals were weighed, and blood and faecal samples were collected on days 3 (T0), 45 (T1) and 370 (T2) to measure the biochemical profile and characterise peripheral blood mononuclear cells (PBMCs; CD4+, CD8+, CD14+, CD21+ and WC1+), the metabolome and microbiota composition. The EO group only had greater average daily weight gain during the suckling (EO supplementation) period (P = 0.030). The EO group showed higher average CD14+ population (monocytes) values, a lower abundance of Ruminococcaceae UCG-014, Faecalibacterium, Blautia and Alloprevotella and increased abundances of Allistipes and Akkermansia. The modification of some metabolites in plasma, such as butyric acid, 3-indole-propionic acid and succinic acid, particularly at T1, are consistent with intestinal microbiota changes. The data suggest that early EO supplementation increases feed efficiency only during the suckling period with notable changes in the microbiota and plasma metabolome; however, not all of these changes can be considered desirable from a gut health point of view. Additional research studies is required to demonstrate that EOs are a viable natural alternative to antibiotics for improving calf growth performance and health.

早期在代乳粉(MR)中添加牛至精油(EO)可改善乳牛在断奶前和成年期的生长、免疫反应、微生物群和代谢组。16 头雌性乳牛(3 日龄)被分为两组(n = 8/组):对照组(无环氧乙烷)和环氧乙烷组(45 天内在代乳粉中添加 0.23 毫升环氧乙烷)。断奶后,犊牛在饲养场饲养,自由采食。分别在第 3 天(T0)、第 45 天(T1)和第 370 天(T2)对动物进行称重并采集血液和粪便样本,以测量生化指标并确定外周血单核细胞(PBMCs;CD4+、CD8+、CD14+、CD21+ 和 WC1+)、代谢组和微生物群组成的特征。在哺乳期(补充环氧乙烷),环氧乙烷组的平均日增重更高(P = 0.030)。环氧乙烷组的 CD14+ 群体(单核细胞)平均值较高,反刍球菌科 UCG-014、粪杆菌、布劳菌和 Alloprevotella 的丰度较低,而 Allistipes 和 Akkermansia 的丰度较高。血浆中一些代谢物的变化,如丁酸、3-吲哚丙酸和琥珀酸,特别是在 T1 期,与肠道微生物群的变化一致。数据表明,早期补充环氧乙烷仅在哺乳期提高饲料效率,同时微生物群和血浆代谢组发生显著变化;然而,从肠道健康的角度来看,并非所有这些变化都是可取的。要证明环氧乙烷是改善犊牛生长性能和健康的天然抗生素替代品,还需要进行更多的研究。
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引用次数: 0
(-)-epicatechin treatment did not modify the thermogenic pathway in the gastrocnemius muscle of male rat offspring obeses by programming. 通过编程,(-)-表儿茶素处理不会改变肥胖雄性后代大鼠腓肠肌的产热途径。
IF 1.7 4区 医学 Q2 Medicine Pub Date : 2024-03-19 DOI: 10.1017/S2040174424000072
María Elena Tejeda, Sergio De Los Santos, Ramón Mauricio Coral-Vázquez, Ana Álvarez-Chávez, Carlos Palma Flores, Elena Zambrano, Juan Pablo Méndez, Patricia Canto

The aim of this study was to analyse the expression of genes related to the regulation of energy metabolism in skeletal muscle tissue by comparing male offspring in two age groups [at 110 and 245 postnatal days (pnd)] from a mother with obesity induced by a high-fat diet and (-)-epicatechin (Epi) administration. Four groups of six male offspring from different litters were randomly selected for the control groups [C and offspring of mothers with maternal obesity (MO)] or Epi intervention groups. We evaluated the effect of Epi on gastrocnemius tissue by analysing the mRNA and protein expression levels of Fndc5/irisin, Pgc-1α, Ucp3, and Sln. Epi significantly increased the Pgc-1α protein in the MO group of offspring at 110 pnd (p < 0.036, MO vs. MO+Epi), while at 245 pnd, Epi increased Fndc5/irisin mRNA expression in the MO+Epi group versus the MO group (p = 0.006).No differences were detected in Fndc5/irisin, Ucp3 or Sln mRNA or protein levels (including Pgc-1α mRNA) in the offspring at 110 pnd or in Pgc-1α, Ucp3, or Sln mRNA or protein levels (including Fndc5/irisin protein) at 245 pnd among the experimental groups. In conclusion, (-)-epicatechin treatment increased Fndc5/irisin mRNA expression and Pgc-α protein levels in the gastrocnemius muscle of offspring at postnatal days 110 and 245. Furthermore, it is suggested that the flavonoid effect in a model of obesity and its impact on thermogenesis in skeletal muscle are regulated by a different pathway than Fndc5/irisin.

本研究旨在通过比较两个年龄组(出生后 110 天和 245 天 (pnd))的雄性后代,分析与骨骼肌组织能量代谢调控有关的基因的表达。从不同窝中随机抽取四组六只雄性后代,分别作为对照组[C和母亲肥胖(MO)的后代]或Epi干预组。我们通过分析Fndc5/鸢尾素、Pgc-1α、Ucp3和Sln的mRNA和蛋白表达水平,评估了Epi对腓肠肌组织的影响。在110 pnd时,Epi明显增加了MO组后代的Pgc-1α蛋白(P < 0.036,MO组与MO+Epi组相比),而在245 pnd时,Epi增加了MO+Epi组与MO组相比的Fndc5/irisin mRNA表达(P = 0.006)。110 pnd时,子代的Fndc5/irisin、Ucp3或Sln mRNA或蛋白质水平(包括Pgc-1α mRNA),以及245 pnd时,各实验组的Pgc-1α、Ucp3或Sln mRNA或蛋白质水平(包括Fndc5/irisin蛋白质)均未发现差异。总之,(-)-表儿茶素能增加出生后第110天和第245天后代腓肠肌中Fndc5/鸢尾素mRNA的表达和Pgc-α蛋白水平。此外,研究还表明,类黄酮在肥胖模型中的作用及其对骨骼肌产热的影响是由与Fndc5/鸢尾素不同的途径调节的。
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引用次数: 0
Breastfeeding moderates the association of maternal pre-pregnancy nutritional status with offspring body composition at 30 years. 母乳喂养可调节母体孕前营养状况与子代 30 岁时身体成分的关系。
IF 1.7 4区 医学 Q2 Medicine Pub Date : 2024-03-15 DOI: 10.1017/S2040174424000047
Bernardo L Horta, Kelly P Coca, Mina Desai, Mariane S Dias, Manoella B Jaccottet, Michael G Ross

Maternal pre-pregnancy body mass index is positively associated with offspring obesity, even at adulthood, whereas breastfeeding decreases the risk of obesity. The present study was aimed at assessing whether breastfeeding moderates the association of maternal pre-pregnancy body mass index with offspring body composition at adulthood, using data from 3439 subjects enrolled in a southern Brazilian birth cohort. At 30 years of age, maternal pre-pregnancy body mass index was positively associated with offspring prevalence of obesity, abdominal obesity, as well as body mass index and fat and lean mass index. Breastfeeding moderated the association of maternal pre-pregnancy obesity with offspring adiposity at 30 years of age. For those breastfed<6 months, body mass index was 4.13 kg/m2 (95% confidence interval: 2.98; 5.28) higher among offspring of obese mothers, in relation to offspring of normal weight mothers, whereas among those breastfed≥6 months the magnitude of the difference was small [2.95 kg/m2 (95% confidence interval: 1.17; 4.73)], p-value for interaction = 0.03. Concerning obesity, among those who had been breastfed < 6 months, the prevalence of obesity was 2.56 (95% confidence interval: 1.98; 3.31) times higher among offspring of obese mothers. On the other hand, among those who were breastfed ≥ 6 months, the prevalence of obesity was 1.82 (95% confidence interval: 1.09; 3.04) times higher among offspring of obese mothers. Therefore, among overweight mothers breastfeeding for more than 6 months should be supported, as it may mitigate the consequences of maternal overweight on offspring body composition.

母体孕前体重指数与后代肥胖呈正相关,甚至在成年后也是如此,而母乳喂养则会降低肥胖风险。本研究旨在利用巴西南部出生队列中 3439 名受试者的数据,评估母乳喂养是否会调节母亲孕前体重指数与后代成年后身体成分的关系。30 岁时,母亲孕前体重指数与后代肥胖率、腹部肥胖率、体重指数、脂肪和瘦肉质量指数呈正相关。母乳喂养调节了母体孕前肥胖与子代 30 岁时肥胖的关系。肥胖母亲的后代与体重正常母亲的后代相比,母乳喂养的后代2(95% 置信区间:2.98;5.28)更高,而母乳喂养≥6 个月的后代之间的差异很小[2.95 kg/m2(95% 置信区间:1.17;4.73)],交互作用的 p 值 = 0.03。关于肥胖问题,在母乳喂养不足 6 个月的人群中,肥胖母亲的后代肥胖率是母乳喂养不足 6 个月的人群的 2.56 倍(95% 置信区间:1.98;3.31)。另一方面,在母乳喂养超过 6 个月的婴儿中,肥胖母亲的后代的肥胖率是前者的 1.82 倍(95% 置信区间:1.09;3.04)。因此,应支持超重母亲母乳喂养超过 6 个月,因为这可减轻母亲超重对后代身体组成的影响。
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引用次数: 0
Anaesthesia and brain development: a review of propofol-induced neurotoxicity in pediatric populations. 麻醉与大脑发育:异丙酚诱导的儿科神经毒性综述。
IF 1.7 4区 医学 Q2 Medicine Pub Date : 2024-03-07 DOI: 10.1017/S2040174424000059
Weixin Zhang, Qi Liu, Junli Wang, Li Liu

With the advancement of medical technology, there are increasing opportunities for new-borns, infants, and pregnant women to be exposed to general anaesthesia. Propofol is commonly used for the induction of anaesthesia, maintenance of general intravenous anaesthesia and sedation of intensive-care children. Many previous studies have found that propofol has organ-protective effects, but growing evidence suggests that propofol interferes with brain development, affecting learning and cognitive function. The purpose of this review is to summarize the latest progress in understanding the neurotoxicity of propofol. Evidence from case studies and clinical studies suggests that propofol has neurotoxicity on the developing brain. We classify the findings on propofol-induced neurotoxicity based on its damage mechanism. We end by summarizing the current protective strategies against propofol neurotoxicity. Fully understanding the neurotoxic mechanisms of propofol can help us use it at a reasonable dosage, reduce its side effects, and increase patient safety.

随着医疗技术的发展,新生儿、婴儿和孕妇接受全身麻醉的机会越来越多。异丙酚常用于麻醉诱导、维持全身静脉麻醉和重症监护儿童的镇静。以往的许多研究发现,异丙酚具有保护器官的作用,但越来越多的证据表明,异丙酚会干扰大脑发育,影响学习和认知功能。本综述旨在总结了解异丙酚神经毒性的最新进展。病例研究和临床研究的证据表明,异丙酚对发育中的大脑有神经毒性。我们根据异丙酚的损伤机制对其诱发神经毒性的研究结果进行了分类。最后,我们总结了目前针对异丙酚神经毒性的保护策略。充分了解异丙酚的神经毒性机制有助于我们以合理的剂量使用异丙酚,减少其副作用,提高患者的安全性。
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引用次数: 0
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Journal of Developmental Origins of Health and Disease
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