孕妇盐摄入量影响胎儿肾发育

A new animal study from Europe has drawn¹ an association between pregnant mothers' sodium²（钠） intake³ and their newborn's kidney development. Among the most significant aspects of the study's findings is that either too much or too little salt during pregnancy⁴ had an adverse⁵ effect on the prenatal development of the offspring's kidneys. The consequence of such disruption can lead to high blood pressure in later years. These are the conclusions reached in the study, "Both High and Low Maternal⁶ Salt Intake in Pregnancy Alters Kidney Development in the Offspring," conducted by Nadezda Koleganova, Grzegorz Piecha, Annett Müller, Monika Weckbach, Peter Schirmacher, and Marie-Luise Gross-Weissmann, Eberhard Ritz and Luis Eduardo Becker, all with the University of Heidelberg in Heidelberg, DE; and Jens Randel Nyengaard of the University of Aarhus, Aarhus, DK. Their study is published in the online edition of the American Journal of Physiology⁷--Renal Physiology. #

Background #

This research builds upon past studies that recognize that excessive salt intake causes secretion⁸（分泌） of endogenous（内生的） cardiotonic（强心剂） steroids such as marinobufagenin (MBG). For the pregnant female, this can be harmful since high concentrations of MBG are correlated to low birth-weight and higher blood pressure in the offspring.

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Previous research has also linked high blood pressure with a low nephron（肾元） number, critical because the nephron is the basic structural⁹ and functional¹⁰ unit of the kidney. The nephron eliminates wastes from the body, regulates blood volume and blood pressure, controls levels of electrolytes and metabolites, and regulates blood pH. Its functions are vital to life and are regulated by the endocrine system. #

Methodology #

Sprague-Dawley rats were fed low, intermediate or high sodium diets during pregnancy and lactation. The litters were standardized¹¹ to identical size at birth with 1:1 male to female ratio. The offspring were separated from their mothers at four weeks of age and subsequently received the intermediate sodium diet. The animals had free access to water and food and their body weight, food and water consumption were monitored weekly.

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The kidney structure was assessed at postnatal weeks 1 and 12, and the expression of proteins known to be involved in kidney development were examined at birth and 1 week of age. Blood pressure was measured by telemetry（遥测技术） in male offspring between the ages of two and nine months. #

Results#p#分页标题#e#

The researchers found that the number of glomeruli (the main structural unit of the kidney) during weeks 1-12 were significantly lower, and the measured blood pressure for males after the fifth month was higher in offspring of mothers on high- or low- compared with intermediate-sodium diet. High salt diet was paralleled（并行的） by higher concentrations of marinobufagenin in the amniotic fluid（羊水） and an increase in the expression of both GDNF and its inhibitor, sprouty-1 in the offspring's kidney. The expression of FGF-10, a genetic¹² signal responsible for kidney development, was lower in offspring of mothers on low-sodium diet and the expression of Pax-2 and FGF-2, tissue-specific genes¹³ that determine cell lineages, tissue patterning, and cellular¹⁴ proliferation was lower in offspring of mothers on high-sodium diet. #