Document Detail


Maternal diabetes programs hypertension and kidney injury in offspring.
MedLine Citation:
PMID:  20422227     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We investigated whether maternal diabetes programs the offspring to develop hypertension and kidney injury in adulthood and examined potential underlying mechanisms. In a murine model we studied the offspring of three groups of dams (non-diabetic, diabetic, and diabetic treated with insulin). Mean systolic blood pressure in the offspring was monitored from 8 to 20 weeks. Body and kidney weights in the offspring of diabetic mothers were significantly lower than in offspring of non-diabetic mothers. Offspring of diabetic mothers developed hypertension, microalbuminuria, and glucose intolerance. Increased accumulation of extracellular matrix proteins in the glomeruli and marked upregulation of angiotensinogen, angiotensin II type 1 receptor, angiotensin-converting enzyme, transforming growth factor beta-1 (TGF-beta1), and plasminogen activator inhibitor-1 (PAI-1) gene expression were evident in the renal cortex of hypertensive offspring of diabetic mothers. By contrast, angiotensin-converting enzyme-2 (ACE2) gene expression was lower in the hypertensive offspring of diabetic mothers than in that of non-diabetic mothers. These changes were prevented in the offspring of insulin-treated diabetic mothers. These data indicate that maternal diabetes induces perinatal programming of hypertension, renal injury, and glucose intolerance in the offspring and suggest a central role for the activation of the intrarenal renin-angiotensin system and TGF-beta1 gene expression in this process.
Authors:
Yun-Wen Chen; Isabelle Chenier; Stella Tran; Michael Scotcher; Shiao-Ying Chang; Shao-Ling Zhang
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-04-27
Journal Detail:
Title:  Pediatric nephrology (Berlin, Germany)     Volume:  25     ISSN:  1432-198X     ISO Abbreviation:  Pediatr. Nephrol.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-05-21     Completed Date:  2010-08-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8708728     Medline TA:  Pediatr Nephrol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1319-29     Citation Subset:  IM    
Affiliation:
Department of Medicine, Université de Montréal and Research Centre, Centre hospitalier de l'Université de Montréal (CRCHUM)-Hôtel-Dieu, 8-227, Pavillon Masson, 3850 Saint Urbain Street, Montreal, QC, H2W 1T7, Canada.
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MeSH Terms
Descriptor/Qualifier:
Animals
Blood Pressure / genetics
Body Weight
Diabetes Mellitus, Experimental / genetics*,  metabolism,  physiopathology
Diabetic Nephropathies / genetics*,  metabolism,  physiopathology
Female
Gene Expression Regulation, Developmental* / drug effects
Glucose Intolerance / genetics
Hypertension / genetics*,  metabolism,  physiopathology
Insulin / pharmacology
Kidney / growth & development,  pathology
Mice
Organ Size
Peptidyl-Dipeptidase A / genetics,  metabolism
Pregnancy
Pregnancy in Diabetics / genetics*,  metabolism,  physiopathology
Prenatal Exposure Delayed Effects / genetics*
Transforming Growth Factor beta1 / genetics,  metabolism
Grant Support
ID/Acronym/Agency:
MOP86450//Canadian Institutes of Health Research
Chemical
Reg. No./Substance:
0/Transforming Growth Factor beta1; 11061-68-0/Insulin; EC 3.4.15.1/Peptidyl-Dipeptidase A; EC 3.4.17.-/angiotensin converting enzyme 2

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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