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Facultad de Ciencias Experimentales y Técnicas, Universidad San Pablo-CEU, E-28668 Boadilla del Monte, Madrid, Spain
2To whom correspondence and reprint requests should be addressed.
| ABSTRACT |
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KEY WORDS: sucrose-rich diet pregnancy hypertriglyceridemia VLDL rats
| INTRODUCTION |
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Although the mechanism is not yet completely understood, in male rats,
the increase in plasma triglyceride levels due to high sucrose intake
is multiphasic, depending on the period of treatment. These levels
increase progressively until d 2225 of treatment, then decline up to
normal values at 4550 d and rise again to attain the highest values
at 7590 d (Gutman et al. 1987
).
Both hypertriglyceridemia and insulin resistance occur during pregnancy
in humans (Alvarez et al. 1996
, Freinkel 1980
, Montelongo et al. 1992
) and rats
(Knopp et al. 1970
, Martin-Hidalgo et al. 1994
, Ramirez et al. 1983
). Gestational
hypertriglyceridemia seems to be the result of enhanced production of
triglycerides by the liver (Wasfi et al. 1980
) and
decreased clearance of circulating triglycerides, which is a
consequence of reduced lipoprotein lipase activity in adipose tissue
(Herrera et al. 1988
, Martin-Hidalgo et al. 1994
). Although one would expect that these changes would be
greatly enhanced when a sucrose-rich diet
(SRD)3
is fed during pregnancy, we found previously that the
hypertriglyceridemic responsiveness to this diet is similar in virgin
and pregnant rats when fed for 20 d (Soria et al. 1996
). However, a SRD during pregnancy in rats has been
reported to have teratogenic effects (Ornoy and Cohen 1980
) or to reduce fetal or newborn weights (Jen et al. 1991
, Soria et al. 1996
), although other authors
report no effect on this variable (Oliveros et al. 1995
).
Although the response to a SRD may differ depending on the time of treatment, this time effect has not been studied previously in female rats, nor has the nature of the variation in gestational hypertriglyceridemia and pregnancy outcome been examined when established at different times after SRD intake. Thus, the goal of the present work was to compare the long-term effects of SRD on plasma triglycerides in pregnant and virgin female rats.
| MATERIALS AND METHODS |
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Female Sprague-Dawley rats from our animal quarters were initially
fed a nonpurified diet (B&K Universal, Barcelona, Spain) and housed
under controlled light and temperature conditions (12-h light:dark
cycle; 2223°C). The experimental protocol was approved by the
Animal Research Committee of the University San Pablo-CEU in
Madrid, Spain. Rats weighing either 160170 g or 140150 g (9 and 7
wk old, respectively) were divided into two groups as follows:
1) experimental, in which rats were fed a purified
sucrose-rich diet (63 g sucrose/100g; SRD); and 2)
control, in which rats were fed the same diet except that the sucrose
was replaced with cornstarch (63 g/100g; CD). The diets were based on
the AIN-76A diet; its composition has been reported previously
(Soria et al. 1996
). Both diets were isocaloric (15.28
kJ/g) and rats had free access to food and tap water.
Half of the rats (initial weight 160170 g) from each group were mated with males of the same strain after 5 d of consuming the diets; rats initially weighing 140150 g were mated after 45 or 90 d of consuming the diets. The day spermatozoids appeared in vaginal smears was considered d 0 of gestation. Rats were housed in collective cages (n = 4/cage). Daily food intake was not measured directly and was estimated only roughly because a considerable loss of food was detected. However, there were no apparent differences in food intake between rats fed SRD and CD (data not shown).
Pregnant and virgin rats were always studied in parallel. On different days of the experiment, blood was collected from the tip of the tail into heparinized receptacles. On d 25, 65 or 110 of feeding, the SRD or the CD, which always corresponded to d 20 of pregnancy in the case of pregnant rats, rats were decapitated and trunk blood was collected into ice-chilled tubes containing 1g/L Na2-EDTA. The two uterine horns were dissected immediately to obtain the whole conceptus and fetal weights. Livers were quickly removed and placed into liquid nitrogen before freezing at -80°C until analysis.
Analytical methods.
Plasma was separated by centrifugation at 1500 x g for 15 min at 4°C. Plasma samples from tail blood were kept frozen until processed, but plasma from trunk blood was subjected immediately to sequential ultracentrifugation in a Beckman TL-100 ultracentrifuge (Beckman Instruments España, Madrid, Spain) with a Beckman TLA 100.2 rotor. VLDL were separated at 224,000 x g for 3 h at d = 1.006 kg/L. Supernatants were recovered by tube slicing; after appropriate dilution, triglycerides were determined by a whole enzymatic method with colorimetric determination, using a commercial kit (#B-7648, Meranini Diagnostic, Florence, Italy). Triglyceride concentration was also determined in plasma using the same commercial kit.
Portions of frozen liver were extracted with chloroform/methanol (2:1)
(Folch et al. 1957
). Triglycerides were quantified after
image analysis and separation by one-dimensional TLC (Ruiz and Ochoa 1997
) using the G5700 BIOIMAGE TLC scanner of
Bio-Rad (Hercules, CA). Spots were quantified as integrated optical
densities (IOD) against an internal standard of cholesteryl formate,
which had been included in every application. Calibration curves were
constructed by plotting the IOD of triglyceride standards, corrected by
the IOD of cholesteryl formiate, vs. the amount of lipid loaded, and
were drawn from second-order least-square regression equations.
Statistics.
Data are expressed as means ± SEM. Data were log transformed because it was necessary to achieve equal variance among means. Statistical analysis of data was performed by one-way ANOVA followed by Tukeys test to establish differences among the four groups in rats treated for 25, 65 or 110 d. Two-way ANOVA was performed to test the main and interactive effects of diet and pregnancy on plasma triglycerides. Three-way ANOVA was also performed to test the main and interactive effects of diet, pregnancy and time of treatment, at the end of each experiment. Differences between two groups were analyzed by the Students t test. All statistical analyses were performed using a computer software package (Systat Version 5.03, Wilkinson, Evanston, Il).
| RESULTS |
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| DISCUSSION |
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The development of hypertriglyceridemia during the induction period of
feeding a SRD (25 wk) in male rats appeared to be the combined effect
of increased liver VLDL secretion and decreased clearance in the
presence of insulin resistance (Bernal et al. 1989
,
Gutman et al. 1987
). These changes coincided with those
taking place during pregnancy under normal conditions
(Martín et al. 1986
, Soria et al. 1996
). Because present findings showed that
hypertriglyceridemia has already developed after 5 d of feeding
SRD in nonpregnant rats, it is possible that liver VLDL secretion
capability was stimulated, whereas extrahepatic clearance was already
decreased in nonpregnant rats after this short time of feeding the SRD,
leaving no possibility of additional changes when pregnancy was
initiated. Liver triglyceride secretion rate would also depend on
triglyceride availability, and it seems that due to the enhanced
ability to secrete newly formed triglycerides in pregnant rats fed the
SRD for 25 d (Soria et al. 1996
), the liver does
not accumulate triglycerides as in virgin rats. This would limit the
possibility for an additional increment in liver triglyceride secretion
when rats fed the SRD are studied during pregnancy, thus avoiding an
additional increase in plasma triglyceride levels in pregnant rats fed
the SRD over those in rats fed the CD.
Consistent with previous studies conducted in male rats (Gutman et al. 1987
, Schonfeld and Pfleger 1971
), we
found a spontaneous normalization of plasma triglyceride levels in the
medium-term treatment with the SRD in female rats (4050 d), which
was followed by a recurrent period that was not modified when rats were
subjected to pregnancy and studied at d 65 of consuming the same diet.
This recurrent period also appears with a glucose intolerance and
insulin resistance condition in nonpregnant rats (Gutman et al. 1987
); here again, the metabolic conditions seem to mimic those
normally found in pregnancy. Thus, it is not surprising that the
hypertriglyceridemic responsiveness of pregnancy in control rats is
similar to that seen in nonpregnant rats fed the SRD for this period of
time; nevertheless, one would expect that these changes would be
synergistically enhanced when the two conditions coincide. However, it
was found here that not only does pregnancy not enhance the
hypertriglyceridemic effect of the SRD but that pregnant rats fed the
SRD for either 25 or 65 d had a lower liver triglyceride
concentration than virgin rats. This difference is likely a consequence
of the greater capability of the liver of pregnant rats to secrete
triglycerides, as discussed above. In fact, this hypothesis agrees with
the findings of previous reports showing unchanged or even decreased
liver triglyceride concentrations in control rats during late pregnancy
despite hypertriglyceridemia (Herrera et al. 1969 and 1988
, Montes et al. 1978
).
The difference in liver triglyceride concentration between pregnant and
nonpregnant rats disappeared, however, when rats were studied at d 110
of consuming the SRD; at that time point, liver triglycerides had
accumulated in pregnant as in virgin rats, and plasma VLDL
triglycerides in SRD-fed rats in late pregnancy reached a higher
level than in pregnant rats fed the CD. At this time, the net body
weight increase of pregnant rats (free of conceptus) fed the SRD is
greater than that in any other condition studied. Because we know that
the increase in net maternal body weight during pregnancy corresponds
mainly to fat (Herrera et al. 1988
,
López-Luna et al. 1986
), such a change indicates
that those rats had highly enhanced fat depots. Significant increases
in body weight gain and food intake were seen previously in male rats
fed the SRD for 30 wk, although not for shorter time periods
(Lombardo et al. 1996
). Because pregnancy itself causes
hyperphagia, the increase in body weight found in our pregnant rats fed
the SRD for 110 d may have been the result of an enhanced intake
of sucrose; thus, they reached the threshold for fat accumulation
earlier than nonpregnant rats fed the same diet.
The increase in plasma triglycerides in pregnant rats fed the SRD for
110 d to the level found in nonpregnant rats would indicate that
liver triglyceride export capability can become saturated. A saturation
of triglyceride output capability was reported previously in perfused
livers or cultured hepatocytes of nonpregnant rats after consumption of
the SRD for short (3 d to 3 wk) or long (15 wk) periods (Bernal et al. 1995
, Boogaerts et al. 1984
,
Yamamoto et al. 1987
), and any further uptake or
synthesis of triglycerides would result in increased cellular storage.
Thus, because we found that liver triglyceride accumulation occurred
only in pregnant rats fed the SRD for 110 d but not for shorter
period of times, whereas it was already present in nonpregnant rats at
25 d, it appears that the high capability of maternal liver to
secrete triglycerides during pregnancy protects her from developing a
fatty liver when fed a SRD for short periods of time.
In agreement with previous reports carried out for only 19 d
(Oliveros et al. 1995
), feeding a SRD for up to 110 d did not affect pregnancy outcome in the present study. This finding
contrasts, however, with the decreased fetal weight reported previously
in pregnant rats fed SRD for 25 d (Soria et al. 1996
). The reason for this different response is unknown, but
it could reside in the strain because Wistar rats were used in that
study, whereas Sprague-Dawley rats were used here. More experiments
are required, however, to determine the precise reason(s) for this
different response, which may well be secondary to differences in the
sensitivity of the response to sucrose in other metabolic sites,
including maternal insulin resistance. In any case, these findings show
that the conditions of exaggerated maternal hypertriglyceridemia and
liver triglyceride accumulation that are seen in pregnant rats fed the
SRD for 110 d do not necessarily impair fetal growth; such
protection could well be the result of the impermeability of the
placenta for maternal circulating triglycerides (Herrera et al. 1998
).
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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3 Abbreviations used: CD, control diet; IOD, integrated optical density; SRD, sucrose-rich diet. ![]()
Manuscript received May 30, 2000. Initial review completed July 14, 2000. Revision accepted August 22, 2000.
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