Epidemiological and experimental evidence suggests that postnatal diet can amplify detrimental fetal/early programming effects, increasing the risk for the development of CVD, including hypertension, during adulthood(Reference Carlstrom, Sallstrom and Skott1–Reference Vickers, Breier and Cutfield3). First, a poor perinatal environment leads to reduced nephron endowment in the offspring, which may have an impact on blood pressure (BP) later in life(Reference Bagby4, Reference Schreuder and Nauta5). Further, postnatal dietary factors can accelerate the manifestations of hypertension(Reference Carlstrom, Sallstrom and Skott1, Reference Vickers, Breier and Cutfield3, Reference Perala, Moltchanova and Kaartinen6). Recently, several studies have suggested that dietary salt intake is important for the development of hypertension in those with congenitally reduced nephron endowment(Reference Carlstrom, Sallstrom and Skott1, Reference Perala, Moltchanova and Kaartinen6–Reference Simonetti, Raio and Surbek9). Conversely, there are a few studies that failed to note any association between fetal/early programming and salt sensitivity(Reference Langley-Evans and Jackson10–Reference Myrie, McKnight and Van Vliet12). In a previous study(Reference Myrie, McKnight and Van Vliet12), we reported significant (P < 0·05), but modest increases in BP values in the naturally occurring spontaneous intra-uterine growth-restricted (IUGR) (i.e. runt) Yucatan miniature pigs in comparison to their larger littermates. In that study, we found that BP in the low birth weight Yucatan miniature pig was negatively associated (P < 0·05) with nephron endowment(Reference Myrie, McKnight and Van Vliet12). Impaired nephrogenesis as a result of fetal growth restriction is believed to result in a deficit in the kidney's ability to excrete dietary Na, thus contributing to the development of hypertension, CVD and renal disease(Reference Bagby4, Reference Schreuder and Nauta5, Reference Mackenzie, Lawler and Brenner13). However, in our previous study(Reference Myrie, McKnight and Van Vliet12), despite the approximately 40 % reduced nephron endowment in the IUGR Yucatan miniature pigs, a 7 d acute high salt (4·5 % NaCl) challenge revealed no difference in the degree of salt sensitivity between low and larger birth weight pigs. Alternatively, others(Reference Carlstrom, Sallstrom and Skott1) have suggested that chronic salt loading may be necessary to illustrate the detrimental effects of salt and nephron endowment on BP. Indeed, research has shown that lifestyle factors, including postnatal nutrition, may influence the delay or hasten the onset of chronic disease outcomes in low birth weight offspring(Reference Vickers, Breier and Cutfield3, Reference Khan, Dekou and Douglas14, Reference Mitra, Alvers and Crump15). Given the noticeably reduced nephron endowment in the IUGR Yucatan miniature pigs and its association with BP values in these animals, it is possible that long-term salt loading may exacerbate BP outcomes.
Although the role of individual dietary components has been the focus of considerable research, given the complexity of human diets, recent epidemiological research has given greater attention to dietary pattern in the development of CVD(Reference Amini, Esmaillzadeh and Shafaeizadeh16, Reference Kant, Graubard and Schatzkin17). For instance, the underlying cause of primary hypertension is multifactorial, including many dietary factors such as excessive consumption of Na, saturated fat and/or simple carbohydrates (sugar)(Reference Song, Hu and Shi18), all prominent components of a Western-style diet, which has been estimated to account for over 30 % of the world's CVD events(19). Individually, Na, saturated fat and refined carbohydrates have been shown to contribute to elevated BP(Reference Song, Hu and Shi18), and their individual effects may be additive. The present study was designed to evaluate the overall effects of a poor post-weaning diet on the fetal origins of the later development of CVD. Because the intra-uterine environment programmes the risk for later disease, we hypothesised that long-term exposure to an ‘energy-rich, nutrient-poor’ Western-style diet that was high in salt, as well as saturated fat and sugar would exacerbate BP outcomes in our recently developed IUGR Yucatan miniature pig model(Reference Myrie, McKnight and Van Vliet12).
Materials and methods
Animals and study protocol
All animal procedures were approved by the Memorial University of Newfoundland Animal Care Committee in accordance with the Canadian Council on Animal Care Guidelines. Yucatan miniature pigs from six sows from the University's swineherd were studied (average litter size was 8·0 (sem 0·3) piglets). Within each litter, a runt (i.e. IUGR) piglet (618–869 g), defined as weighing approximately 65 % of the birth weight of the largest littermate(Reference Hegarty and Allen20), was sex-matched to a larger (i.e. normal weight (NW)) littermate (1057–1251 g). After allowing for colostrum consumption, each IUGR–NW piglet pair was removed from the sow when 3 d old and housed together, but individually provided ad libitum with rehydrated sow milk replacer (Grober Nutrition, Inc.) eight to ten times daily, with all intakes recorded. To avoid normal competition among suckling piglets, IUGR–NW piglet pairs were weaned early onto formula to allow individual pigs to eat to appetite. A third same-sex, sow-fed control (SF) littermate, closest in weight to the NW piglet (856–1182 g), was left with the sow until weaning when 4 weeks old. All pigs were weaned onto a Western-style high-salt-fat-sugar (HSFS) diet when 4 weeks old, and siblings (IUGR, NW and SF) remained group-housed throughout the study. To quantify individual pig daily feed intake, each pig was fed separately for 5 h/d (12.00–17.00 hours) during which time the diet was freely available and intakes were recorded. This HSFS diet (Table 1) was made by the addition of table salt (40 g/kg; Windsor Company), hydrogenated margarine (50 g/kg; Central Dairies), lard (150 g/kg; Loblaw, Inc.) and granulated sugar (100 g/kg; Lantic) to a standard grower pig diet (Eastern Farmers' Cooperative Society); this formulation provided 50 % of energy intake from fat, 40 % from carbohydrate and 10 % from protein. This Western-style diet was based on the 95th percentile for intake of salt, saturated fat, trans-fat and added sugar in American young adult males (20–39 years old)(21, Reference Kant22). The mineral and vitamin contents were adequate for the predicted growth rate, given the diluted protein concentration of this diet(23). All animals had 24 h ad libitum water access and were maintained on a 12 h day–12 h night cycle (lights on 07.00–19.00 hours). Body weight, crown to rump length and abdominal circumference were measured at least twice weekly before weaning and twice monthly thereafter.
Table 1 Composition of the post-weaning high-salt-fat-sugar (HSFS) diet* fed to the Yucatan miniature pigs
* HSFS diet was made by the addition of lard (150 g/kg; Loblaw, Inc.), hydrogenated margarine (50 g/kg; Central Dairies), salt (40 g/kg; Windsor Company) and granulated sugar (100 g/kg; Lantic) to ground pig grower diet (Eastern Farmers' Cooperative Society).
Biochemical analyses
Monthly blood samples were collected in EDTA tubes, by jugular venepuncture with pigs supine in a V-trough, and plasma stored at − 20°C until later analysis for creatinine concentrations using enzymatic assays (Bioassay Systems).
Radiotelemetric measurement of haemodynamics
When 11 months old, at an average body weight of 62 (sem 3) kg, the pigs underwent surgery for implantation of an arterial BP telemeter (TA11PA-D70; Data Sciences International) and blood sampling catheters. Briefly, anaesthesia was induced with ketamine (22 mg/kg intramuscularly) and xylazine (2 mg/kg intramuscularly) and maintained with 1·0–1·5 % halothane and 3:2 oxygen–nitrous oxide mixture. The BP telemeter body was implanted subcutaneously in the inner hindlimb, with the telemeter catheter inserted 10 cm into the left femoral artery. This investigation was part of a larger series of studies; therefore, two blood sampling catheters (inner diameter 1·0 mm, outer diameter 1·8 mm; Tygon®) were inserted in the left femoral vein, tunnelled under the skin and exteriorised between the shoulder blades. Pigs were given 0·07 ml/kg intravenously trimethoprim (40 mg/ml)/sulfadoxine (20 mg/ml) (Borgal, Intervet Limited) during the first 2 d post-surgery and 300 μg buprenorphrine hydrochloride (Temgesic; Schering-Plough Limited) immediately after surgery and 1 d post-surgery. After surgery, each animal was housed individually.
The telemetry system (Data Sciences International) was set up to monitor haemodynamics and spontaneous locomotor activity in the pigs, as previously described(Reference Myrie, McKnight and Van Vliet12). Individual haemodynamic and activity data were exported from the data acquisition software and transferred to a Microsoft Excel 2000® spreadsheet template for data inspection and analysis. Pigs were allowed at least 8 d recovery from surgery followed by at least 48 h of continuous BP recordings while on the HSFS (4·5 % NaCl) diet. Systolic arterial pressure (SAP), diastolic arterial pressure (DAP), mean arterial pressure (MAP), pulse pressure, heart rate and locomotor activity were recorded in each animal. After the 48 h baseline BP recordings, the pigs were given a standard salt (0·5 % NaCl) version of HSFS for 7 d, with continuous BP recordings for the last 48 h on this diet. At the end of the salt challenge, the diet was reverted to the regular HSFS diet (4·5 % NaCl) until necropsy.
Necropsy and histology
Approximately 5 d after the salt challenge, the pigs were anaesthetised with 105 mg/kg sodium pentobarbital (Euthanyl; Biomeda-MTC), ventilated and maintained with 0·5–1 % halothane with oxygen. Back-fat thickness was measured on the carcass at the midline of the back, caudal to the last rib. Total visceral organs (i.e. intraperitoneal tissues) were frozen at − 20°C, later homogenised (Hobart 4346 Mixer/Grinder; Hobart Corporation) and analysed for fat content using a chloroform–methanol extraction technique(Reference Folch, Lees and Sloane Stanley24). The lipid-containing phase was evaporated to yield the dry weight of lipids expressed as a percentage of the original sample mass. The heart was weighed and dissected into left and right ventricles. The left kidney was removed and immediately perfusion-fixed with 10 % buffered formalin, and then immersion-fixed in more formalin until histology was performed for nephron measurements.
Kidneys were serially sectioned and glomeruli were counted using unbiased stereological procedures(Reference Johnson, Wreford and Hoy25). The kidney was cut along the frontal plane into two approximately equal halves and one half was randomly chosen and sliced into 5 mm slices; every 4th slice (first slice chosen randomly from 1 to 4) was further cut into 5 mm strips and rotated to cut into small blocks of similar size. For each strip, every 5th block (chosen randomly from the interval 1 to 5) was paraffin-embedded and sectioned at 20 μm thickness. The 24th and 25th sections of each block were stained with haematoxylin and eosin for stereological counting of glomeruli numbers (Q) using the optical fractionator program (Stereo Investigator version 4.36; MicroBrightField, Inc.). Total nephron numbers per kidney (N kid) were estimated using
where f1 is the weight of the sampled slices divided by the weight of the whole kidney; 5 is the inverse of the second (block) sampling fraction; 25 is the inverse of the section sampling fraction; P s/2P F is the fraction of the section area used for glomerular counting(Reference Johnson, Wreford and Hoy25). The nucleator program (Stereo Investigator, version 4.36; MicroBrightField, Inc.) was used to count glomeruli as well as to estimate the average glomerular surface area and volume. The nucleator probe takes unbiased measurements in a focal plane sufficiently narrow to avoid over-projection and uses these two-dimensional isotropically oriented measurements to estimate glomerular size.
Statistical analysis
All values are expressed as means with their standard errors and P <0·05 was considered significant. All statistical analyses were carried out using Prism 4 (GraphPad Software, Inc.). To account for potential sex differences, we analysed the haemodynamic data using two-way repeated-measures ANOVA, where the dependent variables included group, sex and the interaction between the two; however, this analysis indicated no significant sex effects. As a result, all group comparisons were assessed by one-way repeated-measures ANOVA followed by Tukey's post hoc test and the results were reported only as overall (combined male and female) group means. For within-treatment comparisons, statistical comparisons were made by paired t tests. To determine the major factors affecting BP, we also performed multiple linear regression analysis with birth weight, litter, pre-weaning diet and adiposity (subcutaneous and visceral fat) as independent variables (Minitab Software version 15.1; Minitab, Inc.).
Results
Effects of birth weight on growth and feed intake
Sexual maturity in Yucatan pigs occurs from the age of 4 to 7 months(Reference Swindle26). Therefore, we partitioned the growth data by developmental periods (Table 2). Before sexual maturity, the IUGR pigs remained significantly smaller than the NW and SF pigs. However, when 7 months old, there were no differences (P>0·05) in body weight between the IUGR and NW pigs; and when 8–12 months old, there were no differences (P>0·05) in body weight among groups, indicating catch-up growth in the IUGR pigs (Table 2). Furthermore, as shown in Table 2, from 1 to 4 (P = 0·021) and from 4 to 7 (P = 0·061) months of age, the fractional growth rates of the IUGR pigs tended to be higher than those of the NW and SF pigs. The higher fractional growth rates of the IUGR pigs appeared to be the result of greater relative feed intake as opposed to improved feed efficiency (Table 2). At the end of the study, when 12 months old, relative back-fat thickness tended to be greater for the IUGR pigs (0·95 (sem 0·05) mm/kg bodyweight, P = 0·07) compared to the NW and SF pigs (0·84 (sem 0·05) and 0·86 (sem 0·06) mm/kg bodyweight, respectively). However, relative visceral fat content was not different among groups (IUGR: 31·6 (sem 2·3) % v. NW: 31·6 (sem 2·1) % v. SF: 29·9 (sem 5·1) %, respectively, P>0·05). These data suggest that catch-up growth in the IUGR pigs was probably associated with greater relative feed intake, leading to greater subcutaneous fat deposition.
Table 2 Growth and feed intake parameters of Yucatan miniature pigs studied
(Mean values with their standard errors (n 6))
IUGR, intra-uterine growth-restricted; NW, normal weight; SF, sow-fed control pigs; ND, not determined.
a,b Mean values within a row with unlike superscript letters were significantly different (P <0·05). Significant differences among groups were assessed by repeated-measures ANOVA followed by Tukey's post hoc test.
* Feed intake before the pigs were 1 month old was ml of reconstituted milk replacer for the IUGR and NW pigs.
Haemodynamics and nephron endowment
As shown in Table 3, on a post-weaning high-salt, high-energy (HSFS) diet, when 12 months old, the IUGR pigs had greater (P = 0·044) DAP values compared to the NW and SF pigs. However, no differences were observed for SAP or other haemodynamic parameters (Table 3). There were also significant correlations between adiposity and BP parameters measured while consuming the HSFS diet (i.e. 4·5 % NaCl) (Fig. 1). However, there were no differences in cardiac parameters among groups (Table 4). The multiple linear regression analyses demonstrated that birth weight, litter, pre-weaning diet, visceral fat and subcutaneous fat, all significantly affected BP parameters, i.e. for DAP, R 2 0·66, P = 0·013; SAP, R 2 0·52, P = 0·082; MAP, R 2 0·66, P = 0·014. However, the impact of each factor varied depending on the BP parameter. Pre-weaning diet (12–19 %), litter (17–21 %) and subcutaneous fat (2–6 %) accounted for a consistent amount of variance for all BP parameters. However, birth weight (26 %) accounted for more of the variance in SAP than visceral fat (7 %) whereas for DAP, visceral fat (15 %) accounted for more variance than birth weight (7 %).
Table 3 Summary of basic haemodynamic parameters for adult Yucatan miniature pigs fed a post-weaning high-salt-fat-sugar (4·5 % sodium chloride) diet and a lower-salt (0·5 % sodium chloride) version of the diet
(Mean values with their standard errors (n 6))
IUGR, intra-uterine growth-restricted; NW, normal weight; SF, sow-fed control pigs; HSFS, high-salt-fat-sugar diet; DAP, diastolic arterial pressure; SAP, systolic arterial pressure; MAP, mean arterial pressure; PP, pulse pressure; HR, heart rate.
a,b Mean values within a row with unlike superscript letters are significantly different (P < 0·05). Significant differences among groups were assessed by one-way repeated-measures ANOVA followed by Tukey's post hoc test.
Blood pressure parameter was significantly affected by the salt content of the diet within a group (i.e. parameter compared vertically within a column): * P < 0·05, ** P < 0·001, *** P < 0·0001 (assessed by paired t test).
Fig. 1 Effects of adiposity on blood pressure parameters in adult Yucatan miniature pigs fed a high-salt-fat-sugar diet. Column A: Correlation between blood pressure parameters and subcutaneous fat deposition (i.e. back-fat thickness), n 16. (a) R 0·55, P = 0·03; (b) R 0·28, P = 0·29; (c) R 0·60, P = 0·01. Column B: Correlation between blood pressure parameters and visceral fat deposition, n 18. (d) R 0·57, P = 0·01; (e) R 0·33, P = 0·18; (f) R 0·55, P = 0·02. IUGR, intra-uterine growth-restricted (○); NW, normal weight (●); SF, sow-fed control pigs (△); DAP, diastolic arterial pressure (mmHg); SAP, systolic arterial pressure (mmHg); MAP, mean arterial pressure (mmHg).
Table 4 Renal and cardiac parameters in adult Yucatan miniature pigs fed a post-weaning high-salt-fat-sugar diet
(Mean values with their standard errors (n 6))
IUGR, intra-uterine growth-restricted; NW, normal weight; SF, sow-fed control pigs.
* Significant differences among dietary treatments were assessed by one-way repeated-measures ANOVA with P < 0·05 as significant.
The IUGR pigs tended to have fewer nephrons per kidney compared to the NW and SF pigs (P = 0·051, Table 4), and nephron number and birth weight were significantly correlated (R 0·64, P = 0·006). However, there were no differences in average individual glomerular size or volume; moreover, plasma creatinine concentrations were not different among groups during any month throughout the study (data not shown), including at necropsy (Table 4).
Salt challenge
Being on a reduced-salt (0·5 % NaCl) version of the HSFS diet for a period of 7 d led to significant reduction in BP values in all groups (P < 0·05, Table 3). On both the reduced-salt (i.e. acute salt challenge) and high-salt (i.e. chronic salt challenge) versions of the HSFS diet, DAP remained more elevated in the IUGR pigs compared to the NW and SF pigs (Table 3). However, the change in BP as a result of the reduced salt challenge showed that the degree of salt sensitivity was not significantly different among groups (Table 3), nor were there significant correlations between the degree of salt sensitivity and birth weight (data not shown).
Discussion
In the present study, the following findings were made in pigs fed a Western-style HSFS diet: (1) the IUGR pigs experienced catch-up growth accompanied by increased adiposity that was correlated with BP; (2) DAP was increased in the IUGR pigs relative to their larger littermates, and the BP of all pigs on the HSFS diet was higher than that previously reported for pigs on regular feed; (3) nephron numbers correlated with birth weight and tended (P = 0·051) to be reduced in the IUGR pigs; (4) a similar modest degree of acute salt sensitivity of BP was present in each group; (5) suckling did not confer any benefit compared to formula feeding in any parameter.
In a recent study, we found that the IUGR Yucatan miniature pigs fed a healthy, standard grower diet experienced early catch-up growth and developed higher BP by early adulthood(Reference Myrie, McKnight and Van Vliet12). The present study was designed to exacerbate the early programming of higher BP by feeding an ‘energy-rich’, ‘nutrient-dilute’, Western-style diet. Even on this poor diet, the IUGR Yucatan miniature pigs experienced catch-up growth by the age of 7 months, due to greater feed intake rather than enhanced feed efficiency (Table 2). It should be noted that because of the higher energy density of the HSFS diets, total feed intakes were lower than in our previous study which led to lower growth rates (i.e. due to lower protein intake). Nevertheless, similar to our previous study, the IUGR pigs tended to have more subcutaneous fat (P = 0·07), suggesting that this early catch-up growth involves greater adiposity. Moreover, both subcutaneous and visceral fat were positively associated with BP parameters (Fig. 1), suggesting that greater adiposity in the IUGR pigs, associated with catch-up growth, may also mediate the increase in BP later in life, similar to studies in rodents(Reference Mitra, Alvers and Crump15, Reference Ozanne and Hales27). The mechanism of such an association is complex, but may be mediated by the vasoactive effects of adipokines including adiponectin and leptin(Reference Yiannikouris, Gupte and Putnam28).
The increased metabolic demand of obesity can also contribute to glomerular hyperfiltration and hypertrophy, thereby promoting glomerulosclerosis(Reference Davy and Hall29, Reference Griffin, Kramer and Bidani30). This risk becomes substantially greater when compounded with reduced nephron numbers(Reference Bagby4, Reference Griffin, Kramer and Bidani30), as observed in the IUGR pigs. In the present study, the similarity in plasma creatinine concentrations among the groups throughout the study suggested that the overall level of glomerular filtration was normal and that there was probably an increased filtration rate in individual nephrons in the IUGR pigs to compensate for the lower number of glomeruli (i.e. nephrons). However, it should be noted that lower creatine stores in leaner IUGR pigs could confound creatine as a marker of glomerular filtration rate. As there was no significant difference in glomerular size among the groups, any increase in filtration by individual nephrons was presumably due to alterations in glomerular function, rather than adaptive changes in glomerular size. These data, combined with the similar modest degree of salt sensitivity of BP in all groups, suggest that renal function of the IUGR pigs was not severely affected despite the moderate reduction in nephron numbers.
The effects of the chronic HSFS diet itself on BP are evident when data from the present study are compared with our previously reported data for a control diet(Reference Myrie, McKnight and Van Vliet12). Relative to that control diet, the post-weaning HSFS (4·5 % NaCl) diet appeared to raise SAP in the NW pigs (from 134 to 152 mmHg) to a greater extent than in the IUGR pigs (from 141 to 151 mmHg), thereby masking the effects of early programming on SAP that we previously observed on the control diet. These data suggest that, in this case, post-weaning nutrition had a greater impact on SAP than fetal/pre-weaning nutrition and development. In contrast, the post-weaning HSFS diet increased DAP more in the IUGR pigs (from 94 to 108 mmHg) compared to the NW pigs (from 90 to 97 mmHg), suggesting that the HSFS diet exacerbated the fetal/early programming of DAP. Indeed, the early programming of DAP persisted regardless of exposure to either the lower- or the high-salt version of the HSFS diet, unlike SAP (Table 3). Thus, such data suggest that while a poor postnatal diet exacerbates fetally programmed DAP, elevations in SAP from such a diet become disconnected from intra-uterine effects, and SAP levels simply reflect the postnatal diet. Such differential effects of prenatal v. postnatal diet environment on systolic and diastolic BP have also been observed in rats, where both SAP and DAP are affected by a fat-rich prenatal diet, whereas only SAP responds to such a diet postnatally, regardless of birth weight(Reference Khan, Dekou and Douglas14). Such findings may not be surprising considering that there are different mechanisms regulating systolic and diastolic BP(Reference Beevers, Lip and O'Brien31, Reference Tin, Beevers and Lip32).
In addition to the effects on BP parameters, chronic consumption of the HSFS diet also had other metabolic effects not reported here. For instance, this diet significantly increased plasma TAG and total cholesterol concentrations in all pigs; however, the levels among groups were not different and no atherosclerotic plaques were observed. Moreover, this diet had no effect on fasting plasma insulin concentrations and insulin sensitivity, and no differences were observed among groups (data not shown).
The general composition of the average Western-style diet tends to be high not only in fats, but also in sugar and salt. Considering the high fat (saturated and trans-fat) content of our HSFS diet, it is feasible that chronic exposure to high dietary fat, in addition to high dietary salt, could contribute to increased SAP in all of the animals, due to diet-related impairment of the vascular system(Reference Hoet, Ozanne and Reusens33–Reference Martyn and Greenwald35). However, the acute lower salt (0·5 % NaCl) challenge demonstrated that much of the apparent effect of the HSFS diet on BP could be reversed by reducing its salt content to regular levels. Compared to our previous study in Yucatan miniature pigs fed a standard post-weaning diet (0·5 % NaCl)(Reference Myrie, McKnight and Van Vliet12), the HSFS (4·5 % NaCl) diet led to an increase in MAP of 12–14 mmHg. However, after 7 d of being on the lower-salt version of the HSFS diet (0·5 % NaCl), MAP (i.e. 118·3 (sem 2·8) and 114·3 (sem 1·8) mmHg for the IUGR and NW pigs, respectively) had decreased to values similar to those measured in pigs fed the 0·5 % NaCl standard diet for 9 months (i.e. MAP: 115·7 (sem 2·9) and 110·6 (sem 3·3) mmHg for the IUGR and NW pigs, respectively)(Reference Myrie, McKnight and Van Vliet12). These findings are consistent with a comprehensive study done in rats, in which the researchers separately examined the effects of dietary fat, NaCl, sugar, and combinations of these components on systemic BP, and found that NaCl had the single most significant effect on BP, followed by the fat content of the diet(Reference Song, Hu and Shi18).
It should also be noted that the HSFS diet is ‘dilute’ in protein and this could have independent effects on BP outcomes by compromising kidney development. However, unlike studies which have demonstrated that a low-protein diet during pregnancy can result in higher BP in the offspring because of reduced nephrogenesis(Reference Bagby4), all animals in the present study were fed the HSFS diet only during the post-weaning stage. Because nephrogenesis is believed to be complete in late gestation in both humans and pigs(Reference Bagby4), the effect of the protein content of the post-weaning diet on nephrogenesis is likely to be minimal. Indeed, compared to our previous study(Reference Myrie, McKnight and Van Vliet12) with a regular diet, the HSFS diet did not seem to affect nephron numbers in the IUGR pigs (296 100 (sem 28 700) v. 250 600 (sem 28 100)).
We also included an SF piglet from each litter to investigate whether pre-weaning diet (i.e. suckling v. formula) has an effect on risk for developing biomarkers of hypertension later in life. However, there were no differences between the NW and SF pigs for any of the parameters examined. While some studies have demonstrated that breast-feeding may lead to reductions in adolescent and adult BP values(Reference Martin, Ben-Shlomo and Gunnell36, Reference Owen, Whincup and Gilg37), others have not(Reference Parikh, Hwang and Ingelsson38, Reference Holmes, Cardwell and McKinley39). However, in Yucatan miniature pigs, it appears that prenatal nutrition, resulting in lower birth weight, is a stronger predictor of risk factors for adult CVD than pre-weaning nutrition.
In summary, lower birth weight and catch-up growth in the IUGR pigs are associated with increased adiposity, which is significantly correlated with BP. Feeding a post-weaning, Western-style diet high in sugar, salt and saturated and trans-fats exacerbated the fetally programmed DAP in the IUGR pigs(Reference Myrie, McKnight and Van Vliet12), resulting in diastolic hypertension. However, while nephron numbers tended to be reduced in the IUGR pigs, this did not severely affect renal function.
Acknowledgements
The present work was supported in part by operating grants to R. F. B. from the Canadian Institutes of Health Research (CIHR) and from the International Life Sciences Institute – North America (ILSI–N.A.). (for further information about ILSI–N.A., call +1 202 659 0074 or email [email protected]). The opinions expressed herein are those of the authors and do not necessarily represent the views of ILSI–N.A. We thank Sophie Gagnon and Brendan Webber for laboratory assistance and Leslie McKnight for assistance with animal care. We are grateful to Dr John McLean, PhD, Memorial University of Newfoundland, for use of histology analytical system. S. B. M. helped design the overall project, conducted the animal experiment, collected and analysed the data, and wrote the manuscript. D. S. M. assisted with the animal experiment and data collection. B. N. V. V. provided guidance and assistance with the experiment and telemetry data analysis, and helped finalise the manuscript. R. F. B. originated and supervised the overall project, obtained funding, assisted with the experiment and finalised the manuscript. The authors have no conflicts of interest.
