PMID- 33378994 OWN - NLM STAT- MEDLINE DCOM- 20210224 LR - 20240226 IS - 1950-6007 (Electronic) IS - 0753-3322 (Linking) VI - 133 DP - 2021 Jan TI - N-acetylcysteine protects neonatal mice from ventricular hypertrophy induced by maternal obesity in a sex-specific manner. PG - 110989 LID - S0753-3322(20)31181-1 [pii] LID - 10.1016/j.biopha.2020.110989 [doi] AB - BACKGROUND: Maternal obesity induces adverse cardiac programming in offspring, and effective interventions are needed to prevent cardiovascular ill-health. Herein we hypothesized that exposure to maternal obesogenic diet-induced obesity in mice results in left ventricular remodelling and hypertrophy in early childhood, and that maternal N-acetylcysteine (NAC) treatment alleviates these effects in a sex-dependent manner. METHODS AND RESULTS: The maternal obesity was induced in mice by the consumption of a Western diet accompanied by a 20 % sucrose solution. To determine the effect of NAC on the cardiac outcomes induced by maternal obesity, obese dams were continuously exposed to the obesogenic diet, with or without the oral NAC treatment during pregnancy. Left ventricular remodelling and hypertrophy occurred as early as 7 days after birth in the male offspring of obese dams (O-OB) compared with controls (O-CO). An over-expression of key genes and markers related to cardiac fibrosis accompanied by more disorganized myofibrils was observed in the hearts of neonatal male O-OB mice. When we next evaluated the level of oxidative stress in the hearts of neonatal mice, the activity of enzymatic antioxidants declined and expression of NOX enzyme complex was up-regulated in O-OB offspring hearts, but was normal in the offspring of NAC treated mice (O-OB/NAC). Maternal obesity also activated cardiac Akt and mammalian target of rapamycin (mTOR) signalling in offspring, and NAC treatment restored offspring cardiac Akt-mTOR signalling to normal irrespective of sex. NAC treatment did not prevent cardiomyocyte hypertrophy but did alleviate increased heart weight, interventricular septal thickness, and collagen content in male O-OB/NAC pups. CONCLUSIONS: Collectively, our results indicated that NAC blunted cardiac fibrosis and related ventricular hypertrophy of male neonatal offspring in the setting of maternal obesity, potentially acting by reducing oxidative stress. The present study provides a basis for investigating the role of NAC in nutrition-related cardiac programming. CI - Copyright (c) 2020 The Authors. Published by Elsevier Masson SAS.. All rights reserved. FAU - Zhang, Jialing AU - Zhang J AD - Cardiovascular Center, Children's Hospital of Fudan University, Shanghai, China; MOH Key Laboratory of Neonatal Diseases at Children's Hospital, Fudan University, Shanghai, China. FAU - Cao, Li AU - Cao L AD - Ultrasound Department, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China. FAU - Tan, Yanfeng AU - Tan Y AD - Institute of Pediatrics, Children's Hospital of Fudan University, Shanghai, China. FAU - Zheng, Yuanzheng AU - Zheng Y AD - Cardiovascular Center, Children's Hospital of Fudan University, Shanghai, China; MOH Key Laboratory of Neonatal Diseases at Children's Hospital, Fudan University, Shanghai, China. FAU - Gui, Yonghao AU - Gui Y AD - Cardiovascular Center, Children's Hospital of Fudan University, Shanghai, China; MOH Key Laboratory of Neonatal Diseases at Children's Hospital, Fudan University, Shanghai, China. Electronic address: yhgui@shmu.edu.cn. LA - eng PT - Journal Article DEP - 20201208 PL - France TA - Biomed Pharmacother JT - Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie JID - 8213295 RN - 0 (Antioxidants) RN - WYQ7N0BPYC (Acetylcysteine) SB - IM MH - Acetylcysteine/*pharmacology MH - Animal Nutritional Physiological Phenomena MH - Animals MH - Animals, Newborn MH - Antioxidants/*pharmacology MH - Disease Models, Animal MH - Female MH - Fibrosis MH - Heart Ventricles/*drug effects/metabolism/physiopathology MH - Hypertrophy, Left Ventricular/etiology/metabolism/physiopathology/*prevention & control MH - Male MH - Maternal Nutritional Physiological Phenomena MH - Mice, Inbred C57BL MH - Obesity, Maternal/*complications/physiopathology MH - Oxidative Stress/*drug effects MH - Pregnancy MH - Prenatal Exposure Delayed Effects MH - Sex Factors MH - Ventricular Function, Left/*drug effects MH - Ventricular Remodeling/*drug effects MH - Mice OTO - NOTNLM OT - Maternal obesity OT - N-acetylcysteine OT - Oxidative stress OT - Sex difference OT - Ventricular hypertrophy EDAT- 2021/01/01 06:00 MHDA- 2021/02/25 06:00 CRDT- 2020/12/31 01:01 PHST- 2020/07/14 00:00 [received] PHST- 2020/10/28 00:00 [revised] PHST- 2020/11/05 00:00 [accepted] PHST- 2020/12/31 01:01 [entrez] PHST- 2021/01/01 06:00 [pubmed] PHST- 2021/02/25 06:00 [medline] AID - S0753-3322(20)31181-1 [pii] AID - 10.1016/j.biopha.2020.110989 [doi] PST - ppublish SO - Biomed Pharmacother. 2021 Jan;133:110989. doi: 10.1016/j.biopha.2020.110989. Epub 2020 Dec 8.