Key points
The World Health Organization recommends exclusive breastfeeding until 6 months of age as an important strategy to reduce child morbidity and mortality.
Studies have associated early weaning with the development of obesity and type 2 diabetes in adulthood.
In our model, we demonstrated that early weaning leads to increased insulin secretion in adolescent males and reduced insulin secretion in adult offspring.
Early weaned males exhibit insulin resistance in skeletal muscle.
Early weaning did not change insulin signalling in the muscle of female offspring.
Taking into account that insulin resistance is one of the primary factors for the development of type 2 diabetes mellitus, this work demonstrates the importance of breastfeeding in the fight against this disease.
Abstract
Early weaning (EW) leads to short‐ and long‐term obesity and diabetes. This phenotype is also observed in experimental models, in which early‐weaned males exhibit abnormal insulinaemia in adulthood. However, studies regarding the effect of EW on pancreatic islets are rare. We investigated the mechanisms by which glycaemic homeostasis is altered in EW models through evaluations of insulin secretion and its signalling pathway in offspring. Lactating Wistar rats and their pups were divided into the following groups: non‐pharmacological EW (NPEW): mothers were wrapped with an adhesive bandage on the last 3 days of lactation; pharmacological EW (PEW): mothers received bromocriptine to inhibit prolactin (1 mg/kg body mass/day) on the last 3 days of lactation; and control (C): pups underwent standard weaning at PN21. Offspring of both sexes were euthanized at PN45 and PN180. At PN45, EW males showed higher insulin secretion (vs. C). At PN170, PEW males exhibited hyperglycaemia in an oral glucose tolerance test (vs. C and NPEW). At PN180, EW male offspring were heavier; however, both sexes showed higher visceral fat. Insulin secretion was lower in EW offspring of both sexes. Males from both EW groups had lower glucokinase in islets, but unexpectedly, PEW males showed higher GLUT2, than did C. EW males exhibited lower insulin signalling in muscle. EW females exhibited no changes in these parameters compared with C. We demonstrated distinct alterations in the insulin secretion of EW rats at different ages. Despite the sex dimorphism in insulin secretion in adolescence, both sexes showed impaired insulin secretion in adulthood due to EW.
Early weaning (EW) is a risk factor for metabolic syndrome. Male rats that were
precociously weaned present neonatal malnutrition and, in adulthood, developed
overweight, accumulation of body fat, dyslipidemia, changes in glycemic
homeostasis, hyperleptinemia, and increase of vitamin D. As metabolic profile of
early-weaned females is not known, we investigated the endocrine-metabolic
parameters in adolescence and adult female rats of 2 different EW models. Wistar
lactating rats and pups from both sexes were separated into 3 groups:
non-pharmacological EW (NPEW), dams were involved with a bandage interrupting
suckling in the last 3 days of lactation; pharmacological EW (PEW), dams were
bromocriptine-treated (0.5 mg/twice a day via intraperitoneal
injection) for 3 days before weaning; and control, dams whose pups ate milk
throughout lactation. At 21 days-old, NPEW and PEW females had lower body
weight. At 180 days-old, NPEW and PEW females showed higher feed efficiency,
weight gain, body fat percentage, and greater accumulation of gonadal and
retroperitoneal fat depots associated with adipocyte hypertrophy. NPEW females
also showed hyperphagia. Only NPEW females presented hyperleptinemia. Plasma
thyroid hormones and vitamin D were unchanged among EW females. Regarding sex
hormones, at 45 days-old, no change was found in EW females, while at 180
days-old, PEW females had hypoestrogenemia. EW increases the risk for obesity in
female rats in adulthood, as already demonstrated for males, although through
distinct mechanisms involving some hormones.
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