Intrauterine Growth-Restricted Female Yucatan Miniature Pig Neonates Fed Parenteral Nutrition Exhibit Early Catch-Up Growth Leading to Obesity and Ectopic Fat Deposition in Adulthood
Bibliographic record
Abstract
BACKGROUND: Total parenteral nutrition (TPN) is often used as a lifesaving nutritional regimen in intrauterine growth-restricted (IUGR) neonates. However, nutrition perturbations during the early critical period may permanently program metabolism via methyl-dependent epigenetic alterations that can lead to obesity and dyslipidemia in adulthood. Methyl group availability can be increased by adding betaine and creatine to TPN. OBJECTIVES: We sought to determine whether TPN in early life would have long-term effects on the development of obesity, whether IUGR will exacerbate these TPN-induced effects, and whether supplementing betaine and creatine to TPN will alleviate these effects. METHODS: Twenty four 7-d-old female piglets were randomly assigned to suckled, TPN-control diet (TPN-control), and TPN with betaine and creatine groups. Eight IUGR piglets were fed TPN (TPN-IUGR) as a fourth group. After 2 wk of TPN, all pigs received semi-restricted standard feed until adulthood (9 mo). Plasma and tissues were measured for lipids, hormones, and other metabolites associated with the development of obesity and metabolic syndrome. RESULTS: Growth rates of TPN-IUGR were 32% and 42% greater than TPN-control during the 1-4 mo and 4-6 mo periods, respectively (P < 0.05), indicating catch-up growth, which led to greater adiposity, as indicated by a 16% higher backfat thickness at 9 mo (P < 0.05). Moreover, TPN-IUGR pigs had 2.54-fold and 3.28-fold greater (P < 0.05) accumulation of ectopic triglyceride deposition in the liver and skeletal muscle, respectively, possibly due to 67% greater fasting plasma nonesterified fatty acids (P < 0.001). TPN-control was not different from suckled or TPN with betaine and creatine pigs, suggesting that feeding TPN during the neonatal period did not result in obesity later in life, and methyl nutrient supplementation to TPN had no effect on obesity. CONCLUSIONS: IUGR has a profound effect on developing obesity later in life, but TPN feeding does not lead to obesity in adulthood.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".