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Fenofibrate treatment during lactation prevents liver and adipose tissue associated metabolic dysfunction in a rat model of childhood obesity - 14/06/25

Doi : 10.1016/j.biopha.2025.118166 
Lucas Paulo Jacinto Saavedra a, , Scarlett Rodrigues Raposo a, Ana Letícia Manso Assakawa a, Naiara Cristina Lucredi e, Maria Natália Chimirri Peres a, Silvano Piovan b, Gessica Dutra Gonçalves a, Veridiana Mota Moreira a, Letícia Ferreira Barbosa a, Diana Sousa d, g, h, Flávia Caroline Farias dos Santos c, Andreia Amaro d, g, h, Marcos Divino Ferreira-Junior m, Jones Bernardes Graceli c, n, Paulo Matafome d, Jurandir Fernando Comar e, Rodrigo Mello Gomes f, i, j, Josep C. Jiménez-Chillarón k, l, Douglas Lopes Almeida b, , 1, Paulo Cezar de Freitas Mathias a, , 1
a Department of Biotechnology, Genetics, and Cellular Biology, State University of Maringá, Maringá, PR, Brazil 
b Department of Biochemistry, State University of West Paraná, Cascavel, PR, Brazil 
c Department of Morphology, Federal University of Espírito Santo, Vitória, Brazil 
d Institute of Physiology and Institute of Clinical and Biomedical Research, Faculty of Medicine and Center for Innovative Biomedicine and Biotechnology, University of Coimbra, Coimbra, Portugal Coimbra Health School, ESTeSC, Instituto Politécnico de Coimbra, Coimbra, Portugal Clinical Academic Center of Coimbra, Coimbra, Portugal 
e Department of Biochemistry, State University of Maringá, Maringá, PR, Brazil 
f Laboratory of Endocrine Physiology and MetabolismDepartment of Physiological Sciences, Federal University of Goiás, Goiânia, GO, Brazil 
g Institute of Pharmacology and Experimental Therapeutics, Faculty of Medicine, University of Coimbra, Azinhaga de Santa Comba, Coimbra 3000-548, Portugal 
h CIBB—Centre for Innovative Biomedicine and Biotechnology, University of Coimbra. Institute of Pharmacology and Experimental Therapeutics, Faculty of Medicine. Ph.D. Programme in Experimental Biology and Biomedicine (PDBEB), Institute for Interdisciplinary Research (IIIUC), University of Coimbra, Azinhaga de Santa Comba, Coimbra 3000-548, Portugal 
i Department of Structural and Functional Biology, Institute of Biology, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brazil 
j Obesity and Comorbidities Research Center, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil 
k Institut de Recerca Sant Joan de Déu (IRSJD), Endocrinology, Esplugues, Spain 
l Universitat de Barcelona-Facultat Medicina-Bellvitge, L’Hospitalet, Spain 
m State University of Campinas, Brazil 
n Animal Science, School of Agricultural Sciences, Southern Illinois University, Carbondale, IL, USA 

Correspondence to: Department of Biotechnology, Cell Biology 10 and Genetics, State University of Maringá 5790 Av Colombo, Sala 19, 11, Maringá, PR 87020-900, Brazil.Department of Biotechnology, Cell Biology 10 and Genetics, State University of Maringá5790 Av Colombo, Sala 19, 11MaringáPR87020-900Brazil

Abstract

Childhood obesity and associated comorbidities in adulthood are of great concern worldwide. Evidence highlights the importance of lactation in later disease development. In this sense, obese children are at great risk of developing adult obesity, insulin resistance, type 2 diabetes, and cardiovascular disease at adulthood. PPARα activation during lactation promotes the expression of key enzymes involved in lipid oxidation, and it was associated with reduced adiposity in children. Therefore, we hypothesized that an animal model of childhood obesity, small litter (SL), would lead to the development of obesity and metabolic dysfunction in adulthood, which could be prevented by postnatal PPARα agonism. Wistar dams had their litter reduced, leading to postnatal overfeeding and obesity early in life. SL male pups were treated with fenofibrate, an PPARα agonist, during lactation, from postnatal day (PND) 1 until weaning (PND21), to verify whether PPARα activation prevents the developmental programming at adulthood (PND120). Childhood obesity induced by postnatal overfeeding leads to decreased markers for oxidative metabolism during infancy, leading to increased visceral adiposity and oxidative stress, insulin resistance, hepatic microvesicular steatosis, and increased fibroblast growth factor 21 (Fgf21) expression, followed by decreased brown adipose tissue (BAT) sympathetic nerve activity and decreased Fgfr1 hypothalamic expression in adulthood. Agonist-induced PPARα activation during lactation mitigated the development of aforementioned alterations in adulthood. Postnatal fenofibrate treatment prevents the developmental programming of visceral obesity, liver-associated metabolic dysfunction and BAT autonomic sympathetic hypoactivity in an animal model of childhood obesity.

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Graphical Abstract




 : 

Childhood obesity leads to the development of obesity and metabolic dysfunction at adulthood. Also, decreased BAT nerve sympathetic activity and hypothalamic expression of FGFR1 were observed in this model, despite increased hepatic FGF21 levels. Increased PPARα activation by an agonist injection during the lactation was able to prevent or attenuate obesity and autonomic and metabolic dysfunction induced by postnatal overfeeding observed at adulthood. Created with BioRender.com. BAT – Brown adipose tissue; CNS – Central nervous system; VAT – Visceral adipose tissue.


Childhood obesity leads to the development of obesity and metabolic dysfunction at adulthood. Also, decreased BAT nerve sympathetic activity and hypothalamic expression of FGFR1 were observed in this model, despite increased hepatic FGF21 levels. Increased PPARα activation by an agonist injection during the lactation was able to prevent or attenuate obesity and autonomic and metabolic dysfunction induced by postnatal overfeeding observed at adulthood. Created with BioRender.com. BAT – Brown adipose tissue; CNS – Central nervous system; VAT – Visceral adipose tissue.

Le texte complet de cet article est disponible en PDF.

Highlights

Childhood obesity causes adult obesity, liver dysfunction, oxidative stress, insulin resistance, and high FGF21 expression.
Childhood obesity decreased hypothalamic expression of FGFR1 and activity of BAT innervation at adulthood.
Fenofibrate at lactation prevents adult obesity, metabolic and autonomic dysfunction induced by childhood obesity.

Le texte complet de cet article est disponible en PDF.

Abbreviations : PND, BAT, VAT, SL, DAG, HFD

Keywords : Small litter, Childhood obesity, FGFR1, FGF21, PPAR-alpha


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