DOI QR코드

DOI QR Code

Effects of Sodium Intake on the Association between the Salt-Sensitive Gene, Alpha-Adducin 1 (ADD1), and Inflammatory Cytokines in the Prevalence of Children Obesity

  • Park, Mi-Young (Department of Food and Nutrition & Research Institute of Obesity Sciences, Sungshin Women's University) ;
  • Lee, Myoung-sook (Department of Food and Nutrition & Research Institute of Obesity Sciences, Sungshin Women's University)
  • Received : 2018.11.05
  • Accepted : 2018.12.06
  • Published : 2018.12.31

Abstract

Objective: To examine the effects of sodium intake on the correlations between the saltsensitive gene ${\alpha}$-adducin 1 (ADD1) and inflammatory cytokines in Korean childhood obesity. Methods: A total of 2,070 students aged 8-9 years old participated in this study. The anthropometrics, serum biochemistry profile, inflammatory cytokines, and three-day dietary assessment were analyzed according to sex, obesity degree, and ADD1 polymorphism. Results: The obesity prevalence was higher in boys (15.6%) than in girls (11.9%). Boys also showed higher values in anthropometrics; lipid, glucose, and insulin profiles; total calorie intakes, as well as those of sodium and calcium compared with those of the girls. The more obese were boys and girls, the higher were the anthropometrics and the blood levels (total cholesterol, triglyceride, low-density lipoprotein cholesterol, fasting blood sugar, and insulin), but the lower was high-density lipoprotein cholesterol. The obese boys had significantly higher sodium and Na/K intakes, while the obese girls had higher visfatin level and Na/K intake. In addition, an increase in the risk factors for blood pressure and obesity in ADD1 variants was identified. Serum tumor necrosis $factor-{\alpha}$($TNF-{\alpha}$) significantly increased with increasing sodium intake in the ADD1 W allele carriers, regardless of sex. The presence of obesity with the ADD1 W allele induced inflammatory accelerators such as $TNF-{\alpha}$ or C-reactive protein(CRP) with higher sodium intake. Conclusion: Obese children with an ADD1w allele can experience a more complex form of obesity than non-obese when exposed to an obesity-inducing environment and need to be controlled sodium intake in the diet.

Keywords

Acknowledgement

Supported by : Ministry of Health & Welfare

References

  1. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2014: Korea National Health and Nutrition Examination Survey (KNHANES VI-2). Cheongwon: Korea Centers for Disease Control and Prevention; 2015.
  2. Styne DM. Childhood and adolescent obesity. Prevalence and significance. Pediatr Clin North Am 2001;48:823-854. https://doi.org/10.1016/S0031-3955(05)70344-8
  3. Cannon B, Nedergaard J. Brown adipose tissue: function and physiological significance. Physiol Rev 2004;84:277-359. https://doi.org/10.1152/physrev.00015.2003
  4. Park Y, Chung SA. A comparison of sources of sodium and potassium intake by gender, age and regions in Koreans: Korea National Health and Nutrition Examination Survey (KNHANES) 2010-2012. Korean J Community Nutr 2016;21:558-573. https://doi.org/10.5720/kjcn.2016.21.6.558
  5. Lee M, Kwon DY, Park J. The impacts of the interaction of genetic variation, CYP1$1{\beta}$2 and NEDD4L, with sodium intake on pediatric obesity with gender difference: a 3-year panel study. Int J Obes 2017;41:542-550. https://doi.org/10.1038/ijo.2016.232
  6. Lee M, Kim MK, Kim SM, Park H, Park CG, Park HK. Gender-based differences on the association between salt-sensitive genes and obesity in Korean children aged between 8 and 9 years. PLoS One 2015;10:e0120111. https://doi.org/10.1371/journal.pone.0120111
  7. Cusi D, Barlassina C, Azzani T, Casari G, Citterio L, Devoto M, et al. Polymorphisms of alpha-adducin and salt sensitivity in patients with essential hypertension. Lancet 1997;349:1353-1357. https://doi.org/10.1016/S0140-6736(97)01029-5
  8. Kiang KM, Leung GK. A review on adducin from functional to pathological mechanisms: future direction in cancer. BioMed Res Int 2018;2018:3465929.
  9. Lechuga S, Amin PH, Ivanov AI. Adducin regulates migration and invasion of normal lung epithelial cells and lung cancer cells. FASEB J 2017;31:465.3.
  10. Beeks E, van der Klauw MM, Kroon AA, Spiering W, Fuss-Lejeune MJ, de Leeuw PW. Alpha-adducin Gly460Trp polymorphism and renal hemodynamics in essential hypertension. Hypertension 2004;44:419-423. https://doi.org/10.1161/01.HYP.0000141410.72537.fd
  11. Choi BH, Kim JB, Do MS. Current trends in nutrigenomics. J Korean Soc Food Sci Nutr 2005;34:1642-1654. https://doi.org/10.3746/jkfn.2005.34.10.1642
  12. Heo EJ, Shim JE, Yoon EY. Systematic review on the study of the childhood and adolescent obesity in Korea: dietary risk factors. Korean J Community Nutr 2017;22:191-206. https://doi.org/10.5720/kjcn.2017.22.3.191
  13. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2009: Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Cheongwon: Korea Centers for Disease Control and Prevention; 2010.
  14. World Health Organization. WHO technical report series 916: diet, nutrition and the prevention of chronic diseases. Report of a Joint WHO/FAO Expert Consultation. Geneva: World Health Organization; 2003.
  15. Libuda L, Kersting M, Alexy U. Consumption of dietary salt measured by urinary sodium excretion and its association with body weight status in healthy children and adolescents. Public Health Nutr 2012;15:433-441. https://doi.org/10.1017/S1368980011002138
  16. Sousa AC, Palma Dos Reis R, Pereira A, Borges S, Freitas AI, Guerra G, et al. Relationship between ADD1 Gly460Trp gene polymorphism and essential hypertension in Madeira Island. Medicine (Baltimore) 2017;96:e7861. https://doi.org/10.1097/MD.0000000000007861
  17. Grimes CA, Riddell LJ, Campbell KJ, Nowson CA. Dietary salt intake, sugar-sweetened beverage consumption, and obesity risk. Pediatrics 2013;131:14-21. https://doi.org/10.1542/peds.2012-1628
  18. He FJ, MacGregor GA. Effect of modest salt reduction on blood pressure: a meta-analysis of randomized trials. Implications for public health. J Hum Hypertens 2002;16:761-770. https://doi.org/10.1038/sj.jhh.1001459
  19. Graudal NA, Galloe AM, Garred P. Effects of sodium restriction on blood pressure, renin, aldosterone, catecholamines, cholesterols, and triglyceride: a meta-analysis. JAMA 1998;279:1383-1391. https://doi.org/10.1001/jama.279.17.1383
  20. O'Shaughnessy KM, Karet FE. Salt handling and hypertension. J Clin Invest 2004;113:1075-1081. https://doi.org/10.1172/JCI200421560
  21. Doaei S, Gholamalizadeh M. The association of genetic variations with sensitivity of blood pressure to dietary salt: a narrative literature review. ARYA Atheroscler 2014;10:169-174.
  22. Liao X, Wang W, Zeng Z, Yang Z, Dai H, Lei Y. Association of alpha-ADD1 gene and hypertension risk: a meta-analysis. Med Sci Monit 2015;21:1634-1641. https://doi.org/10.12659/MSM.893191
  23. Zhu H, Pollock NK, Kotak I, Gutin B, Wang X, Bhagatwala J, et al. Dietary sodium, adiposity, and inflammation in healthy adolescents. Pediatrics 2014;133:e635-e642. https://doi.org/10.1542/peds.2013-1794
  24. Kleinewietfeld M, Manzel A, Titze J, Kvakan H, Yosef N, Linker RA, et al. Sodium chloride drives autoimmune disease by the induction of pathogenic TH17 cells. Nature 2013;496:518-522. https://doi.org/10.1038/nature11868
  25. Wu C, Yosef N, Thalhamer T, Zhu C, Xiao S, Kishi Y, et al. Induction of pathogenic TH17 cells by inducible salt-sensing kinase SGK1. Nature 2013;496:513-517. https://doi.org/10.1038/nature11984
  26. Yilmaz R, Akoglu H, Altun B, Yildirim T, Arici M, Erdem Y. Dietary salt intake is related to inflammation and albuminuria in primary hypertensive patients. Eur J Clin Nutr 2012;66:1214-1218. https://doi.org/10.1038/ejcn.2012.110
  27. Costa AP, de Paula RC, Carvalho GF, Araujo JP, Andrade JM, de Almeida OL, et al. High sodium intake adversely affects oxidative-inflammatory response, cardiac remodelling and mortality after myocardial infarction. Atherosclerosis 2012;222:284-291. https://doi.org/10.1016/j.atherosclerosis.2012.02.037
  28. Liu F, Mu J, Yuan Z, Wu G, Liu E, Zheng S, et al. High salt intake fails to enhance plasma adiponectin in normotensive salt-sensitive subjects. Nutrition 2012;28:422-425. https://doi.org/10.1016/j.nut.2011.08.018
  29. Rodrigues Telini LS, de Carvalho Beduschi G, Caramori JC, Castro JH, Martin LC, Barretti P. Effect of dietary sodium restriction on body water, blood pressure, and inflammation in hemodialysis patients: a prospective randomized controlled study. Int Urol Nephrol 2014;46:91-97. https://doi.org/10.1007/s11255-013-0382-6