1. Introduction
Intrauterine growth retardation (IUGR) generally refers to the abnormal growth and development of the embryo/fetus or its organs during the gestation period [
1]. Neonates with IUGR exhibit oxidative damage, gut dysfunction and reduced muscular growth, which has a perpetual stunting influence on postnatal growth, nutrient availability and the normal function of organs or tissues [
1,
2,
3], and weanling may further aggravate negative influences on the growth and development of IUGR. As a domestic multiparous animal, pigs often suffer a high incidence of IUGR (approximately 15–20%), which would lead to considerable economic losses in the swine industry [
4]. This condition is more common in highly prolific sows because of the competition among embryos for the uterine space, which may lead to an insufficiency of placental growth and inadequate provision of nutrients and oxygen to the fetuses, thus causing more IUGR newborns [
5]. Therefore, it is urgently necessary to develop new strategies to improve the postnatal growth and development of IUGR piglets.
Specific nutritional administration provides a feasible method to relieve the complications of IUGR piglets [
3,
6]. Daidzein, one of the most common isoflavones in leguminous plants, is well-known to show a broad series of biological properties, such as immunomodulatory, antioxidant, anticancer, antimicrobial and estrogenic activities [
7,
8,
9,
10]. Interestingly, several research works have implied that the health benefits of isoflavones might be reliant on their metabolites [
11,
12,
13]. Equol (Eq), a heterocyclic phenol, is a metabolite daidzein-derived by bacteria in the distal ileum and colon [
14]. Eq possesses strong estrogenic, antiandrogenic, antioxidant and anti-inflammatory properties [
15,
16,
17], as well as cell cycle regulatory activity [
18]. Among these biological activities, the antioxidative capacity of Eq has recently gained considerable attention in animal husbandry [
19] and was found to be higher than that of daidzein [
20]. In vitro, Eq pretreatment protects primary chicken intestinal epithelial cells from oxidative damage induced by H
2O
2 via elevating the expressions of antioxidant-related genes and enzymes [
21]. In vivo, equol treatment markedly suppressed oxidative stress-related markers and promoted the activities of catalase (CAT) and total superoxide dismutase (T-SOD) and their mRNA expression in the livers of mice [
17]. Moreover, Eq can block lipopolysaccharide-induced oxidative stress and promote immunoreaction in chicken HD11 macrophages [
16]. In addition, Eq is more easily absorbed, more stable, and has a lower clearance than its precursor, daidzein [
22].
However, no animal experiment has evaluated the influence of Eq treatment on the growth performance and aspects of intestinal health and skeletal muscle development of IUGR piglets. Considering its potent antioxidant ability and other biological functions, it was supposed that Eq may be an effective bioactive compound to relieve the maldevelopment related to IUGR. Hence, the aim of the current study was to investigate the influences of Eq on growth performance, redox status, intestinal health and muscle development of weanling piglets with IUGR.
4. Discussion
Pigs with IUGR are normally characterized by low birth weight and poor postnatal growth [
3,
31]. It has been suggested that the nonreversible oxidative injury, feeblish intestinal function, reduced muscular growth potential and impaired endocrine status and nutrient metabolism leads to the growth check of IUGR piglets [
1,
26,
32,
33,
34]. Consistently, our results showed that piglets with IUGR (birth weight: 0.89 ± 0.06 kg) exhibited a lower ADG and ADFI when contrasted with the NBW piglets (birth weight: 1.53 ± 0.09 kg). Supplementation with Eq increased the final BW, ADG and ADFI of IUGR by 8.39, 14.6 and 15%, which might result in a heavier body weight (about 8.0 kg) at market than IUGR piglets fed a basal diet [
35]. As the precursor of Eq, daidzein was reported to have a beneficial effect on the growth performance of weanling piglets under normal or challenge conditions [
7,
36]; however, whether Eq can improve the growth performance of IUGR piglets has not been reported yet. As expected, supplementation with Eq remarkably promoted the final BW, ADG and ADFI of IUGR piglets when compared to IUGR piglets without Eq treatment. The above results indicated that Eq has a positive influence on relieving the growth retardation of weanling piglets induced by IUGR.
The intestinal tract is a vital place for the digestion, absorption, and metabolism of nutrients [
37]. Intestinal morphology, including villus height, villus width, crypt depth and V/C, is commonly regarded as an important marker to measure intestinal development and function [
38], while substantial evidence has verified that an impaired intestinal structure, such as crypt hyperplasia, villus shedding and mucosal atrophy, often occurs in IUGR weanling piglets and is characterized by worse absorptive and digestive functions, thus leading to growth retardation [
32]. Here, Eq supplementation increased duodenal and jejunal V/C and villus width, and duodenal villus height, and decreased duodenal crypt depth in piglets with IUGR, which suggested that Eq could restore the impaired intestinal morphology caused by IUGR. Consistently, previous research in vitro showed that Eq pretreatment protects primary chicken intestinal epithelial cells from H
2O
2-induced death or debility [
21]. Therefore, the improved intestinal morphology in the present study might contribute to the improvement of growth rate.
Oxidative stress refers to a state of imbalance between the production of and the capacity to scavenge ROS [
39]. However, many studies have indicated that IUGR piglets are susceptible to oxidative injury by elevating MDA levels and impairing the antioxidant defense system [
1,
40]. In this situation, piglets are prone to suffer from villus atrophy, intestinal barrier disorder, infection and inflammation [
41]. The dietary addition of antioxidant substances with capacities to clear free radicals and improve antioxidant ability may be beneficial to maintain the balance of redox status. A previous study demonstrated that Eq can offer strong protective effects on chicken IECs against H
2O
2-induced oxidative injury via promoting T-SOD activity and Nrf2 mRNA levels [
21], and possesses the strongest antioxidant activity among the isoflavone-derived compounds [
42]. In this study, we evaluated the redox status in the serum and small intestine through testing several antioxidant and oxidative indicators. Results showed that the activities of SOD and CAT, two crucial endogenous antioxidant enzymes involved in repairing oxidative injury [
43], elevated in the serum, duodenum or jejunum of piglets in the IUGR + Eq group, suggested that the antioxidant ability of IUGR piglets can be elevated by Eq supplementation. Similarly, Choi [
17] reported that the oral administration of Eq remarkably suppressed the biomarkers of oxidative stress (thiobarbituric acid-reactive substances value, carbonyl content, and serum 8-OH-dG) and increased T-SOD and CAT activities and their mRNA expression in the livers of mice. Meanwhile, we observed a decreased level of MDA, a vital indicator for lipid peroxidation, in the serum, jejunum and ileum of IUGR piglets following Eq supplementation. Studies in J774 macrophage cells revealed that Eq could block low-density lipoprotein (LDL) oxidation via suppressing superoxide radical production and promoting the free nitric oxide level [
44], which suggested that Eq could relieve oxidative injury by the inhibition of lipid peroxidation. Moreover, lipid peroxidation might be involved in the turnover of enterocytes across the crypt–villus axis in the intestine [
45], which may induce a worse intestinal morphology in IUGR group. Therefore, the promotion of antioxidant ability by Eq treatment might conduce a superior intestinal morphology. The mechanism for the antioxidant property of Eq probably relies on its special structure. Briefly, Eq serves as a hydrogen/electron donor to clear free radicals, thus inhibiting the oxidant reaction [
46,
47].
In addition to the absorptive and digestive functions, the intestinal tract also severs as an important physiological barrier between the body and the outer environment [
48]. A previous study confirmed that IUGR could lead to intestinal barrier dysfunction in weaned piglets with increased bacterial translocation, poor intestinal barrier integrity, and disordered expression profiles of barrier-related protein [
49]. In this study, IUGR piglets exhibited higher circulating DAO activity and D-lactate levels than NBW piglets. DAO, an intracellular enzyme, is produced in intestinal epithelia and mainly exists in cytoplasm, and D-lactate is a byproduct of gut bacteria [
50]. Once the intestinal barrier function is impaired, DAO and D-lactate will be released into blood [
51]. Thus, the D-lactate level and DAO activity in the serum normally serve as the key markers for assessing intestinal permeability [
52]. In addition, the increased intestinal permeability would allow the bacteria-derived endotoxin and toxic macromolecules entry into the body [
48]. In this study, a decrease in the serum endotoxin concentration in IUGR piglets was observed when contrasted with that in NBW piglets, which was in line with a previous study [
53]. Our results indicated that IUGR exerts a negative influence on the intestinal integrity of piglets. As a strong antioxidant, Eq shows cell cycle regulatory activity [
18] and a potent repair effect on intestinal morphological injury induced by oxidative stress [
21]. Similarly, supplementation with Eq protected piglets from IUGR-induced damaged intestinal mucosal barrier function, as indicated by reduced serum DAO activity and the levels of D-lactate and endotoxin. The intestinal epithelial barrier is mainly constitutive of epithelial cells anchored by tight junctions, such as OCLN, CLDN families and ZOs, constituting a selective permeable barrier between epithelial cells [
54]. The expression of tight junction protein is critical for sustaining intestinal barrier integrity. However, IUGR could induce continuous damage to the intestinal barrier function via reducing the mRNA levels of tight junction proteins in piglets [
1,
55]. In this study, the lower mRNA levels of
ZO1,
CLDN1 and
OCLN in the jejunum or ileum of IUGR piglets were observed. Thus, the higher intestinal permeability in IUGR piglets might be attributed to the lower mRNA expression of
ZO1,
CLDN1 and
OCLN. In line with the improved intestinal barrier integrity, supplementation with Eq could repair the impaired intestinal barrier function of piglets induced by IUGR. Consistently, an in vitro study showed that pre-treatment with Eq remarkably elevated the transcript abundance of
CLDN1 in H
2O
2 treated primary chicken intestinal epithelial cells [
21]. In addition, intestinal epithelial cells were covered by a layer of mucins and trefoil peptides secreted by goblet cells to form a protective barrier [
56]. Membrane-bound mucins (MUC1) and secreted mucins (MUC2) were recently shown to participate in mucosal repair [
57,
58]. The trefoil factor family 3 (TFF3), a small peptide, exhibits numerous biological properties in the regulation of inflammation, healing and differentiation [
59,
60] and is required for epithelial recovery [
61], thus sustaining intestinal mucosal integrity. An in vivo study in rats demonstrated that IUGR could induce the impairment of mucosal maturation by decreasing the expression of
MUC2 and
TFF3 as contrasted with control pups [
56]. In this study, the upregulation of
MUC1,
MUC2 and
TFF3 in the jejunum or ileum of IUGR piglets following Eq supplementation may benefit the intestinal barrier function and restore mucosal injuries. Therefore, the results from this study, both direct and indirect evidence, suggest that Eq could promote the intestinal barrier function of IUGR piglets partly via upregulating intestinal-barrier-related genes expression.
The levels of serum immunoglobins are considered to be vital markers to evaluate immune status [
55]. In this study, the serum IgG level was reduced in IUGR piglets, which was consistent with the study of Che et al. [
62]. Interestingly, Eq supplementation significantly elevated the serum IgG concentration in IUGR piglets. In addition, increasing evidence has verified that inflammation is a primary inducible factor in intestinal barrier disorder [
54,
63]. Cytokines perform vital roles in the immune and inflammatory responses [
64]. Proinflammatory cytokines, TNF-α and IFN-γ, participate in the inflammatory process and are critical for the initiation of the inflammatory response when animals are infected, whereas the overproduction of proinflammatory cytokines leads to a serious inflammatory response and directly disrupts the epithelial barrier integrity [
65,
66]. IUGR can cause intestinal inflammatory injury by increasing proinflammatory cytokines content and their mRNA expressions [
1]. In this study, the injured intestinal barrier function in IUGR piglets might be partly attributed to the higher TNF-α level in the jejunum and ileum. On the other hand, anti-inflammatory cytokines IL-4 and IL-10 block the overactivation of the immune response and inhibit the overproduction of proinflammatory cytokines to control immune homeostasis [
67]. Thus, we speculated that the higher IL-10 levels in the jejunum and ileum of IUGR piglets was vital for keeping the balance of the immune system. In the present study, decreases in IL-4 and IL-10 levels in the jejunum or ileum of IUGR piglets were found in response to Eq treatment, which was in line with the results in chicken HD11 macrophages [
16]. The mechanisms for the lower TNF-α and IL-0 may rely on the protective effect of Eq in preventing the immune system from overactivation in IUGR piglets. In addition, avoiding the overstimulation of the immune system could save unnecessary nutrient consumption, which may partly contribute to greater growth performance.
Skeletal muscle commonly accounts for 35–40% of the body weight in neonates and the improvement of skeletal muscle development is of great significance for later growth and metabolism [
2]. IUGR hurts the postnatal compensatory growth and development of skeletal muscle and decreases the amount of fast-fiber and total muscle fiber [
68], which potentially leads to reduced muscle mass and delayed muscle maturity [
69]. Consistently, we observed that IUGR significantly reduced the percentage of fast-fibers and the mRNA expressions of
MyHC IIx and
MyHC IIb, and increased the mRNA expression of
MyHC I in the LT muscle of IUGR piglets. A previous study demonstrated that the in ovo injection of Eq remarkably improved muscle water-holding ability, which was related to the improved antioxidant capacity in broilers [
19]. Here, Eq supplementation increased the percentage of fast-fibers and the mRNA expression of
MyHC IIb, which may contribute to an improved growth rate.