Dimethylglycine Sodium Salt Alleviates Intrauterine Growth Restriction-Induced Low Growth Performance, Redox Status Imbalance, and Hepatic Mitochondrial Dysfunction in Suckling Piglets

This study aimed to investigate the mechanism of redox status imbalance and hepatic mitochondrial dysfunction induced by intrauterine growth restriction (IUGR) and relieve this condition through dimethylglycine sodium salt (DMG-Na) supplementation during the suckling period. Thirty normal birth weight (NBW) and 30 IUGR newborns were selected from 20 sows. Briefly, 1 NBW and 1 IUGR newborn were obtained from each litter of 10 sows, and 10 NBW and 10 IUGR newborns were obtained. Additionally, 2 NBW and 2 IUGR newborns were obtained from each litter of another 10 sows, and 20 NBW newborns were allocated to the N [basic milk diets (BMDs)] and ND (BMDs+0.1% DMG-Na) groups. Furthermore, 20 IUGR newborns were assigned to the I (BMDs) and ID (BMDs+0.1% DMG-Na) groups. The results revealed that the growth performance, serum and hepatic redox status, and hepatic gene and protein expression levels were lower (P < 0.05) in the I group compared to the N group. Additionally, supplementation with DMG-Na (ND and ID groups) improved (P < 0.05) these parameters compared to the non-supplemented groups (N and I groups). In conclusion, the activity of Nrf2/SIRT1/PGC1α was inhibited in IUGR newborns, and this led to their hepatic dysfunctions. Supplementation with DMG-Na activated Nrf2/SIRT1/PGC1α in IUGR newborns, thereby improving their performance.


INTRODUCTION
Intrauterine growth restriction (IUGR) is defined as small-sized individuals at gestational age possessing weights of below the tenth-centile or the population mean minus 2 standard deviations of a population-based nomogram, and this condition is an important issue in animal husbandry (1). IUGR exerts a permanent stunting effect on the efficiency of nutrient utilization, which results in impaired long-term health. This is probably due to lack of food intake, disease, or oxidative damage (2). Liver dysfunction is associated with growth restriction and metabolic disorders during various periods of life. However, little is known regarding the postnatal effects of IUGR on hepatic function. This should be an important topic, as the liver is one of the most important organs that plays an essential role in the metabolism and transformation of nutrients (3). After birth, slow hepatic development may contribute to slow postnatal growth rates in neonates with IUGR, and altered redox status and hepatic mitochondrial function may negatively affect the growth performance of neonates with IUGR throughout postnatal development and later in adulthood (4).
Mitochondria are crucial in converting nutrients into energy through cellular respiration. Thus, compromised hepatic mitochondrial functions are associated with numerous diseases (5). Nuclear factor erythroid 2-related factor 2 (Nrf2) is crucial in maintaining mitochondrial function and is also involved in the activation of the antioxidant defense system (6). Peroxisome proliferator-activated receptor-γ coactivator-1α (PGC1α) is a coactivator that possesses major pleiotropic functions in mitochondrial biogenesis, as it induces the upregulation of mitochondrial genes both at the nuclear and mitochondrial genome levels (7). Its downregulation is usually accompanied by elevated reactive oxygen species (ROS) that are induced by oxidative damage, and finally, result in the activation of antioxidant defenses system (both enzymatic and nonenzymatic) (7). Sirtuin 1 (SIRT1) is originally described as a factor regulating DNA repair and is highly sensitive to cellular redox status, which is also known to control genomic stability and cellular metabolism (8). Studies have found that SIRT1 physically interacted with and deacetylated PGC1α at multiple lysine sites, thus influencing the redox status and mitochondrial function of cells (9).
Dimethylglycine sodium salt (DMG-Na) can improve the redox status of the body and relieve oxidative damage by scavenging the excessive generated free radicals. This is due to its ability to act as an important material for glutathione synthesis. It was found that DMG-Na can protect the body against oxidative damage by improving the utilization of oxygen, thus improving their performance (10)(11)(12). In the present study, loss of SIRT1 activity impaired hepatic mitochondrial function via its substrate PGC1α, thus destroying the redox status balance and impairing the performance of IUGR suckling piglets. This work also provides a novel insight that supplementation with dimethylglycine sodium salt relieves hepatic redox status imbalance and mitochondrial dysfunction of IUGR pigs via the Nrf2/SIRT1/PGC1α network.

MATERIALS AND METHODS
This trial was conducted in accordance with the Chinese guidelines for animal welfare and experimental protocols for animal care and was approved by the Nanjing Agricultural University Institutional Animal Care and Use Committee.

Experiment Design
In this study, 30 normal birth weight (NBW) newborn piglets (1.53 ± 0.04 kg) and 30 IUGR newborn piglets (0.76 ± 0.06 kg) were selected from 20 sows [Duroc × (Landrace × Yorkshire)] according to a previously described method (13). All sows possessed a similar birth order (3rd) and were fed the same gestating diet that met the National Research Council (NRC, 2012) nutrient requirements. Briefly, one NBW and one IUGR newborn were obtained from each litter of the 10 sows, and 10 NBW newborns (NBW group) and 10 IUGR newborns (IUGR group) were obtained for this study. Additionally, two NBW and two IUGR newborns were obtained from each litter of another 10 sows, and the 20 NBW newborns were allocated to the N (basic milk diets) and ND (basic milk diets + 0.1% DMG-Na) groups. Further, 20 IUGR newborns were assigned to the I (basic milk diets) and ID (basic milk diets + 0.1% DMG-Na) groups. The two NBW newborns from one litter were separated into N and ND groups, and the two IUGR newborns from one litter were divided into I and ID groups. The newborns were fed milk diets for 7-21 days. DMG-Na (99.9% purity) was obtained from Qilu Sheng Hua Pharmaceutical Co., Ltd., Shandong, China.
Newborns were weighed at 0, 7, 10, 13, 16, 19, and 21 days of age. They were fed warm milk that was collected from their corresponding mother every 2-3 h (∼9-10 times daily). Each sow was specially attended by experienced staff to collect milk and calculate their body weight. Before the trial, the corresponding staff visited the sows daily and touched them gently. This was performed to allow the sows to adapt to the presence of staff and to reduce unnecessary stress responses. In this study, we intended to imitate the natural feeding conditions for piglets and fed them individually from bottles for 14 days. The piglets in the four groups (N, ND, I, and ID) were raised in plastic houses (1.5 m × 0.7 m × 0.7 m; environmentally controlled; ambient temperature of 33 • C) and were freely provided with water.

Sample Collection
The blood samples from the selected 10 NBW newborns and 10 IUGR newborns were withdrawn from the precaval vein, and the animals were then stunned by electric shock and subsequently slaughtered by jugular bloodletting within 2 h after birth without suckling. At 21 days of age, 40 suckling piglets from the N, ND, I, and ID groups (10 piglets per group) were weighed prior to euthanization, and the blood samples were withdrawn from the precaval vein. The piglets were then anesthetized via electrical stunning and sacrificed by exsanguination, and liver samples were subsequently obtained. The serum samples were separated by centrifugation at 3,500 × g for 15 min at 4 • C and then stored at −80 • C until analysis. The hepatic tissue was removed from the abdominal cavity immediately after the animal died and was collected for analysis of the indicators described below.

Serum ALT and AST Study
Serum was individually used to measure the levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) using the corresponding assay kit following the manufacturer's instructions (Nanjing Jiancheng Institute of Bioengineering, Jiangsu, China).

Histological Morphology Study
Hepatic samples fixed in 4% buffered formaldehyde were dried using a graded series of xylene and ethanol and then embedded in paraffin for histological processing. The hepatic samples (5 µm in size) were then deparaffinized using xylene and rehydrated with graded dilutions of ethanol. Slides were stained with hematoxylin and eosin (HE). Ten slides for each sample (middle site of the samples) were prepared, and images were acquired using an optical binocular microscope (14).
Hepatic samples were fixed in 1% (v/v) glutaraldehyde solution and stored in the same solution until processing. After post-fixation for 5 min in 2.5% (w/v) osmium tetroxide, hepatic samples were conventionally processed for visualization via transmission electron microscopy and examined in a Philips 420 transmission electron microscope at 80 kV (14).

Redox Status Study
Hepatic samples were homogenized in 0.9% sodium chloride solution on ice and then centrifuged at 3,500 × g for 15 min at 4 • C. Both the serum and supernatant were used to calculate the superoxide dismutase (SOD), glutathione peroxidase (GSH-Px), glutathione (GSH), glutathione reductase (GR), catalase (CAT), and malondialdehyde (MDA) levels using the corresponding assay kit following the manufacturer's instructions (Nanjing Jiancheng Institute of Bioengineering). The protein content was performed using a bicinchoninic acid (BCA) protein assay kit according to the manufacturer's instructions (Nanjing Jiancheng Institute of Bioengineering).

Mitochondria Redox Status Study
The mitochondria from hepatic samples were obtained according to a previously described method (15). The manganese superoxide dismutase (MnSOD), glutathione peroxidase (GPx), GSH, GR, and γ-glutamylcysteine ligase (γ-GCL) levels in the hepatic mitochondria were measured using an assay kit according to the manufacturer's instructions (Nanjing Jiancheng Institute of Bioengineering).

Oxidative Damage Study
The ROS level was detected using an ROS assay kit (Nanjing Jiancheng Institute of Bioengineering). Briefly, the hepatic mitochondria were incubated with 10 µM of dichlorodihydrofluorescein diacetate (DCFH-DA) and 10 mmol/L of DNA stain Hoechst 33342 at 37 • C for 30 min. The DCFH fluorescence of the hepatic mitochondria was calculated at an emission wavelength of 530 nm and an excitation wavelength of 485 nm using a fluorescence reader (FACS Aria III; BD Biosciences, Franklin Lakes, NJ, USA). The results are expressed as the mean DCFH-DA fluorescence intensity over that of the control. MMP levels were calculated according to the method described by Zhang et al. (16). Briefly, the mitochondria were loaded with 1 × JC-1 dye at 37 • C for 20 min and then analyzed by flow cytometry (FACS Aria III). The MMP was measured as the increase in the ratio of green to red fluorescence. The results were shown as the ratio of the fluorescence of aggregates (red) to that of the monomers (green). Protein carbonyls (PC) and 8-hydroxy-2-deoxyguanosine (8-OHdG) within the hepatic samples were measured using their respective assay kits following the manufacturer's instructions (Nanjing Jiancheng Institute of Bioengineering).
The number of apoptotic and necrotic cells was measured using an Alexa Fluor R 488 Annexin V/Dead Cell Apoptosis kit (Thermo Fisher Scientific, Inc., Waltham, MA, USA). Briefly, the hepatic samples were ground with a glass homogenizer, and the cells were washed twice with cool PBS buffer (pH = 7.4) and resuspended (2% suspension) in 1 × annexin-binding buffer. Then, the cell density was determined and cells were diluted in 1 × annexin binding buffer until reaching 1×10 6 cells/ml. A sufficient volume of the cell suspension described above was stained with Annexin V-fluorescein isothiocyanate and propidium iodide (1:9 dilution) staining solution in the dark for 15 min at room temperature. After incubation, the forward scatter of cells was determined, and Annexin V fluorescence intensity was measured in FL-1 with an excitation wavelength of 488 nm and an emission wavelength of 530 nm on a FACS Caliber (BD Biosciences).

Mitochondrial Electron Transport Chain Complexes Study
The electron transport chain (ETC) complexes I, complexes II, complexes III, complexes IV, and complexes V activity in the hepatic samples were tested using corresponding assay kit according to the manufacturer's instructions (SinoBestBio, Shanghai, China).

Energy Metabolites Study
The glycogen content (Nanjing Jiancheng Institute of Bioengineering), NAD + and NADH concentration (SinoBestBio), and ATP content (Solarbio, Beijing, China) in the hepatic samples were tested using commercial kits according to the manufacturer's instructions, separately. The mtDNA copy number of the hepatic samples was measured using a real-time fluorescence quantitative polymerase chain reaction (PCR) kit (Tli RNaseH Plus; Takara Bio, Inc., Otsu, Japan). In brief, the 20 µl PCR mixture was composed of 10 µl of SYBR Premix Ex Taq (2×), 0.4 µl of upstream primer, 0.4 µl of downstream primer, 0.4 µl of ROX dye (50×), 6.8 µl of ultra-pure water, and 2 µl of cDNA template. The sequence of the Mt D-loop gene upstream primer was 5 ′ -AGGACTACGGCTTGAAAAGC-3 ′ , and that of the downstream primer was 5 ′ -CATCTTGGCATCTTCAGTGCC-3 ′ . The length of the target fragment was 198 bp. The sequence of the β-actin upstream primer was 5 ′ -TTCTTGGGTATGGAGTCCTG-3 ′ , and that of the downstream primer was 5 ′ -TAGAAGCATTTGCGGTGG-3 ′ . The length of the target fragment was 150 bp. The amplification of each hepatic sample was performed in triplicate. The fold-expression of each gene was calculated according to the 2 − Ct method (17), and β-actin was used as an internal standard.

Quantitative Real-Time PCR Study
Quantitative Real-Time PCR (qPCR) was performed as described previously (17). Total RNA was obtained from the hepatic samples using Trizol Reagent (TaKaRa, Dalian, China) and then reverse-transcribed using a commercial kit (Perfect Real Time, SYBR @ PrimeScript TM , TaKaRa) following the manufacturer's instructions. The mRNA expression levels of specific genes were quantified via real-time PCR using SYBR @ Premix Ex Taq TM II (Tli RNaseH Plus) and an ABI 7300 Fast Real-Time PCR detection system (Applied Biosystems, Foster City, CA). The SYBR Green PCR reaction mixture consisted of 10 µl SYBR @ Premix Ex Taq (2X), 0.4 µl of the forward and reverse primers, 0.4 µl of ROX reference dye (50X), 6.8 µl of ddH 2 O, and 2 µl of cDNA template. Each sample was amplified in triplicate. The fold-expression of each gene was calculated according to the 2 − Ct method (17), and the β-actin gene was used as an internal standard. The primer sequences that were used are listed in Supplementary Table S1.

Western Blot Study
Total protein was isolated from three hepatic samples per group using a radioimmunoprecipitation assay lysis buffer containing a protease inhibitor cocktail (Beyotime Institute of Biotechnology, Jiangsu, China). The nuclear protein in the HEPATIC samples was extracted using a nuclear protein extraction kit (Beyotime Institute of Biotechnology, Jiangsu, China). The concentrations of total cellular and nuclear proteins in the HEPATIC samples were measured using a bicinchoninic acid protein assay kit (Beyotime Institute of Biotechnology). Antibodies against related proteins were purchased from Cell Signaling Technology (Danvers, MA, USA). Thereafter, equal quantities of protein were resolved by SDS-PAGE and then transferred onto polyvinylidene difluoride membranes. Next, the membranes were incubated with blocking buffer (5% bovine serum albumin in Tris-buffered saline containing 1% Tween 20) for 1 h at room temperature and then probed with primary antibodies (1:1000) against Nrf2 (# 12721S), HO1 (# 82206S), , and α-tubulin (# 2125S) overnight at 4 • C. Then, the membranes were washed with Tris-buffered saline with 0.05% Tween-20 and incubated with a suitable secondary antibody for 1 h at room temperature. Finally, the blots were detected using enhanced chemiluminescence reagents (ECL-Kit, Beyotime, Jiangsu, China) and subsequent autoradiography. Photographs of the membranes were acquired using the Luminescent Image Analyzer LAS-4000 system (Fujifilm Co.) and then quantified with ImageJ 1.42 q software (NIH, Bethesda, MD, USA).

Statistical Analysis
The body weight data was conducted using a mixed model with group (G), time (T), DMG-Na (D), and G × T × D as fixed effects and piglets as random effects. If the P value of the interaction for G × T × D was <0.05, differences in body weight among the different groups were determined using one-way ANOVA. The values with different superscripts that included a, b, and c (N, ND, I, ID group) were significantly different (P < 0.05).
The data for hepatic ALT, AST, redox status, oxidative damage, mitochondrial ETC, energy metabolites, and gene and protein expression among trial A (NBW and IUGR), and trial B (N, ND, I, ID) were analyzed separately. For Trial A, the corresponding data were analyzed using a paired t-test. For trial B, the corresponding data were analyzed using a mixed model with group (GB), DMG-Na (D), and GB × D as fixed effects and piglets as random effects. If the P value of the interaction GB × D was <0.05, a one-way ANOVA was conducted among the different groups. The values exhibiting different P-values (NBW, IUGR group in black color) and a, b, c, d (N, ND, I, ID group in red color) were significantly different (P < 0.05). Data are expressed as means with standard deviation. All data were analyzed using Statistical Analysis System software (version 9.1; SAS Institute, Inc., Cary, NC, USA). The statistical difference was significant, and the P value was no more than 0.05.

Growth Performance
The interaction effects (groups × time × DMG-Na) were significant (P < 0.001) for the IBW and FBW traits ( Table 1).
Body weight values were lower (P < 0.05) in the I group than they were in the N group. Additionally, the FBW values were increased (P < 0.05) in the ND and ID groups relative to those of the N and I groups, respectively, during the suckling period. The ADG values were decreased (P < 0.05) in the I group relative to those in the N group from 10 to 19 d during the suckling period. Additionally, the ADG values were increased (P < 0.05) in the ND and ID groups relative to those in the N and I groups, respectively, during the suckling period.

Serum ALT and AST Study
In trial A (Figure 1), the serum ALT and AST values in the IUGR group were increased (P < 0.05) relative to those in the NBW group. In trial B (Figure 1), the interaction effects (groups × DMG-Na) were significant for ALT (P = 0.042). Serum ALT values were decreased (P < 0.05) in the ND and ID groups relative to those in the N and I groups, respectively. Additionally, serum ALT values were increased (P < 0.05) in the I group compared to those in the N group.

Histological Morphology Study
Compared to the NBW group, the livers of the IUGR group were more susceptible to internal structure damage, larger intercellular spaces, and an increased number of mitochondrial swelling (Figure 2). Over time, these phenomena were worse in the N and I group compared with the NBW group and IUGR group. Additionally, the hepatic internal structure damage, larger intercellular spaces, and an increased number of mitochondrial swelling existed in the I group as compared to the N group. Supplementation with DMG-Na group (ND and ID) improved hepatic internal structure, intercellular space, and the number of mitochondrial swelling characteristics compared to those in the N and I group.

Redox Status Study
In trial A (Figure 3), the SOD, GSH-Px, GSH, GR, CAT, and MDA values in the IUGR group were lower (P < 0.05) than those in the NBW group. In trial B (Figure 3), the interaction effects    (groups × DMG-Na) were significant for SOD (P < 0.001), GSH-Px (P = 0.001), and GSH (P = 0.021). Hepatic SOD, GSH-Px, and GSH levels were increased (P < 0.05) in the ND and ID groups relative to those in the N and I groups, respectively. Additionally, hepatic SOD, GSH-Px, GR, and CAT values were decreased (P < 0.05) in the I group compared to those in the N group.

Mitochondrial Redox Status Study
In trial A (Figure 4), the mitochondrial MnSOD, GPx, GSH, GR, and γ-GCL values in the IUGR group were lower (P < 0.05) than those in the NBW group. In trial B (Figure 4), the interaction effects (groups × DMG-Na) were significant for GPx (P = 0.018), GSH (P = 0.012), GR (P = 0.022), and γ-GCL (P = 0.017). Hepatic mitochondrial GPx, GSH, GR, and γ-GCL values were increased (P < 0.05) in the ND and ID groups relative to those in the N and I groups, respectively. Additionally, hepatic mitochondrial MnSOD, GPx, GSH, and GR values were decreased (P < 0.05) in the I group relative to those in the N group.

Oxidative Damage Study
In trial A (Figure 5), the hepatic ROS, PC, 8-OHdG, and percentage of apoptosis and necrotic cell counts in the IUGR group were decreased (P < 0.05) relative to those in the NBW group. In trial B (Figure 5), the interaction effects (groups × DMG-Na) were not significant (P > 0.05) for any of the tested oxidative damage traits. Additionally, the percentage of apoptotic cells in the liver was increased (P < 0.05) in the I group relative to that in the N group.

Mitochondrial ETC Complexes Study
In trial A (Figure 6), the mitochondrial ETC complexes I-V values in the IUGR group were lower (P < 0.05) than were those in the NBW group. In trial B (Figure 6), the interaction effects (groups × DMG-Na) were significant for mitochondrial ETC complex IV (P = 0.003) and V (P < 0.001). Hepatic mitochondrial ETC complex IV and V values were increased (P < 0.05) in the ND and ID groups relative to those in the N and I groups, respectively. Additionally, hepatic mitochondrial ETC complex I, IV, and V values were decreased (P < 0.05) in the I group relative to those in the N group.

Gene Expression Study
In trial A (Figure 8), all hepatic gene expressions in IUGR newborns were worse (P < 0.05) compared to those in NBW newborns. In trial B (Figure 8), the interaction effects (groups × DMG-Na) were not significant (P > 0.05) for any of the tested gene expression traits. Additionally, the expression of selected genes in the liver was worse (P < 0.05) in the I group compared to that in the N group.

Western Blot Study
In trial A (Figure 9), the gene expression in the liver of IUGR newborns was worse (P < 0.05) compared to that in NBW newborns. In trial B (Figure 9), the interaction effects (groups × DMG-Na) were significant for SOD (P = 0.027) and mtTFA (P = 0.050). Protein expression in the liver was better (P < 0.05) in the ND and ID groups relative to that in the N and I groups, respectively. Additionally, the selected protein expression in the liver was worse (P < 0.05) in the I group than was in the N group.

DISCUSSION
Intrauterine growth restriction is one most important problem in animal husbandry, as it can impair postnatal growth and liver function by irreversible oxidative damage (18). Several studies have been performed on IUGR piglets as a model to present poor performance (1,2,18), and they are in agreement with the present study using newborns with birth weights of 1.53 ± 0.04 kg and 0.76 ± 0.06 kg as NBW newborns and IUGR newborns, respectively. The liver is one of the most important organs that play an essential role in the transformation of nutrients. It is also responsible for metabolic homeostasis, therefore, impaired by oxidative damage easily (19). In our previous studies, DMG-Na was found to exert strong free radical scavenging capacity in vitro and prove to ameliorate the oxidative damage induced by LPS or indomethacin in mice (10). In addition, DMG-Na was beneficial in protecting AAPH-induced porcine erythrocyte hemolysis, preventing oleic acid hydroperoxides-induced IPEC-J2 damage, and improving the skeletal muscle stem cells' mitochondrial dysfunction by Nrf2/SIRT1/PGC1α network (11,20). It also revealed that dietary supplementation of DMG-Na could improve the low growth performance, skeletal structure damage, and skeletal muscle dysfunction of IUGR weaned piglets (12). In this study, the average daily body weight gain of I group (0.44) was higher than N group (0.35) at 19-21 d, which might be explained by the 1.5 times higher feed intake of IUGR suckling piglets than that of the NBW suckling piglets during 19-21 d. The metabolic function of the liver under the dietary supplementation of DMG Na could provide conditions for catch-up growth of IUGR offspring (21, 22). However, from the body weight data (Supplementary Table S2), we can see that although feed intake and daily body weight gain of IUGR piglets have increased, their body weight is still at a low level, which still needs more work on this in the future. In addition, supplementation with DMG-Na could improve the growth performance of IUGR suckling piglets compared to those of NBW suckling piglets. This is probably due to the benefits of DMG-Na on liver health by improving their antioxidant capacity and confirmed by the ALT and AST concentration. Taken together, DMG-Na could act as a healthpromoting additive for piglets, however, the specific underlying mechanism requires further study.
Oxidative damage of suckling piglets caused by IUGR could enhance the ROS concentration, thus, in turn, destroying the balance of redox status and impairing mitochondrial function. This could be improved in this study by SOD that catalyzes the conversion of endogenous superoxide anions to hydrogen peroxide through disproportionation, and hydrogen peroxide is then finally neutralized by intracellular CAT and GSH-Px. The MnSOD, GSH, GR, and γ-GCL are important in inhibiting mitochondrial oxidative damage (23). Several studies revealed that DMG-Na, shown as an antioxidant additive, could improve the redox status of the animal, thus improving the ROS-induced oxidative damage (10)(11)(12)24). In the current study, DMG-Na added to the basic milk diets could be beneficial in improving the redox status by scavenging the excessive generated ROS, thus maintaining the hepatic mitochondrial function. This would be one main possible reason for the results shown in the histological analysis.
The ROS content in the body maintains a balance with the antioxidant defense system, this could be destroyed when the body is under a condition of oxidative stress. Excessive generated ROS can damage the structure and function of mitochondria, and finally, disturb the balance of redox status (25). Intrauterine growth restriction is closely related to oxidative damage, high ROS concentration, reduced redox status, and mitochondrial dysfunction (24). It was found that excessive generated ROS could induce mtDNA damage, which impaired mitochondrial function in turn produces more ROS (26). The MMP level is negatively associated with ROS concentration and usually acts as an indicator of mitochondrial apoptosis. In agreement with the present study, another study revealed that IUGR destroyed the redox status balance primarily due to the high ROS generation (27). A previous study also showed that IUGR newborns exhibit redox status imbalance and are easily prone to oxidative damage (1). The current results revealed that the reduced redox status in suckling piglets from the IUGR group leads to impaired hepatic mitochondrial function. These results also indicated that DMG-Na added in the basic milk diets could relieve oxidative damage by reducing the excessive generated ROS in suckling piglets, and numeral studies have found that natural antioxidants exert beneficial effects in protecting cells from oxidative damage (10)(11)(12)24). The present results could be explained that supplementation with DMG-Na reduced hepatic oxidative damage by directly reducing the ROS generation and indirectly strengthening the mitochondrial function.
Adenosine triphosphate (ATP) concentration can be measured quantitatively using the mtDNA copy number and are necessary for growth and glycogen synthesis and are related to the mitochondrial number. A lower ATP content in IUGR suckling piglets leads to lower postnatal hepatic glycogen storage (12). The loss activity of complex I in the hepatic mitochondria of IUGR suckling piglets can decrease mitochondrial energy generation. In the present study, the lower NAD + /NADH ratio could be explained by the reduced complex I activity, which couples electrons from NADH to quinone with the translocation of a proton across the inner mitochondrial membrane for ATP generation (28). In addition, it suppresses the flux of glycolytic and tricarboxylic acid cycle metabolites by the mitochondria, therefore leading to reduced generation of ATP (28). An increase in complex IV or V activity in the hepatic mitochondria of IUGR suckling piglets is important in bioenergetics, a process that uses the exergonic proton backflow for ATP synthesis from ADP and inorganic phosphate within the matrix (29). It has been found that DMG-Na as an antioxidant additive could protect the liver from oxidative damage and maintain its function. A previous study revealed that DMG-Na exerted a beneficial effect on protecting the cells from oxidative damage induced by free radicals (24), and this might be one main reason for improving the hepatic mitochondrial ETC complex activity and energy metabolism level in the DMG-Na supplemented group than the DMG-Na non-supplemented group.
The Nrf2 and HO1 activation is crucial in inhibiting hepatic oxidative damage by regulating redox status-related gene expression (SOD, GSH-Px, and γ -GCL) (30). Hepatic mitochondria are rich in Trx2, Trx-R2, and Prx3 that act in concert to prevent oxidative damage by scavenging excessive generated free radicals and regulating mitochondrial redox status-related gene expression (31). PGC1α is a coactivator possessing pleiotropic functions that regulate mitochondrial function gene expression (MCD, MCAD, SDH, UCP2, COX2, CS, COX1, Cyt C, mtTFA, Ndufa2, UCP1, mtDNA, POLG1, POLG2, Drp1, Fis1, and Mfn2) both at the level of the nuclear and mitochondrial genomes. SIRT1 is highly sensitive to cellular redox status and is famous for controlling genomic stability (32). It has been found that SIRT1 physically interacts with and deacetylates PGC1α at multiple lysine sites, consequently increasing PGC1α activity and regulating the redox status-related and mitochondrial function-related gene and protein expression (33). The ZO1, correlated with paracellular permeability and acts together with OCLN and CLDN, is an important regulator of cell permeability (34). To our knowledge, this is the first study on supplementation with dimethylglycine sodium salt relieves hepatic redox status imbalance and mitochondrial dysfunction of intrauterine growth restriction suckling piglets via the Nrf2/SIRT1/PGC1α network. However, there still needs more work on the specific underlying mechanism.

CONCLUSIONS
In conclusion, this study revealed that DMG-Na could reverse hepatic dysfunction in IUGR suckling piglets. We also found that DMG-Na could directly neutralize excessive generated free radicals and indirectly improve the redox status-related and mitochondrial function-related gene and protein expression possibly via the Nrf2/SIRT1/PGC1α network. Thus, DMG-Na can be acted as a health-promoting additive in treating hepatic dysfunction in IUGR suckling piglets and is beneficial in improving their performance during the suckling period.

DATA AVAILABILITY STATEMENT
The original contributions presented in the study are included in the article/Supplementary Material, further inquiries can be directed to the corresponding author.

ETHICS STATEMENT
This trial was conducted in accordance with the Chinese Guidelines for Animal Welfare and Experimental Protocols for Animal Care and was approved by the Nanjing Agricultural University Institutional Animal Care and Use Committee.

AUTHOR CONTRIBUTIONS
KB and LJ performed the experiments. KB analyzed the data and wrote the original manuscript. TW obtained the funding, contributed to the study design, and revised the manuscript. All authors reviewed the final manuscript.