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Effect of nutritional restriction in early pregnancy on isolated femoral artery function in mid-gestation fetal sheep
Authors:Hidenori Nishina,Lucy R. Green&dagger  ,Hugh H. G. McGarrigle,David E. Noakes&Dagger  ,Lucilla Poston§  ,Mark A. Hanson&dagger  
Affiliation:Department of Obstetrics and Gynaecology, University College London, 86–96 Chenies Mews, London WC1 6HX, UK;Centre for Fetal Origins of Adult Disease, University of Southampton, 887F Princess Anne Hospital, Coxford Road, Southampton, SO16 5YA, UK;Department of Farm Animal and Equine Medicine and Surgery, Royal Veterinary College, University of London, AL9 7TA, UK;Fetal Health Research Group, Division of Obstetrics and Gynaecology, Guy's, King's and St Thomas' School of Medicine, Lambeth Palace Road, London SE1 7EH, UK
Abstract:Unbalanced maternal nutrition affects fetal endocrine and cardiovascular systems, sometimes accompanied by changes in growth, although this is usually in late gestation. We determined the effect of moderate restriction for the first half of gestation of maternal dietary protein, or of total calorific intake on isolated resistance artery function of mid-gestation fetal sheep. Welsh Mountain ewes were nutritionally restricted by 30 % of the recommended nutrient intake (globally restricted) or 30 % of the recommended protein intake (protein-restricted), compared to control ewes fed 100 % of recommended nutrient intake, for ~12 days prior to conception and for the subsequent 70 days of gestation. At mid-gestation, fetal and placental weights were similar in all dietary groups. In isolated femoral arteries, the response curve to noradrenaline was reduced in protein-restricted group fetuses (   P < 0.05  ). Maximal relaxation (   P < 0.01  ) and sensitivity (   P < 0.05  ) to acetylcholine were markedly reduced in protein-restricted group fetuses, and to a smaller extent in globally restricted group fetuses (response curve,   P < 0.05  ). The dilator response (   P < 0.05  ) and sensitivity (   P < 0.05  ) to the α2 agonist UK14304 was lower in protein-, but not in globally restricted group fetuses. The response (   P < 0.05  ) and sensitivity (   P < 0.05  ) to the nitric oxide donor sodium nitroprusside were reduced in protein-restricted group fetuses compared to controls. Our data show that dietary imbalance, in particular restricted protein, of the ewe can produce blunting of endothelial-dependent and -independent relaxation in systemic arteries from the mid-gestation fetus. These changes may precede perturbed late-gestation fetal and postnatal cardiovascular control.
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