Document Detail


Insulin hypoglycemia, cerebral metabolism, and neural function in fetal lambs.
MedLine Citation:
PMID:  3970187     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The effect of insulin-induced hypoglycemia on cerebral oxidative metabolism (CMRO2) was studied in nine late gestational fetal lambs using the radiolabeled microsphere technique for cerebral blood flow and brachiocephalic to sagittal sinus blood O2 content differences. After 4 h insulin infusion to the fetus, arterial glucose fell from control levels of 0.96 +/- 0.11 (SE) to 0.69 +/- 0.09 mmol X l-1. CMRO2 was reduced from 199 +/- 23 to 155 +/- 22 mumol X 100 g-1 X min-1 (P less than 0.05), and cerebral glucose uptake fell from 31 +/- 4 to 25 +/- 4 mumol X 100 g-1 X min-1 (P less than 0.02). During both euglycemia and hypoglycemia, 6 mumol glucose were taken up for each micromole of O2, indicating that glucose was the sole metabolic substrate for oxidative metabolism. Although there was no change in fetal electrocortical activity during the hypoglycemia, fetal breathing movements were present only 19.4 +/- 3.4% of the hypoglycemic hours compared with 36.8 +/- 2.6% of the control period (P less than or equal to 0.01). These results suggest that during rapidly induced fetal hypoglycemia, blood-brain barrier transport of glucose can limit cerebral glucose and O2 uptake, and this decrease in cerebral metabolism is associated with a lowered incidence of fetal breathing movements.
Authors:
B S Richardson; A R Hohimer; J M Bissonnette; C M Machida
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of physiology     Volume:  248     ISSN:  0002-9513     ISO Abbreviation:  Am. J. Physiol.     Publication Date:  1985 Jan 
Date Detail:
Created Date:  1985-02-25     Completed Date:  1985-02-25     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370511     Medline TA:  Am J Physiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  R72-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Animals
Brain / embryology,  metabolism*
Cerebral Cortex / embryology
Electrocardiography
Female
Fetus / metabolism*
Glucose / metabolism
Hypoglycemia / chemically induced,  embryology,  metabolism*,  physiopathology
Movement
Nervous System / embryology,  physiopathology
Oxygen Consumption*
Pregnancy
Respiration
Sheep / embryology,  metabolism
Grant Support
ID/Acronym/Agency:
HD-10034/HD/NICHD NIH HHS; HD-11251/HD/NICHD NIH HHS
Chemical
Reg. No./Substance:
50-99-7/Glucose

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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