| Postnatal development of arterial pressure: influence of the intrauterine environment. | |
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MedLine Citation:
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PMID: 12715275 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A substantial number of epidemiological studies have shown that small size at birth is associated with an increased risk of developing hypertension and metabolic dysfunction later in life; however these associations have not been found in all studies. In animals, several models have been used to investigate the effects of perturbations to the fetal environment on later arterial pressure, with differing effects on size at birth and arterial pressure. Ovine models include maternal dietary manipulations, antenatal glucocorticoid exposure, and restriction of placental size and function. In our laboratory, we have induced late gestational placental insufficiency and growth restriction in sheep by umbilico-placental embolisation; during the early postnatal period the growth restricted lambs remained small and were hypotensive relative to controls. More recent long-term studies indicate that these growth restricted animals were able to catch up in body weight within the first postnatal year; however, their arterial pressure remained lower than that of controls throughout the first 2 postnatal years (deltaMAP, -4.2 +/- 1.4 mmHg). This relative hypotension may be due to altered vascular or cardiac development resulting from increased vascular resistance or nutrient restriction during fetal life. As late gestational placental insufficiency led to a persistent reduction in arterial pressure from birth to adulthood, our findings do not support the hypothesis that restricted fetal growth per se leads to hypertension after birth. It is likely that the effects of a prenatal compromise on postnatal arterial pressure will vary depending on the nature of the associated developmental perturbations and their gestational timing. |
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Authors:
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S Louey; M L Cock; R Harding |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Archives of physiology and biochemistry Volume: 111 ISSN: 1381-3455 ISO Abbreviation: Arch. Physiol. Biochem. Publication Date: 2003 Feb |
Date Detail:
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Created Date: 2003-04-25 Completed Date: 2003-11-18 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 9510153 Medline TA: Arch Physiol Biochem Country: Netherlands |
Other Details:
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Languages: eng Pagination: 53-60 Citation Subset: IM |
Affiliation:
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Department of Physiology, Monash University, Victoria, Australia. samantha.louey@med.monash.edu.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Animals Animals, Newborn Birth Weight / genetics, physiology Blood Pressure / genetics, physiology* Body Weight / physiology Cardiovascular Diseases / embryology, genetics Disease Models, Animal Female Fetal Growth Retardation / genetics, physiopathology* Gestational Age Glucocorticoids / physiology Humans Maternal Nutritional Physiological Phenomena / physiology Placental Insufficiency / embryology, etiology Pregnancy Sheep |
| Chemical | |
Reg. No./Substance:
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0/Glucocorticoids |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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