Huizinga C T, Oudejans C B, Steiner R A, Clifton D K, Delemarre-van de Waal H A
Research Institute for Endocrinology, Reproduction and Metabolism, Departments of Pediatrics, University Hospital Vrije Universiteit, 1007 MB Amsterdam, The Netherlands.
Pediatr Res. 2000 Dec;48(6):815-20. doi: 10.1203/00006450-200012000-00019.
In the human, intrauterine growth retardation (IUGR) can result in persistent postnatal growth failure, which may be attributable, in part, to abnormal GH secretion. Whether putative alterations in GH secretion are the result of abnormalities intrinsic to the pituitary or reflect changes in the production of GH-releasing hormone or somatostatin (SS) is unknown. We tested the hypothesis that growth failure associated with IUGR or early postnatal food restriction (FR) is caused by a central defect in hypothalamic SS gene expression. Both models displayed persistent growth failure postnatally without any catch-up growth. We measured levels of SS mRNA levels in rats experimentally subjected to IUGR or FR. SS mRNA levels were measured by semiquantitative in situ hybridization throughout development. Levels of SS mRNA in the periventricular nucleus were significantly higher in both male and female IUGR rats in the juvenile and adult stages compared with matched controls (p < or = 0.05). FR was associated with higher SS mRNA levels only in neonatal female rats (p < or = 0.05). These results suggest that intrauterine malnutrition induces a persistent increase in the expression of SS mRNA in the periventricular nucleus, whereas early postnatal FR results in only a transient increase in SS gene expression. Because IGF-I levels were normal in juvenile IUGR and FR rats, central dysregulation of SS neurons does not appear to be the cause of early postnatal growth failure in either model. However, these observations are consistent with the hypothesis that nutritional stress at critical times during development can have persistent and potentially irreversible effects on organ function.
在人类中,宫内生长迟缓(IUGR)可导致出生后持续生长发育不良,这可能部分归因于生长激素(GH)分泌异常。GH分泌的假定改变是垂体内在异常的结果,还是反映了生长激素释放激素或生长抑素(SS)分泌的变化,目前尚不清楚。我们检验了这样一个假设,即与IUGR或出生后早期食物限制(FR)相关的生长发育不良是由下丘脑SS基因表达的中枢缺陷引起的。两种模型在出生后均表现出持续的生长发育不良,且没有任何追赶性生长。我们测量了实验性诱导IUGR或FR的大鼠的SS mRNA水平。在整个发育过程中,通过半定量原位杂交测量SS mRNA水平。与匹配的对照组相比,幼年和成年阶段的雄性和雌性IUGR大鼠室旁核中的SS mRNA水平均显著升高(p≤0.05)。FR仅在新生雌性大鼠中与较高的SS mRNA水平相关(p≤0.05)。这些结果表明,宫内营养不良会导致室旁核中SS mRNA表达持续增加,而出生后早期FR只会导致SS基因表达短暂增加。由于幼年IUGR和FR大鼠的胰岛素样生长因子-I(IGF-I)水平正常,SS神经元的中枢调节异常似乎不是这两种模型中出生后早期生长发育不良的原因。然而,这些观察结果与以下假设一致,即在发育关键时期的营养应激可能对器官功能产生持续且可能不可逆转的影响。