Prins T, Fodor M, Delemarre-van de Waal H A
Department of Paediatrics, VU University Medical Centre, Institute for Clinical and Experimental Neuroscience (ICEN), Amsterdam, the Netherlands.
J Neuroendocrinol. 2006 Aug;18(8):611-20. doi: 10.1111/j.1365-2826.2006.01451.x.
Intrauterine growth restriction (IUGR) is one of the major causes of short stature in childhood. Abnormalities in the growth hormone (GH) axis have frequently been observed in children who are born intrauterine growth restricted and GH treatment is effective to improve final height. However, the way that the GH axis is involved is not fully understood. Previously, when investigating the effect of IUGR on the central somatotrophic axis, a hypothalamic effect was discovered with elevated somatostatin and decreased neuropeptide Y mRNA expression levels, whereas serum GH and insulin-like growth factor I (IGFI) were unaltered. These findings were thought to indicate a hypothalamic alteration of the GH axis due to IUGR, probably to compensate pituitary output, thereby normalising peripheral values of GH and IGFI. Therefore, the present study aimed to evaluate the effect of IUGR on the pituitary GH axis in this rat model. Pups from rats that underwent bilateral uterine artery ligation at day 17 of pregnancy were studied. Pituitary glands were collected from 1-year-old offspring for quantitative measurements of GH, GH-receptor (GH-R), GH-releasing hormone receptor (GHRH-R), somatostatin receptor subtype 2 and 5, IGFI and IGFI receptor mRNA levels using a real-time reverse transcriptase-polymerase chain reaction. In addition, liver GH-R and IGFI mRNA expression levels were measured and a radioimmunoassay was performed to determine serum IGFI levels. In the IUGR rat, levels of pituitary GH, GH-R and GHRH-R relative gene expression (RGE) were increased. No differences were found in the RGE level of all other pituitary growth factors, liver GH-R and IGFI, and serum IGFI concentration between IUGR and control rats. The present data show that intrauterine growth failure leads to changes in the pituitary that might counterbalance the effects found previously in the hypothalamus.
宫内生长受限(IUGR)是儿童期身材矮小的主要原因之一。在宫内生长受限的儿童中,经常观察到生长激素(GH)轴异常,GH治疗可有效改善最终身高。然而,GH轴的参与方式尚未完全了解。以前,在研究IUGR对中枢生长激素轴的影响时,发现下丘脑存在生长抑素升高和神经肽Y mRNA表达水平降低的情况,而血清GH和胰岛素样生长因子I(IGFI)未发生改变。这些发现被认为表明IUGR导致GH轴的下丘脑改变,可能是为了补偿垂体输出,从而使GH和IGFI的外周值正常化。因此,本研究旨在评估IUGR对该大鼠模型垂体GH轴的影响。研究了妊娠第17天接受双侧子宫动脉结扎的大鼠所产幼崽。从1岁的后代中收集垂体,使用实时逆转录-聚合酶链反应对GH、GH受体(GH-R)、生长激素释放激素受体(GHRH-R)、生长抑素受体亚型2和5、IGFI和IGFI受体mRNA水平进行定量测量。此外,测量肝脏GH-R和IGFI mRNA表达水平,并进行放射免疫测定以确定血清IGFI水平。在IUGR大鼠中,垂体GH、GH-R和GHRH-R的相对基因表达(RGE)水平升高。IUGR大鼠与对照大鼠之间,所有其他垂体生长因子、肝脏GH-R和IGFI的RGE水平以及血清IGFI浓度均未发现差异。目前的数据表明,宫内生长衰竭导致垂体发生变化,这可能会抵消先前在下丘脑中发现的影响。