Liggins Institute, University of Auckland, Private Bag 92019, Auckland, New Zealand.
Pediatr Res. 2009 Dec;66(6):605-13. doi: 10.1203/PDR.0b013e3181bbde72.
Periconceptional undernutrition alters fetal growth and development. However, there are no data on separate effects of undernutrition before and after conception and few on underlying mechanisms. We determined the effects of mild periconceptional undernutrition on late gestation fetal growth, glucose-insulin axis, and maternal and fetal hypothalamic-pituitary-adrenal axes. Ewes were undernourished for 60 d before conception, 30 d after, or both, compared with well-nourished controls. Undernutrition before conception resulted in smaller, slower-growing fetuses with relatively larger placentae. Ewes that gained weight before, but lost weight after mating, or vice versa, had the smallest fetuses. Fetuses of ewes undernourished only before conception grew more slowly following instrumentation, and fetuses in both preconception undernutrition groups slowed their growth with a maternal fast. The fetal glucose-insulin axes and maternal and fetal hypothalamic-pituitary-adrenal axis were not different among groups. Maternal undernutrition at different periods around conception has different effects on fetal growth trajectory that are not reflected in size in late gestation. Preconceptional undernutrition alone alters fetal growth responses to late gestation stressors, suggesting that maternal nutrition is important at both times, and that fetal effects are neither due solely to substrate limitation, nor to excess fetal glucocorticoid exposure at the time of undernutrition.
围孕期营养不良会改变胎儿的生长和发育。然而,目前尚无关于受孕前后单独的营养不良影响以及关于潜在机制的研究数据。我们旨在确定轻度围孕期营养不良对晚期妊娠胎儿生长、葡萄糖-胰岛素轴以及母胎下丘脑-垂体-肾上腺轴的影响。在受孕前、受孕后 30 天以及两个时期均进行了营养不良处理,与营养良好的对照组进行了比较。受孕前的营养不良导致胎儿体积更小、生长更慢,但胎盘相对较大。在配种前增重但配种后减重或反之的母羊所产的胎儿最小。仅在受孕前进行营养不良处理的胎儿在仪器操作后生长更缓慢,而在两个受孕前营养不良组的胎儿在母体禁食时也减缓了生长速度。各组之间的胎儿葡萄糖-胰岛素轴以及母胎下丘脑-垂体-肾上腺轴并无差异。在受孕前后不同时期的母体营养不良对胎儿生长轨迹有不同的影响,这在晚期妊娠时并未反映在胎儿大小上。单独的受孕前营养不良会改变胎儿对晚期妊娠应激源的生长反应,这表明母体营养在两个时期都很重要,并且胎儿的影响既不是由于营养物质的限制,也不是由于营养不良时胎儿糖皮质激素暴露过多。