Krause B J, Herrera E A, Díaz-López F A, Farías M, Uauy R, Casanello P
1Division of Obstetrics & Gynaecology,School of Medicine,Pontificia Universidad Católica de Chile,Santiago,Chile.
3Programa de Fisiopatología,Instituto de Ciencias Biomédicas, Facultad de Medicina,Universidad de Chile,Santiago,Chile.
J Dev Orig Health Dis. 2016 Jun;7(3):237-243. doi: 10.1017/S2040174415007266. Epub 2015 Oct 22.
In humans, obesity before and during pregnancy is associated with both fetal macrosomia and growth restriction, and long-term cardiovascular risk in the offspring. We aimed to determine whether overweighted pregnant guinea pig sows results in an increased fetal weight at term and the effects on the vascular reactivity in fetal systemic and umbilical arteries. Pregnant guinea pigs were classified as control (n=4) or high weight (HWS, n=5) according to their pre-mating weight, and their fetuses extracted at 0.9 gestation (~60 days). Segments of fetal femoral and umbilical arteries were mounted in a wire myograph, where the contractile response to KCl (5-125 mM), and the relaxation to nitric oxide synthase-dependent agents (insulin, 10-10-10-7 and acetylcholine, 10-10-10-5) and nitric oxide [sodium nitroprusside (SNP), 10-10-10-5] were determined. Fetuses from HWS (HWSF) were grouped according to their body weight as low (85 g) fetal weight, based on the confidence interval (76.5-84.9 g) of the control group. No HWSF were observed in the normal range. Umbilical arteries from HWSF showed a lower response to KCl and insulin compared with controls, but a comparable response with SNP. Conversely, femoral arteries from HWSF showed an increased response to KCl and acetylcholine, along with a decreased sensitivity to SNP. These data show that overweight sows have altered fetal growth along gestation. Further, large and small fetuses from obese guinea pig sows showed altered vascular reactivity at umbilical and systemic vessels, which potentially associates with long-term cardiovascular risk.
在人类中,孕期前后肥胖与巨大儿、胎儿生长受限以及后代的长期心血管风险相关。我们旨在确定超重的妊娠豚鼠母猪是否会导致足月时胎儿体重增加,以及对胎儿体循环和脐动脉血管反应性的影响。根据妊娠前体重,将妊娠豚鼠分为对照组(n = 4)或高体重组(HWS,n = 5),并在妊娠0.9期(约60天)取出胎儿。将胎儿股动脉和脐动脉节段安装在血管张力测定仪中,测定对氯化钾(5 - 125 mM)的收缩反应,以及对一氧化氮合酶依赖性药物(胰岛素,10 - 10 - 10 - 7和乙酰胆碱,10 - 10 - 10 - 5)和一氧化氮[硝普钠(SNP),10 - 10 - 10 - 5]的舒张反应。根据体重,将HWS组的胎儿(HWSF)分为低体重(<85 g)胎儿体重组,以对照组的置信区间(76.5 - 84.9 g)为依据。未观察到HWSF处于正常范围。与对照组相比,HWSF的脐动脉对氯化钾和胰岛素的反应较低,但对SNP的反应相当。相反,HWSF的股动脉对氯化钾和乙酰胆碱的反应增强,对SNP的敏感性降低。这些数据表明,超重母猪在整个妊娠期会改变胎儿生长。此外,肥胖豚鼠母猪的大小胎儿在脐血管和体循环血管显示出改变的血管反应性,这可能与长期心血管风险相关。