Department of Pediatrics, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan; Department of Pediatrics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Department of Anatomy and Cell Biology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Pediatr Neonatol. 2016 Dec;57(6):508-514. doi: 10.1016/j.pedneo.2016.03.003. Epub 2016 Apr 1.
Intrauterine growth retardation (IUGR) is associated with reduced lung function during infancy and perhaps throughout adulthood. The retinoic acid (RA) signaling pathway modulates pre- and postnatal lung development. This study was conducted to test our hypothesis that uteroplacental insufficiency alters the elements of the retinoid pathway in developing lungs.
On Gestation Day 18, either uteroplacental insufficiency was induced through bilateral uterine vessel ligation (IUGR group) or sham surgery (control group) was performed. Lung tissues from the offspring were examined through Western blotting, immunohistochemistry, and morphometry on Postnatal Day 3 and Postnatal Day 7.
Compared with control rats, the IUGR rats exhibited significantly lower body weights on Postnatal Day 3 and Postnatal Day 7 and significantly lower lung weights on Postnatal Day 3. Uteroplacental insufficiency significantly increased RA receptor (RAR)-β protein expression on Postnatal Day 3. The expression of RAR-α, RAR-γ, cellular RA-binding protein-1, and cellular RA-binding protein-2 between the control and IUGR rats was comparable on Postnatal Day 3 and Postnatal Day 7. Compared with the control rats, the IUGR rats exhibited a significantly higher volume fraction of alveolar airspace on Postnatal Day 3 and Postnatal Day 7 and a significantly lower volume fraction of alveolar walls on Postnatal Day 3.
Uteroplacental insufficiency causes defective alveolarization and transient increases in RAR-β expression in the lungs of newborn rats. The retinoid pathway may be one of the probable pathways mediating lung abnormalities caused by uteroplacental insufficiency.
宫内生长迟缓(IUGR)与婴儿期乃至成年期肺功能降低有关。维甲酸(RA)信号通路调节肺的产前和产后发育。本研究旨在验证我们的假设,即胎盘功能不全改变了发育中肺的类视黄醇途径的元素。
在妊娠第 18 天,通过双侧子宫血管结扎(IUGR 组)或假手术(对照组)诱导胎盘功能不全。在产后第 3 天和第 7 天通过 Western blot、免疫组织化学和形态计量学检查后代的肺组织。
与对照组大鼠相比,IUGR 大鼠在产后第 3 天和第 7 天体重明显降低,产后第 3 天肺重明显降低。胎盘功能不全显著增加了 RA 受体(RAR)-β蛋白在产后第 3 天的表达。RAR-α、RAR-γ、细胞 RA 结合蛋白-1 和细胞 RA 结合蛋白-2 在对照组和 IUGR 大鼠之间的表达在产后第 3 天和第 7 天相当。与对照组大鼠相比,IUGR 大鼠在产后第 3 天和第 7 天的肺泡腔容积分数明显升高,产后第 3 天的肺泡壁容积分数明显降低。
胎盘功能不全导致新生大鼠肺中肺泡化缺陷和 RAR-β表达短暂增加。类视黄醇途径可能是介导胎盘功能不全引起的肺异常的可能途径之一。