Department of Pediatrics, Texas Tech University Health Sciences Center, El Paso, Texas.
Department of Pediatrics, University at Buffalo, Buffalo, New York.
Am J Perinatol. 2021 Oct;38(12):1320-1329. doi: 10.1055/s-0040-1712953. Epub 2020 Jun 2.
The effects of neonatal caffeine therapy in adults born preterm are uncertain. We studied the impact of neonatal caffeine on systemic blood pressure, vessel reactivity, and response to stress in adult mice.
Mice pups were randomized to caffeine (20 mg/kg/d) or saline by intraperitoneal injection for 10 days after birth. We performed tail-cuff BP (8/12 weeks), urinary 8-hydroxydeoxyguanosine and fecal corticosterone (14 weeks), and vessel reactivity in aortic rings (16 weeks) in adult mice.
No differences were noted in systolic, diastolic, and mean blood pressures between the two groups at 8 and 12 weeks of age. However, norepinephrine-induced vasoconstriction was substantially higher in aortic rings in CAF-treated male mice. More significant vasodilator responses to nitric oxide donors in aortic rings in female mice may suggest gender-specific effects of caffeine. Female mice exposed to caffeine had significantly lower body weight over-time. Caffeine-treated male mice had substantially higher fecal corticosterone and urinary 8-hydroxydeoxyguanosine at 14 weeks, suggestive of chronic stress.
We conclude sex-specific vulnerability to the heightened vascular tone of the aorta in male mice following neonatal caffeine therapy. Altered vessel reactivity and chronic stress in the presence of other risk factors may predispose to the development of systemic hypertension in adults born preterm.
新生儿咖啡因治疗对早产儿成年后的影响尚不确定。我们研究了新生儿咖啡因对成年小鼠全身血压、血管反应性和应激反应的影响。
出生后 10 天内,通过腹腔注射将小鼠幼仔随机分为咖啡因(20mg/kg/d)或生理盐水组。我们在成年小鼠中进行了尾套血压(8/12 周)、尿 8-羟基脱氧鸟苷和粪便皮质酮(14 周)以及主动脉环血管反应性(16 周)的测定。
在 8 周和 12 周时,两组之间的收缩压、舒张压和平均血压均无差异。然而,在 CAF 处理的雄性小鼠的主动脉环中,去甲肾上腺素引起的血管收缩明显更高。雌性小鼠的主动脉环对一氧化氮供体的血管舒张反应更显著,可能表明咖啡因存在性别特异性作用。暴露于咖啡因的雌性小鼠的体重随时间明显下降。在 14 周时,咖啡因处理的雄性小鼠的粪便皮质酮和尿 8-羟基脱氧鸟苷明显升高,提示存在慢性应激。
我们得出结论,新生儿咖啡因治疗后雄性小鼠的主动脉血管张力存在性别特异性脆弱性。在存在其他危险因素的情况下,血管反应性改变和慢性应激可能使早产儿成年后发生全身高血压的风险增加。