Journal Article

Developmental Programming of Cardiovascular Dysfunction by Prenatal Hypoxia and Oxidative Stress

Richter, Hans G., Blanco, Carlos E., Kane, Andrew D., Giussani, Dino A., Cross, Christine M., Horder, Katy A., Niu, Youguo, Wooding, F. B. Peter, Herrera, Emilio A., Thakor, Avnesh S., Hansell, Jeremy A., Camm, Emily J., Blake, E. Zachary, Gottschalk, Rachel

2012

Overview

Fetal hypoxia is a common complication of pregnancy. It has been shown to programme cardiac and endothelial dysfunction in the offspring in adult life. However, the mechanisms via which this occurs remain elusive, precluding the identification of potential therapy. Using an integrative approach at the isolated organ, cellular and molecular levels, we tested the hypothesis that oxidative stress in the fetal heart and vasculature underlies the molecular basis via which prenatal hypoxia programmes cardiovascular dysfunction in later life. In a longitudinal study, the effects of maternal treatment of hypoxic (13% O(2)) pregnancy with an antioxidant on the cardiovascular system of the offspring at the end of gestation and at adulthood were studied. On day 6 of pregnancy, rats (n = 20 per group) were exposed to normoxia or hypoxia ± vitamin C. At gestational day 20, tissues were collected from 1 male fetus per litter per group (n = 10). The remaining 10 litters per group were allowed to deliver. At 4 months, tissues from 1 male adult offspring per litter per group were either perfusion fixed, frozen, or dissected for isolated organ preparations. In the fetus, hypoxic pregnancy promoted aortic thickening with enhanced nitrotyrosine staining and an increase in cardiac HSP70 expression. By adulthood, offspring of hypoxic pregnancy had markedly impaired NO-dependent relaxation in femoral resistance arteries, and increased myocardial contractility with sympathetic dominance. Maternal vitamin C prevented these effects in fetal and adult offspring of hypoxic pregnancy. The data offer insight to mechanism and thereby possible targets for intervention against developmental origins of cardiac and peripheral vascular dysfunction in offspring of risky pregnancy.

• Publisher: Public Library of Science,Public Library of Science (PLoS)
• Subject: Animal tissues / Animals / Antioxidants / Antioxidants (Nutrients) / Aorta / Arteries / Arteries - physiopathology / Ascorbic acid / Ascorbic Acid - pharmacology / Biology / Birth weight / Cardiovascular disease / Cardiovascular system / Clinical trials / Correlation analysis / Delivery contracts / Developing countries / Endothelium / Enzymes / Female / Femur / Fetuses / Gestation / Heart / Heart diseases / Heart Diseases - etiology / Heat shock proteins / Hsp70 protein / Hypertension / Hypotheses / Hypoxia / Hypoxia - complications / Kidney stones / LDCs / Litter / Longitudinal Studies / Male / Medicine / Melatonin / Metabolism / Muscle contraction / Myocardial Contraction / Neurosciences / Nitrotyrosine / Nutrition / Offspring / Oxidative Stress / Perfusion / Physiology / Preeclampsia / Pregnancy / Pregnant women / Prenatal experience / Prenatal Exposure Delayed Effects - etiology / Rats / Rodents / Thickening / Vascular Diseases - etiology / Vitamin C / Womens health