Brief undernutrition in late-gestation sheep programs the hypothalamic-pituitary-adrenal axis in adult offspring.

Reduced size at birth in humans has been associated with altered function of the hypothalamic-pituitary-adrenal (HPA) axis in childhood and adult life. Experimentally, maternal undernutrition has also been associated with altered fetal HPA function. However, the relationship between birth size, fetal nutrition, and adult pathophysiology is not clear. We recently have reported that glucose tolerance, blood pressure, and IGF-I levels in adult sheep were more closely associated with birth weight than with nutritional insult in late gestation or with current weight. Here, we report adult HPA function in the same group of animals. Pregnant ewes were severely undernourished for 10 d (UN10) or 20 d (UN20) from 105 d gestation (term, 146 d), or were ad libitum-fed controls. At 30 months, female offspring were subjected to an insulin tolerance test and a CRH plus arginine vasopressin (AVP) challenge. UN20 lambs were lighter at birth, but there were no significant differences in weight at 30 months. Adult UN10 ewes had an increased ACTH response to both CRH+AVP challenge and insulin tolerance test, but no differences in cortisol response. UN10 ewes also demonstrated elevated 11-deoxycortisol concentrations, but lower progesterone concentrations, in response to CRH+AVP challenge. In contrast, the responses of UN20 ewes to these challenges were not different from ad libitum controls. Protein levels of P450(c17) and P450(11beta1) were not significantly different among groups. We conclude that brief maternal undernutrition for 10 d, but not 20 d, in late gestation alters HPA function in adult offspring. In contrast to our previous findings, these HPA effects are independent of birth weight and current weight, suggesting that different mechanisms may be involved in programming different physiological axes.

[1]  C Osmond,et al.  Fetal and infant growth and impaired glucose tolerance at age 64. , 1991, BMJ.

[2]  R. Benediktsson,et al.  Protein intake in pregnancy, placental glucocorticoid metabolism and the programming of hypertension in the rat. , 1996, Placenta.

[3]  P. Gluckman,et al.  Ontogeny and regulation of corticosteroid binding globulin capacity in plasma of fetal and newborn lambs. , 1982, Endocrinology.

[4]  G. Hammond,et al.  Divergent changes in plasma ACTH and pituitary POMC mRNA after cortisol administration to late-gestation ovine fetus , 1998 .

[5]  C. Osmond,et al.  Coronary heart disease after prenatal exposure to the Dutch famine, 1944–45 , 2000, Heart.

[6]  M. Hanson,et al.  Effect of maternal nutrient restriction in early gestation on development of the hypothalamic-pituitary-adrenal axis in fetal sheep at 0.8-0.9 of gestation. , 1999, The Journal of endocrinology.

[7]  M. G. Mulinos,et al.  Pseudo-Hypophysectomy A Condition Resembling Hypophysectomy Produced by MalnutritionTwo Figures , 1940 .

[8]  M. Hanson,et al.  Effect of Maternal Nutrient Restriction in Early Gestation on Responses of the Hypothalamic‐Pituitary‐Adrenal Axis to Acute Isocapnic Hypoxaemia in Late Gestation Fetal Sheep , 2000, Experimental physiology.

[9]  J. Seckl,et al.  Inhibition of 11β‐hydroxysteroid dehydrogenase, the foeto‐placental barrier to maternal glucocorticoids, permanently programs amygdala GR mRNA expression and anxiety‐like behaviour in the offspring , 2000, The European journal of neuroscience.

[10]  Jane E. Harding,et al.  Nutrition and fetal growth , 1995 .

[11]  L. Lumey Glucose tolerance in adults after prenatal exposure to famine , 2001, The Lancet.

[12]  R. Benediktsson,et al.  Protein Intake in Pregnancy, Placental Glucocorticoid the Programming of Hypertension in the Rat Metabolism and , 1996 .

[13]  I. McMillen,et al.  Maternal undernutrition increases arterial blood pressure in the sheep fetus during late gestation , 2001, The Journal of physiology.

[14]  J. Harding The nutritional basis of the fetal origins of adult disease , 2001 .

[15]  D. Mellor,et al.  Effects on the rate of increase in fetal girth of refeeding ewes after short periods of severe undernutrition during late pregnancy. , 1982, Research in veterinary science.

[16]  S. Lye,et al.  Possible role of cortisol in the stimulation of cortisol-binding capacity in the plasma of fetal sheep. , 1985, Endocrinology.

[17]  M. Hanson,et al.  Maternal Undernutrition in Early Gestation Alters Molecular Regulation of the Hypothalamic‐Pituitary‐Adrenal Axis in the Ovine Fetus , 2001, Journal of neuroendocrinology.

[18]  D. Barker Mothers, Babies and Disease in Later Life , 1994 .

[19]  B. Breier,et al.  Maternal undernutrition during the periconceptual period increases plasma taurine levels and insulin response to glucose but not arginine in the late gestational fetal sheep. , 2001, Endocrinology.

[20]  P. Gluckman,et al.  Fetal nutrition and cardiovascular disease in adult life , 1993, The Lancet.

[21]  Milton O. Lee,et al.  LIVER GROWTH IN RATS TREATED WITH ANTERIOR PITUITARY GROWTH HORMONE , 1940 .

[22]  C Osmond,et al.  Catch-up growth in childhood and death from coronary heart disease: longitudinal study , 1999, BMJ.

[23]  C. Osmond,et al.  Coronary Heart Disease After Prenatal Exposure to the Dutch Famine, 1944/N45 , 2001 .

[24]  C. Osmond,et al.  Plasma lipid profiles in adults after prenatal exposure to the Dutch famine. , 2000, The American journal of clinical nutrition.

[25]  B. Walker,et al.  Journal of Clinical Endocrinology and Metabolism Printed in U.S.A. Copyright © 1998 by The Endocrine Society Elevated Plasma Cortisol Concentrations: A Link between Low Birth Weight and the Insulin Resistance Syndrome?* , 2022 .

[26]  B. Walker,et al.  Altered control of cortisol secretion in adult men with low birth weight and cardiovascular risk factors. , 2001, The Journal of clinical endocrinology and metabolism.

[27]  T. G. Butler,et al.  Differential effects of the early and late intrauterine environment on corticotrophic cell development. , 2002, The Journal of clinical investigation.

[28]  J. Challis,et al.  Short-term fluctuations in the concentration of cortisol and progesterone in fetal plasma, maternal plasma, and amniotic and allantoic fluids from sheep during late pregnancy. , 1981, Canadian journal of physiology and pharmacology.

[29]  B. J. Jennings,et al.  Early growth determines longevity in male rats and may be related to telomere shortening in the kidney , 1999, FEBS letters.

[30]  P. Gluckman,et al.  Fetal origins of hyperphagia, obesity, and hypertension and postnatal amplification by hypercaloric nutrition. , 2000, American journal of physiology. Endocrinology and metabolism.

[31]  R. Benediktsson,et al.  Glucocorticoid exposure in utero: new model for adult hypertension , 1993, The Lancet.

[32]  M. M. Bradford A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. , 1976, Analytical biochemistry.

[33]  C. Edwards,et al.  Inhibition of 11-beta-hydroxysteroid dehydrogenase in pregnant rats and the programming of blood pressure in the offspring. , 1996, Hypertension.

[34]  Plasma fibrinogen and factor VII concentrations in adults after prenatal exposure to famine , 2000, British journal of haematology.

[35]  E. Wintour,et al.  Differential timing for programming of glucose homoeostasis, sensitivity to insulin and blood pressure by in utero exposure to dexamethasone in sheep. , 2000, Clinical science.

[36]  J. Eriksson,et al.  Effects of size at birth and childhood growth on the insulin resistance syndrome in elderly individuals , 2002, Diabetologia.

[37]  P. Hindmarsh,et al.  Size at birth and adrenocortical function in childhood , 1996, Clinical endocrinology.

[38]  D. Sloboda,et al.  Repeated maternal glucocorticoid administration and the developing liver in fetal sheep. , 2002, The Journal of endocrinology.

[39]  C. M. Jackson Structural changes when growth is suppressed by undernourishment in the albino rat. , 1932 .

[40]  S. Matthews,et al.  Prenatal Glucocorticoid Modifies Hypothalamo-Pituitary-Adrenal Regulation in Prepubertal Guinea Pigs , 2001, Neuroendocrinology.

[41]  J. Meulen Glucose tolerance in adults after prenatal exposure to famine , 2001, The Lancet.

[42]  M. Hanson,et al.  Effect of maternal undernutrition in early gestation on ovine fetal blood pressure and cardiovascular reflexes. , 2000, American journal of physiology. Regulatory, integrative and comparative physiology.

[43]  C. May,et al.  An early prenatal exposure to excess glucocorticoid leads to hypertensive offspring in sheep. , 1998, Clinical science.

[44]  D. Sloboda,et al.  Effects of repeated maternal betamethasone administration on growth and hypothalamic-pituitary-adrenal function of the ovine fetus at term. , 2000, The Journal of endocrinology.

[45]  S. Matthews,et al.  A Short Period of Maternal Nutrient Restriction in Late Gestation Modifies Pituitary-Adrenal Function in Adult Guinea Pig Offspring , 2001, Neuroendocrinology.

[46]  L. Johnston,et al.  CIDR: A new progesterone-releasing intravaginal device for induction of estrus and cycle control in sheep and goats , 1993 .

[47]  P. Gluckman,et al.  Birth Weight Rather Than Maternal Nutrition Influences Glucose Tolerance, Blood Pressure, and IGF-I Levels in Sheep , 2002, Pediatric Research.

[48]  C Osmond,et al.  Obesity at the age of 50 y in men and women exposed to famine prenatally. , 1999, The American journal of clinical nutrition.