Search NEL Online

Journal Article 2008; 29(5): 620-626 PubMed PMID: 18987584 Citation  Keywords:  Adult, Animals, Chronic Disease:epidemiology, Environment, Female, Fetal Development:genetics, Fetus:physiology, Humans, Pregnancy, Young Adult,.   

: Foetal growth from conception to birth is a complex process predetermined by the genetic configuration of the foetus, the availability of nutrients and oxygen to the foetus, maternal nutrition and various growth factors and hormones of maternal, foetal and placental origin. Maintenance of the optimal foetal environment is the key factor of the future quality of life. Such conditions like inadequate nutrition and oxygen supply, infection, hypertension, gestational diabetes or drug abuse by the mother, expose the foetus to nonphysiological environment. In conditions of severe intrauterine deprivation, there is a potential loss of structural units within the developing organ systems affecting their functionality and efficiency. Extensive human epidemiologic and animal model data indicate that during critical periods of prenatal and postnatal mammalian development, nutrition and other environmental stimuli influence developmental pathways and thereby induce permanent changes in metabolism and chronic disease susceptibility. The studies reviewed in this article show how environmental factors influence a diverse array of molecular mechanisms and consequently alter disease risk including diseases such as metabolic syndrome and cardiovascular diseases, insulin resistance and diabetes mellitus, neuropsychiatric disorders, osteoporosis, asthma and immune system diseases....

Read abstract  Full text PDF

Journal Article 2008; 29(1): 87-90 PubMed PMID: 18283242 Citation  Keywords:  Animals, Circadian Rhythm:physiology, Female, Fetal Development:physiology, Fetal Weight:physiology, Models, Animal, Organ Size, Photoperiod, Placenta:pathology, Placentation:physiology, Pregnancy, Random Allocation, Rats, Rats, Wistar,.   

OBJECTIVE: To investigate the effect of circadian rhythm changes on fetal-placental development in pregnant rats.

MATERIAL AND METHOD: Pregnant rats were randomly allocated to 4 groups with 10 rats in each group. Group 1: 12 hours light 12 hours dark period (n:10, Control Group); Group 2: 6 hours light 6 hours dark period (n:10); Group 3: constant light group (n:10); Group 4: constant dark group (n:10). Rats were made to deliver by cesarean birth at the end of their pregnancy and their placenta, number and weight of the offspring, and placental histopathological changes were examined.

FINDING: Fetal number in the constant dark group was found significant in comparison to constant light group (p<0.01). Fetal weight in all groups with altered circadian rhythm was significantly lower than that in the control group (p<0.01). The decrease in fetal weight was more evident in the constant light group than in the constant dark group (p<0.01). Comparison of the histopathological findings of the placenta showed that placental edema, fibrin accumulation and leukocyte infiltration were significantly higher in constant light and constant dark groups than in other groups (p<0.01).

CONCLUSION: Circadian rhythm change in pregnancy adversely affects the fetal-placental development. More detailed studies are needed to clarify this mechanism....

Read abstract  Full text PDF

Journal Article 2006; 27(1-2): 277-280 PubMed PMID: 16648799 Citation  Keywords:  Adult, Carbohydrate Metabolism:physiology, Diabetes, Gestational:blood, Diet, Diabetic, Fatty Acids, Nonesterified:blood, Female, Fetal Blood:chemistry, Fetal Development:physiology, Humans, Hypoglycemic Agents:therapeutic use, Insulin:therapeutic use, Pr.   

AIM OF THE STUDY: The investigation of the influence of maternal serum free fatty acids (FFA) levels on the course of gestational diabetes mellitus (GDM).

MATERIAL AND METHODS: On the basis of GDM diagnosis 52 diabetic and 39 non-diabetic pregnant women were recruited to the study. Treatment modalities for diabetic group included diet alone (GDM1; n-36) or a combination of insulin and diet (GDM2; n-16). Maternal serum free fatty acids were measured before treatment, after 4 weeks therapy, during delivery and in umbilical cord blood.

RESULTS: Plasma levels of FFA were higher in GDM pregnant women treated later only by diet compare with GDM patients required later insulin and non-diabetic gravidas. In GDM diet treated group plasma FFA levels progressively decreased with treatment duration. The plasma FFA levels in umbilical cord blood did not differ between the study groups. We found a positive correlation between maternal venous and umbilical cord blood concentration of free fatty acids. Maternal FFA levels positively correlated with neonatal births weight.

CONCLUSION: Elevated plasma FFA levels are associated with GDM and can influence fetal growth. Early and intensified GDM treatment may decrease the level of circulating fatty acids....

Read abstract

Journal Article 2005; 26(5): 561-566 PubMed PMID: 16264400 Citation  Keywords:  Actins:blood, Adult, Antigens, Neoplasm:blood, Blotting, Western, Cystinyl Aminopeptidase:blood, Female, Fetal Development:immunology, Humans, Immune Tolerance:physiology, Infant, Newborn, Infant, Premature, Placenta:metabolism, Pregnancy,.   

OBJECTIVES: Fetal maturity does not seem to be directly connected with the phenomenon of immune tolerance during pregnancy although the fetal maturation influences the process of initiation of the labor at term finishing the immune tolerance during pregnancy. CAP and RCAS1 are expressed by the trophoblast cells and afterwards by the placenta, these proteins are able to modulate the maternal immune response.

MATERIALS AND METHODS: 160 patients were randomly selected to our study. The patients were divided into two groups using K score according to the newborn's maturity: maturated and not fully maturated. Within the groups of matured and not fully matured newborns the subgroups were selected according to the type of the labor: spontaneous or induced. The oxytocinase plasma activity was established in plasma samples obtained from pregnant women a few days before delivery. The placental RCAS1 relative amount was assessed by Western blot analysis.

RESULTS: The differences in oxytocinase plasma level with respect to the fetal maturity were identified in our study however no RCAS1 expression changes were found regarding the fetal maturation. We determined the alterations in RCAS1 expression with respect to the occurrence of clinical symptoms of the spontaneous beginning of the labor in maturated and not-fully maturated groups of newborns.

CONCLUSIONS: Oxytocinase seems to be a useful marker of normal fetal development. The assessment of RCAS1 in placenta directly after delivery appears to indicate the level of maternal immune tolerance during the labor initiation. The level of the immune tolerance at the moment of the delivery drops independently of the fetal maturity....

Read abstract  Full text PDF