Literature DB >> 19371860

Antenatal glucocorticoid therapy increases glucose delivery to cerebral circulations during acute hypoxemia in fetal sheep during late gestation.

Juanita K Jellyman1, David S Gardner, Hugh H McGarrigle, Abigail L Fowden, Dino A Giussani.   

Abstract

OBJECTIVE: To determine the effects of 2 maternal injections with dexamethasone on the calculated oxygen and glucose deliveries to fetal cerebral and peripheral circulations during acute hypoxemia in sheep. STUDY
DESIGN: Beginning at 124 days, ewes received 2 intramuscular injections of either dexamethasone (2 x 12 mg, n = 10) or saline solution (2 x 2 mL, n = 12) 24 hours apart. Hypoxemia (1 hour) was induced 32 hours after the first injection (H1) and 3 days after the second (H2).
RESULTS: In saline solution-treated fetuses, glucose delivery was unchanged or increased in femoral and carotid circulations, respectively, during H1 and H2. In dexamethasone-treated fetuses, the increase in glucose delivery to the head tended to be greater during H1 and was significantly enhanced in dexamethasone- vs saline solution-treated fetuses during H2.
CONCLUSION: Two maternal injections with dexamethasone significantly enhanced glucose delivery to the head during acute hypoxemia in the ovine fetus.

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Year:  2009        PMID: 19371860     DOI: 10.1016/j.ajog.2009.01.012

Source DB:  PubMed          Journal:  Am J Obstet Gynecol        ISSN: 0002-9378            Impact factor:   8.661


  7 in total

1.  The effects of dexamethasone on post-asphyxial cerebral oxygenation in the preterm fetal sheep.

Authors:  Christopher A Lear; Miriam E Koome; Joanne O Davidson; Paul P Drury; Josine S Quaedackers; Robert Galinsky; Alistair J Gunn; Laura Bennet
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Review 2.  Metabolic Consequences of Glucocorticoid Exposure before Birth.

Authors:  Abigail L Fowden; Owen R Vaughan; Andrew J Murray; Alison J Forhead
Journal:  Nutrients       Date:  2022-05-30       Impact factor: 6.706

Review 3.  Cerebral artery signal transduction mechanisms: developmental changes in dynamics and Ca2+ sensitivity.

Authors:  Lawrence D Longo; Ravi Goyal
Journal:  Curr Vasc Pharmacol       Date:  2013-09       Impact factor: 2.719

Review 4.  The fetal brain sparing response to hypoxia: physiological mechanisms.

Authors:  Dino A Giussani
Journal:  J Physiol       Date:  2016-01-06       Impact factor: 5.182

5.  Fetal in vivo continuous cardiovascular function during chronic hypoxia.

Authors:  B J Allison; K L Brain; Y Niu; A D Kane; E A Herrera; A S Thakor; K J Botting; C M Cross; N Itani; K L Skeffington; C Beck; D A Giussani
Journal:  J Physiol       Date:  2016-03-01       Impact factor: 5.182

6.  Effects of cortisol and dexamethasone on insulin signalling pathways in skeletal muscle of the ovine fetus during late gestation.

Authors:  Juanita K Jellyman; Malgorzata S Martin-Gronert; Roselle L Cripps; Dino A Giussani; Susan E Ozanne; Qingwu W Shen; Min Du; Abigail L Fowden; Alison J Forhead
Journal:  PLoS One       Date:  2012-12-26       Impact factor: 3.240

7.  Breath of Life: Heart Disease Link to Developmental Hypoxia.

Authors:  Dino A Giussani
Journal:  Circulation       Date:  2021-10-25       Impact factor: 29.690

  7 in total

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