Prematurity in the rat. I. Fuels and gluconeogenic enzymes.

Changes in liver glycogen, plasma glucose, lactate, alanine and glycerol concentrations during the first 2 h after delivery by cesarean section in term and preterm rats were studied. Liver glycogenolysis initiated in both groups just after delivery, the rates of glycogenolysis being about 50 mumol/h/g wet weight. Glycogen breakdown came along with very low plasma glucose concentrations suggesting that glycogenolysis could be promoted by neonatal hypoglycemia. Plasma alanine concentrations decreased in both groups at similar rates suggesting that alanine utilization was enhanced during the first 2 h of extrauterine life. The plasma glycerol concentration increased in preterm rats but no changes were observed in term rats. The plasma lactate concentration progressively decreased during the first 2 h in term rats. However, preterm rats showed no changes in plasma lactate concentrations during the first hour, then decreased during the second hour at similar rates to those observed in term rats. These results suggest that preterm rats showed a transient resistence to lactate utilization at delivery which was overcome during the first hour of extrauterine life.