Dr Alison Forhead
Senior Lecturer in Physiology and Medical Science
School of Biological and Medical Sciences
Teaching and supervision
Courses
- Biological Sciences (BSc (Hons), MBiol)
- Biomedical Science (BSc (Hons))
- Medical Science (BSc (Hons))
- Nutrition (BSc (Hons))
Modules taught
Module leader in:
- Human Structure and Function
Co-teacher in:
- Scientific Skills
- Professional and Experimental Skills
- Research Methods
- Integrated Physiology
- Project
Research
My research interests are in mammalian endocrinology and the endocrine regulation of physiology and development in the fetus. Currently, my research work is focussed on two main areas:
Development and regulation of endocrine systems in the fetus
These studies have examined the bioavailability of hormones in the fetus, in particular, the glucocorticoids, thyroid hormones, leptin, insulin-like growth factors and the renin-angiotensin system. Our analyses of hormone systems in utero have included measurements of circulating concentrations, tissue metabolism and metabolic enzymes, cellular uptake mechanisms and receptor expression. These studies have demonstrated complex interactions between endocrine systems before birth and have elucidated a variety of cellular and molecular mechanisms of developmental control.
Endocrine control of fetal growth, development and maturation
My research has also investigated the role of hormones in the regulation of normal fetal development. These studies have an integrative approach to systems animal biology by examining a wide variety of fetal tissues and organs, and aspects of fetal physiology, including growth, cardiovascular and renal function, nutrition and metabolism. In particular, several of these studies have established the importance of endocrine signals in fetal maturation near to delivery and in the successful transition from the intrauterine to extrauterine environment at birth. We have investigated the mechanisms of glucocorticoid action in several physiological systems, and demonstrated the important roles of other hormones, such as thyroid hormones and angiotensin II, in mediating many of the maturational effects of glucocorticoids.
Overall, my research has an integrative approach to the study of mammalian endocrinology and systems animal physiology. The research findings have important implications for the understanding of normal fetal growth and development, the consequences of prematurity and fetal endocrine disorders, and the mechanisms underlying the intrauterine programming of adult (patho)physiology.
Research grants and awards
Main sources of funding: BBSRC, Isaac Newton Trust, The Royal Society
Groups
Publications
Journal articles
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Davies KL, Miles J, Camm EJ, Smith Dj, Barker P, Taylor K, Forhead AJ, Fowden AL, 'Prenatal cortisol exposure impairs adrenal function but not glucose metabolism in adult sheep'
Journal of Endocrinology 260 (3) (2024)
ISSN: 0022-0795 eISSN: 1479-6805AbstractPublished here Open Access on RADARAdverse environmental conditions before birth are known to program adult metabolic and endocrine phenotype in several species. However, whether increments in fetal cortisol concentrations of the magnitude commonly seen in these conditions can cause developmental programming remains unknown. Thus, this study investigated the outcome of physiological increases in fetal cortisol concentrations on glucose-insulin dynamics and pituitary-adrenal function in adult sheep. Compared to saline treatment, intravenous fetal cortisol infusion for 5 days in late gestation did not affect birthweight but increased lamb
body weight at 1-2 weeks after birth. Adult glucose dynamics, insulin sensitivity and insulin secretion were unaffected by prenatal cortisol overexposure, assessed by glucose tolerance tests, hyperinsulinaemic-euglycaemic clamps and acute insulin administration. In contrast, prenatal cortisol infusion induced adrenal hypo-responsiveness in adulthood with significantly reduced cortisol responses to insulin-induced hypoglycaemia and exogenous adrenocorticotropic hormone (ACTH) administration relative to saline treatment. The area of adrenal cortex expressed as a percentage of the total cross-sectional area of the adult adrenal gland was also lower after prenatal cortisol than saline infusion. In adulthood, basal circulating ACTH but not cortisol concentrations were significantly higher in the cortisol than saline treated group. The results show that cortisol overexposure before birth programs pituitary-adrenal development with consequences for adult stress responses. Physiological variations in cortisol concentrations before birth may, therefore, have an important role in determining adult phenotypical diversity and adaptability to environmental challenges. -
Young R, Lewandowska D, Long E, Wooding FBP, De Blasio MJ, Davies KL, Camm EJ, Sangild PT, Fowden AL, Forhead AJ, 'Hypothyroidism impairs development of the gastrointestinal tract in the ovine fetus'
Frontiers in Physiology 14 (2023)
ISSN: 1664-042X eISSN: 1664-042XAbstractPublished here Open Access on RADARGrowth and maturation of the fetal gastrointestinal tract near term prepares the offspring for the onset of enteral nutrition at birth. Structural and functional changes are regulated by the prepartum rise in cortisol in the fetal circulation, although the role of the coincident rise in plasma tri-iodothyronine (T3) is unknown. This study examined the effect of hypothyroidism on the structural development of the gastrointestinal tract and the activity of brush-border digestive enzymes in the ovine fetus near term. In intact fetuses studied between 100 and 144 days of gestation (dGA; term ~ 145 days), plasma concentrations of T3, cortisol and gastrin; the mucosal thickness in the abomasum, duodenum, jejunum and ileum; and intestinal villus height and crypt depth increased with gestational age. Removal of the fetal thyroid gland at 105-110 dGA suppressed plasma thyroxine (T4) and T3 concentrations to the limit of assay detection in fetuses studied at 130 and 144 dGA, and decreased plasma cortisol and gastrin near term, compared to age-matched intact fetuses. Hypothyroidism was associated with reductions in the relative weights of the stomach compartments and small intestines, the outer perimeter of the intestines, the thickness of the gastric and intestinal mucosa, villus height and width, and crypt depth. The thickness of the mucosal epithelial cell layer and muscularis propria in the small intestines were not affected by gestational age or treatment. Activities of the brush border enzymes varied with gestational age in a manner that depended on the enzyme and region of the small intestines studied. In the ileum, maltase and dipeptidyl peptidase IV (DPPIV) activities were lower, and aminopeptidase N (ApN) were higher, in the hypothyroid compared to intact fetuses near term. These findings highlight the importance of thyroid hormones in the structural and functional development of the gastrointestinal tract near term, and indicate how hypothyroidism in utero may impair the transition to enteral nutrition and increase the risk of gastrointestinal disorders in the neonate.
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Davies KL, Camm EJ, Smith DJ, Miles J, Forhead AJ, Murray AJ, Fowden AL, 'Developmental programming of mitochondrial substrate metabolism in skeletal muscle of adult sheep by cortisol exposure before birth'
Journal of Developmental Origins of Health and Disease 14 (1) (2022) pp.77-87
ISSN: 2040-1744 eISSN: 2040-1752AbstractPublished herePrenatal glucocorticoid overexposure causes adult metabolic dysfunction in several species but its effects on adult mitochondrial function remain largely unknown. Using respirometry, this study examined mitochondrial substrate metabolism of fetal and adult ovine biceps femoris (BF) and semitendinosus (ST) muscles after cortisol infusion before birth. Physiological increases in fetal cortisol concentrations pre-term induced muscle- and substrate-specific changes in mitochondrial oxidative phosphorylation capacity in adulthood. These changes were accompanied by muscle-specific alterations in protein content, fibre composition and abundance of the mitochondrial electron transfer system (ETS) complexes. In adult ST, respiration using palmitoyl-carnitine and malate was increased after fetal cortisol treatment but not with other substrate combinations. There were also significant increases in protein content and reductions in the abundance of all four ETS complexes, but not ATP synthase, in the ST of adults receiving cortisol prenatally. In adult BF, intrauterine cortisol treatment had no effect on protein content, respiratory rates, ETS complex abundances or ATP synthase. Activity of citrate synthase, a marker of mitochondrial content, was unaffected by intrauterine treatment in both adult muscles. In the ST but not BF, respiratory rates using all substrate combinations were significantly lower in the adults than fetuses, predominantly in the saline-infused controls. The ontogenic and cortisol-induced changes in mitochondrial function were, therefore, more pronounced in the ST than BF muscle. Collectively, the results show that fetal cortisol overexposure programmes mitochondrial substrate metabolism in specific adult muscles with potential consequences for adult metabolism and energetics.
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Davies KL, Camm EJ, Smith DJ, Miles J, Forhead AJ, Murray AJ, Fowden AL, 'Developmental programming of mitochondrial substrate metabolism in skeletal muscle of adult sheep by cortisol exposure before birth'
Journal of Developmental Origins of Health and Disease 14 (1) (2022) pp.77-87
ISSN: 2040-1744 eISSN: 2040-1752AbstractPublished here Open Access on RADARPrenatal glucocorticoid overexposure causes adult metabolic dysfunction in several species but its effects on adult mitochondrial function remain largely unknown. Using respirometry, this study examined mitochondrial substrate metabolism of fetal and adult ovine biceps femoris (BF) and semitendinosus (ST) muscles after cortisol infusion before birth. Physiological Increases in fetal cortisol concentrations pre-term induced muscle- and substrate-specific changes in mitochondrial oxidative phosphorylation capacity in adulthood. These changes were accompanied by muscle-specific alterations in protein content, fibre composition and abundance of the mitochondrial electron transfer system (ETS) complexes. In adult ST, respiration using palmitoyl-carnitine and malate was increased after fetal cortisol treatment but not with other substrate combinations. There were also significant increases in protein content and reductions in the abundance of all four ETS complexes, but not ATP synthase, in the ST of adults receiving cortisol prenatally. In adult BF, intrauterine cortisol treatment had no effect on protein content, respiratory rates, ETS complex abundances or ATP synthase. Activity of citrate synthase, a marker of mitochondrial content, was unaffected by intrauterine treatment in both adult muscles. In the ST but not BF, respiratory rates using all substrate combinations were significantly lower in the adults than fetuses, predominantly in the saline-infused controls. The ontogenic and cortisol-induced changes in mitochondrial function were, therefore, more pronounced in the ST than BF muscle. Collectively, the results show that fetal cortisol overexposure programs mitochondrial substrate metabolism in specific adult muscles with potential consequences for adult metabolism and energetics.
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Davies KL, Smith DJ, El-Bacha T, Wooding FBP, Forhead AJ, Murray AJ, Fowden AL, Camm EJ , 'Cortisol regulates cerebral mitochondrial oxidative phosphorylation and morphology of the brain in a region-specific manner in the ovine fetus'
Biomolecules 12 (6) (2022)
ISSN: 2218-273X eISSN: 2218-273XAbstractPublished here Open Access on RADARIn adults, glucocorticoids are stress hormones that act, partly, through actions on mitochondrial oxidative phosphorylation (OXPHOS) to increase energy availability. Before birth, glucocorticoids are primarily maturational signals that prepare the fetus for new postnatal challenges. However, the role of the normal prepartum glucocorticoid rise in preparing mitochondria for the increased postnatal energy demands remains largely unknown. This study examined the effect of physiological increases in the fetal cortisol concentration on cerebral mitochondrial OXPHOS capacity near term (~130 days gestation, term ~145 days gestation). Fetal sheep were infused with saline or cortisol for 5 days at ~0.8 of gestation before the mitochondrial content, respiratory rates, abundance of the electron transfer system proteins and OXPHOS efficiency were measured in their cortex and cerebellum. Cerebral morphology was assessed by immunohistochemistry and stereology. Cortisol treatment increased the mitochondrial content, while decreasing Complex I-linked respiration in the cerebellum. There was no effect on the cortical mitochondrial OXPHOS capacity. Cortisol infusion had regional effects on cerebral morphology, with increased myelination in the cerebrum. The findings demonstrate the importance of cortisol in regulating the cerebral mitochondrial OXPHOS capacity prenatally and have implications for infants born preterm or after glucocorticoid overexposure due to pregnancy complications or clinical treatment.
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Wooding FBP, Forhead AJ, Wilsher S, Allen WR, Roberts RM, Green JA, Beckers JF, Melo de Sousa N, Charpigny G , 'Asymmetric expression of proteins in the granules of the placentomal binucleate cells in Giraffa Camelopardalis'
Biology of Reproduction 106 (4) (2022) pp.814-822
ISSN: 0006-3363 eISSN: 1529-7268AbstractPublished here Open Access on RADARMature granulated trophoblast binucleate cells (BNC) have been found in all ruminant placentas examined histologically so far. BNC are normally fairly evenly distributed throughout the fetal villus and all their granules contain a similar variety of hormones and pregnancy associated glycoproteins (PAGs). Only the Giraffe is reported to show a different BNC protein expression, this paper is designed to investigate that. Gold labelled Lectin histochemistry and protein immunocytochemistry were used on deplasticised 1 μm sections of a wide variety of ruminant placentomes with a wide range of antibodies and lectins. In the Giraffe placentomes, even though the lectin histochemistry shows an even distribution of BNC throughout the trophoblast of the placental villi, the protein expression in the BNC granules is limited to the BNC either in the apex or the base of the villi. Placental lactogens and Prolactin (PRL) are present only in basally situated BNC: PAGs only in the apical BNC. PRL is only found in the Giraffe BNC which react with many fewer of the wide range of antibodies used here to investigate the uniformity of protein expression in ruminant BNC. The possible relevance of these differences to ruminant function and evolution is considered to provide a further example of the versatility of the BNC system.
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Lanham Stuart A, Blache Dominique, Oreffo Richard OC, Fowden Abigail L, Forhead Alison J, 'Pancreas deficiency modifies bone development in the ovine fetus near term'
Journal of Endocrinology 252 (1) (2021) pp.71-80
ISSN: 0022-0795 eISSN: 1479-6805AbstractPublished here Open Access on RADARHormones have an important role in the regulation of fetal growth and development, especially in response to nutrient availability in utero. Using micro-computed tomography and an electromagnetic 3-point bend test, this study examined the effect of pancreas removal at 0.8 fraction of gestation on the developing bone structure and mechanical strength in fetal sheep. When fetuses were studied at 10 and 25 days after surgery, pancreatectomy caused hypoinsulinaemia, hyperglycaemia and growth retardation which was associated with low plasma concentrations of leptin and a marker of osteoclast activity and collagen degradation. In pancreatectomised fetuses compared to control fetuses, limb lengths were shorter and trabecular bone in the metatarsi showed greater bone volume fraction, trabecular thickness, degree of anisotropy and porosity, and lower fractional bone surface area and trabecular spacing. Mechanical strength testing showed that pancreas deficiency was associated with increased stiffness and a greater maximal weight load at fracture in a subset of fetuses studied near term. Overall, pancreas deficiency in utero slowed growth of the fetal skeleton and adapted the developing bone to generate a more compact and connected structure. Maintenance of bone strength in growth-retarded limbs is especially important in a precocial species in preparation for skeletal loading and locomotion at birth.
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Davies KL, Camm EJ, Smith DJ, Vaughan OR, Forhead AJ, Murray AJ, Fowden AL, 'Glucocorticoid maturation of mitochondrial respiratory capacity in skeletal muscle before birth'
Journal of Endocrinology 251 (1) (2021) pp.53-68
ISSN: 0022-0795 eISSN: 1479-6805AbstractPublished here Open Access on RADARIn adults, glucocorticoids act to match the supply and demand for energy during physiological challenges, partly through actions on tissue mitochondrial oxidative phosphorylation (OXPHOS) capacity. However, little is known about the role of the natural prepartum rise in fetal glucocorticoid concentrations in preparing tissues for the increased postnatal energy demands. This study examined the effect of manipulating cortisol concentrations in fetal sheep during late gestation on mitochondrial OXPHOS capacity of two skeletal muscles with different postnatal locomotive functions. Mitochondrial content, biogenesis markers, respiratory rates and expression of proteins and genes involved in the electron transfer system (ETS) and OXPHOS efficiency were measured in the biceps femoris (BF) and superficial digital flexor (SDF) of fetuses either infused with cortisol before the prepartum rise or adrenalectomised to prevent this increment. Cortisol infusion increased mitochondrial content, biogenesis markers, substrate-specific respiration rates and abundance of ETS Complex I and adenine nucleotide translocator (ANT1) in a muscle-specific manner that was more pronounced in the SDF than BF. Adrenalectomy reduced mitochondrial content and expression of PGC1α and ANT1 in both muscles, and ETS Complex IV abundance in the SDF near term. Uncoupling protein gene expression was unaffected by cortisol manipulations in both muscles. Gene expression of the myosin heavy chain isoform, MHCIIx, was increased by cortisol infusion and reduced by adrenalectomy in the BF alone. These findings show that cortisol has a muscle-specific role in prepartum maturation of mitochondrial OXPHOS capacity with important implications for the health of neonates born pre-term or after intrauterine glucocorticoid overexposure.
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Davies Katie L., Smith Danielle J., El‐Bacha Tatiana, Stewart Max E., Easwaran Akshay, Wooding Peter F. P., Forhead Alison J., Murray Andrew J., Fowden Abigail L., Camm Emily J., 'Development of cerebral mitochondrial respiratory function is impaired by thyroid hormone deficiency before birth in a region‐specific manner'
The FASEB Journal 35 (5) (2021)
ISSN: 0892-6638 eISSN: 1530-6860AbstractPublished here Open Access on RADARThyroid hormones regulate adult metabolism partly through actions on mitochondrial oxidative phosphorylation (OXPHOS). They also affect neurological development of the brain, but their role in cerebral OXPHOS before birth remains largely unknown, despite the increase in cerebral energy demand during the neonatal period. Thus, this study examined prepartum development of cerebral OXPHOS in hypothyroid fetal sheep. Using respirometry, Complex I (CI), Complex II (CII), and combined CI&CII OXPHOS capacity were measured in the fetal cerebellum and cortex at 128 and 142 days of gestational age (dGA) after surgical thyroidectomy or sham operation at 105 dGA (term ~145 dGA). Mitochondrial electron transfer system (ETS) complexes, mRNA transcripts related to mitochondrial biogenesis and ATP production, and mitochondrial density were quantified using molecular techniques. Cerebral morphology was assessed by immunohistochemistry and stereology. In the cortex, hypothyroidism reduced CI-linked respiration and CI abundance at 128 dGA and 142 dGA, respectively, and caused upregulation of PGC1α (regulator of mitochondrial biogenesis) and thyroid hormone receptor β at 128 dGA and 142 dGA, respectively. In contrast, in the cerebellum, hypothyroidism reduced CI&II- and CII-linked respiration at 128 dGA, with no significant effect on the ETS complexes. In addition, cerebellar glucocorticoid hormone receptor and adenine nucleotide translocase (ANT1) were downregulated at 128 dGA and 142 dGA, respectively. These alterations in mitochondrial function were accompanied by reduced myelination. The findings demonstrate the importance of thyroid hormones in the prepartum maturation of cerebral mitochondria and have implications for the etiology and treatment of the neurodevelopmental abnormalities associated with human prematurity and congenital hypothyroidism.
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Camm EJ, Inzani I, De Blasio MJ, Davies KL, Lloyd IR, Wooding FBP, Blache D, Fowden AL, Forhead AJ, 'Thyroid hormone deficiency suppresses fetal pituitary-adrenal function near term: implications for the control of fetal maturation and parturition'
Thyroid 31 (6) (2020) pp.861-869
ISSN: 1050-7256 eISSN: 1557-9077AbstractPublished here Open Access on RADARBackground. The fetal hypothalamic-pituitary-adrenal (HPA) axis plays a key role in the control of parturition and maturation of organ systems in preparation for birth. In hypothyroid fetuses, gestational length may be prolonged and maturational processes delayed. The extent to which the effects of thyroid hormone deficiency in utero on the timing of fetal maturation and parturition are mediated by changes to the structure and function of the fetal HPA axis is unknown.
Methods. In twin sheep pregnancies where one fetus was thyroidectomized and the other sham-operated, this study investigated the effect of hypothyroidism on circulating concentrations of adrenocorticotrophic hormone (ACTH) and cortisol, and the structure and secretory capacity of the anterior pituitary and adrenal glands. The relative population of pituitary corticotrophs, and the masses of the adrenal zones, were assessed by immunohistochemical and stereological techniques. Adrenal mRNA abundances of key steroidogenic enzymes and growth factors were examined by qPCR.
Results. Hypothyroidism in utero reduced plasma concentrations of ACTH and cortisol. In thyroid-deficient fetuses, the mass of corticotrophs in the anterior pituitary gland was unexpectedly increased, while the mass of the zona fasciculata and its proportion of the adrenal gland were decreased. These structural changes were associated with lower adrenocortical mRNA abundances of insulin-like growth factor-I (IGFI) and its receptor, and key steroidogenic enzymes responsible for glucocorticoid synthesis. The relative mass of the adrenal medulla and its proportion of the adrenal gland were increased by thyroid hormone deficiency in utero, without any change in expression of phenylethanolamine N-methyltransferase or the IGF system.
Conclusions. Thyroid hormones are important regulators of the structure and secretory capacity of the pituitary-adrenal axis before birth. In hypothyroid fetuses, low plasma cortisol may be due to impaired adrenocortical growth and steroidogenic enzyme expression, secondary to low circulating ACTH concentration. Greater corticotroph population in the anterior pituitary gland of the hypothyroid fetus indicates compensatory cell proliferation and that there may be abnormal corticotroph capacity for ACTH synthesis and/or impaired hypothalamic input. Suppression of the development of the fetal HPA axis by thyroid hormone deficiency may contribute to the delay in fetal maturation and delivery observed in hypothyroid offspring. -
Valenzuela OA, Jellyman JK, Allen V, Niu Y, Holdstock NB, Forhead AJ, Giussani DA, Fowden AL, Herrera EA, 'Neonatal glucocorticoid overexposure alters cardiovascular function in young adult horses in a sex-linked manner'
Journal of Developmental Origins of Health and Disease 12 (2) (2020) pp.309-318
ISSN: 2040-1744 eISSN: 2040-1752AbstractPublished here Open Access on RADARPrenatal glucocorticoid overexposure has been shown to program adult cardiovascular function in a range of species but much less is known about the long-term effects of neonatal glucocorticoid overexposure. In horses, prenatal maturation of the hypothalamus-pituitary-adrenal axis and the normal prepartum surge in fetal cortisol occur late in gestation compared to other precocious species. Cortisol levels continue to rise in the hours after birth of full term foals and increase further in the subsequent days in premature, dysmature and maladapted foals. Thus, this study examined the adult cardiovascular consequences of neonatal cortisol overexposure induced by adrenocorticotropic hormone (ACTH) administration to full-term male and female pony foals. After catheterisation at 2-3 years of age, basal arterial blood pressures (BP) and heart rate (HR) were measured together with the responses to phenylephrine (PE) and sodium nitroprusside (SNP). These data were used to assess cardiac baroreflex sensitivity. Neonatal cortisol overexposure reduced both the pressor and bradycardic responses to PE in the young adult males, but not females. It also enhanced the initial hypotensive response to SNP, slowed recovery of BP after infusion and reduced the gain of the cardiac baroreflex in the females, but not males. Basal diastolic pressure and cardiac baroreflex sensitivity also differed with sex, irrespective of neonatal treatment. The results show that there is a window of susceptibility for glucocorticoid programming during the immediate neonatal period that alters cardiovascular function in young adult horses in a sex-linked manner.
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Davies KL, Camm JE, Atkinson E, Lopez T, Forhead AJ, Murray AJ, Fowden AL, 'Development and thyroid hormone dependence of skeletal muscle mitochondrial function towards birth'
The Journal of Physiology 598 (12) (2020) pp.2453-2468
ISSN: 0022-3751 eISSN: 1469-7793AbstractPublished here Open Access on RADARBirth is a significant metabolic challenge with exposure to a pro-oxidant environment and the increased energy demands for neonatal survival. This study investigated the development of mitochondrial density and activity in ovine biceps femoris skeletal muscle during the perinatal period and examined the role of thyroid hormones in these processes. Muscle capacity for oxidative phosphorylation increased primarily after birth but was accompanied by prepartum increases in mitochondrial density and abundance of electron transfer system (ETS) complexes I-IV and ATP synthase as well as by neonatal upregulation of uncoupling proteins. This temporal disparity between prepartum maturation and neonatal upregulation of mitochondrial oxidative capacity may protect against oxidative stress associated with birth while ensuring energy availability to the neonate. Fetal thyroid hormone deficiency reduced oxidative phosphorylation and prevented the prepartum upregulation of mitochondrial density and ETS proteins in fetal skeletal muscle. Overall, the data shows that mitochondrial function matures over the perinatal period and is dependent on thyroid hormones, with potential consequences for neonatal viability and adult metabolic health.
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Harris SE, Blasio MJ, Zhao X, Ma M, Davies KL, Wooding FBP, Hamilton RS, Blache D, Meredith D, Murray AJ, Fowden AL, Forhead AJ, 'Thyroid deficiency before birth alters the adipose transcriptome to promote overgrowth of white adipose tissue and impair thermogenic capacity'
Thyroid 30 (6) (2020) pp.794-805
ISSN: 1050-7256 eISSN: 1557-9077)AbstractPublished here Open Access on RADARBackground. Development of adipose tissue before birth is essential for energy storage and thermoregulation in the neonate and for cardiometabolic health in later life. Thyroid hormones are important regulators of growth and maturation in fetal tissues. Offspring hypothyroid in utero are poorly adapted to regulate body temperature at birth and are at risk of becoming obese and insulin resistant in childhood. The mechanisms by which thyroid hormones regulate the growth and development of adipose tissue in the fetus, however, are unclear. Methods. This study examined the structure, transcriptome and protein expression of perirenal
adipose tissue (PAT) in a fetal sheep model of thyroid hormone deficiency during late gestation. Proportions of unilocular (white) and multilocular (brown) adipocytes, and unilocular adipocyte size, were assessed by histological and stereological techniques. Changes to the adipose transcriptome were investigated by RNA-sequencing and bioinformatic analysis, and proteins of interest were quantified by Western blotting. Results. Hypothyroidism in utero resulted in elevated plasma insulin and leptin concentrations and overgrowth of PAT in the fetus, specifically due to hyperplasia and hypertrophy of unilocular adipocytes with no change in multilocular adipocyte mass. RNA-sequencing and genomic analyses showed that thyroid deficiency affected 34% of the genes identified in fetal adipose tissue. Enriched KEGG and gene ontology pathways were associated with adipogenic, metabolic and thermoregulatory processes, insulin resistance, and a range of endocrine and adipocytokine signalling pathways. Adipose protein levels of signalling molecules, including phosphorylated S6-kinase (pS6K), glucose transporter isoform 4 (GLUT4) and peroxisome proliferator-activated receptor γ (PPARγ), were increased by fetal hypothyroidism. Fetal thyroid deficiency decreased
uncoupling protein 1 (UCP1) protein and mRNA content, and UCP1 thermogenic capacity without
any change in multilocular adipocyte mass. Conclusions. Growth and development of adipose tissue before birth is sensitive to thyroid hormone status in utero. Changes to the adipose transcriptome and phenotype observed in the hypothyroid fetus may have consequences for neonatal survival and the risk of obesity and metabolic dysfunction in later life. -
De Blasio MJ, Lanham SA, Blache D, Oreffo ROC, Fowden AL, Forhead AJ, 'Sex- and bone-specific responses in bone structure to exogenous leptin and leptin receptor antagonism in the ovine fetus'
American Journal of Physiology - Regulatory, Integrative and Comparative Physiology 314 (6) (2018) pp.R781-R790
ISSN: 0363-6119 eISSN: 1522-1490AbstractWidespread expression of leptin and its receptor in developing cartilage and bone suggests that leptin may regulate bone growth and development in the fetus. Using micro-computed tomography, this study investigated the effects of exogenous leptin and leptin receptor antagonism on aspects of bone structure in the sheep fetus during late gestation. From 125-130 days of gestation (term ~145 days), chronically-catheterised singleton sheep fetuses were infused intravenously for five days with either saline (0.9% saline, n=13), recombinant ovine leptin at two doses (0.6 mg/kg/day LEP1, n=10 or 1.4 mg/kg/day LEP2, n=7) or recombinant super-active ovine leptin receptor antagonist (4.6 mg/kg/day SOLA, n=6). No significant differences in plasma insulin-like growth factor-I, osteocalcin, calcium, inorganic phosphate or alkaline phosphatase were observed between treatment groups. Total femur midshaft diameter and metatarsal lumen diameter were narrower in male fetuses treated with exogenous leptin. In a fixed length of femur midshaft, total and bone volumes were reduced by the higher dose of leptin; non-bone space volume was lower in both groups of leptin-treated fetuses. Leptin infusion caused increments in femur porosity and connectivity density, and vertebral trabecular thickness. Leptin receptor antagonism decreased trabecular spacing and increased trabecular number, degree of anisotrophy and connectivity density in the lumbar vertebrae. The increase in vertebral porosity observed following leptin receptor antagonism was greater in the male, compared to female, fetuses. Therefore, leptin may have a role in the growth and development of the fetal skeleton, dependent on the concentration of leptin, sex of the fetus and bone type examined.Published here Open Access on RADAR -
Franko KL, Forhead AJ, Fowden AL, 'Effects of stress during pregnancy on hepatic glucogenic capacity in rat dams and their fetuses'
Physiological Reports 5 (11) (2017)
ISSN: 2051-817X eISSN: 2051-817XAbstractStress during pregnancy is associated with metabolic dysfunction in the adult offspring in human and other animals. However, little is known about the metabolic effects of pregnancy stress on the mothers and fetuses during pregnancy itself. This study aimed to determine the consequences of the common experimental procedures of injection and single housing in pregnant rats on fetal and maternal hepatic glucogenic capacities. On day (D) 20 of pregnancy, feto‐placental weights and the glycogen content and activities of phosphoenolpyruvate carboxykinase (PEPCK) and glucose‐6‐phosphatase (G6Pase) of fetal and maternal liver were measured in rats pair or single housed from D1 with or without saline injection from D15 to D19. Housing and saline injection both affected hepatic glucogenic capacity. In maternal liver, saline injection but not housing reduced glycogen content and raised G6Pase activity, whereas housing but not treatment increased PEPCK activity. In fetuses, housing and injection interacted in regulating PEPCK activity and reducing hepatic glycogen content and placental weight. Body weight was decreased and hepatic G6Pase increased by injection but not housing in the fetuses. Single‐housed dams ate less than those pair‐housed near term while saline injection elevated maternal plasma corticosterone concentrations. Thus, single housing and saline injection are both stresses during rat pregnancy that alter feto‐placental weight and hepatic glucogenic capacity of the fetuses and dams near term. Routine experimental procedures per se may, therefore, have consequences for offspring hepatic phenotype as well as modifying the outcomes of dietary and other environmental challenges during pregnancy.Published here Open Access on RADAR -
Harris SE, De Blasio MJ, Davis MA, Kelly A, Davenport HM, Wooding FBP, Blache D, Meredith D, Anderson M, Fowden AL, Limesand SW, Forhead AJ, 'Hypothyroidism in utero stimulates pancreatic beta cell proliferation and hyperinsulinaemia in the ovine fetus during late gestation'
The Journal of Physiology 595 (11) (2017) pp.3331-3343
ISSN: 0022-3751 eISSN: 1469-7793AbstractDevelopment of pancreatic beta cell mass before birth is essential for normal growth of the fetus and for long-term control of carbohydrate metabolism in postnatal life. Thyroid hormones are also important regulators of fetal growth, and the present study tested the hypotheses that thyroid hormones promote beta cell proliferation in the fetal ovine pancreatic islets, and that growth retardation in hypothyroid fetal sheep is associated with reductions in pancreatic beta cell mass and circulating insulin concentration in utero. Organ growth and pancreatic islet cell proliferation and mass were examined in sheep fetuses following removal of the thyroid gland in utero. The effects of T3, insulin and leptin on beta cell proliferation rates were determined in isolated fetal ovine pancreatic islets in vitro. Hypothyroidism in the sheep fetus resulted in an asymmetric pattern of organ growth, pancreatic beta cell hyperplasia, and elevated plasma insulin and leptin concentrations. In pancreatic islets isolated from intact fetal sheep, beta cell proliferation in vitro was reduced by T3 in a dose- dependent manner and increased by insulin at high concentrations only. Leptin induced a bimodal response whereby beta cell proliferation was suppressed at the lowest, and increased at the highest, concentrations. Therefore, proliferation of beta cells isolated from the ovine fetal pancreas is sensitive to physiological concentrations of T3, insulin and leptin. Alterations in these hormones may be responsible for the increased beta cell proliferation and mass observed in the hypothyroid sheep fetus and may have consequences for pancreatic function in later life.Published here Open Access on RADAR -
Valenzuela OA, Jellyman JK, Allen VL, Holdstock NB, Forhead AJ, Fowden AL, 'Effects of birth weight, sex and neonatal glucocorticoid overexposure on glucose-insulin dynamics in young adult horses'
Journal of Developmental Origins of Health and Disease 8 (2) (2017) pp.206-215
ISSN: 2040-1744AbstractIn several species, adult metabolic phenotype is influenced by the intrauterine environment, often in a sex-linked manner. In horses, there is also a window of susceptibility to programming immediately after birth but whether adult glucose-insulin dynamics are altered by neonatal conditions remains unknown. Thus, this study investigated the effects of birth weight, sex and neonatal glucocorticoid overexposure on glucose-insulin dynamics of young adult horses. For the first 5 days after birth, term foals were treated with saline as a control or ACTH to raise cortisol levels to those of stressed neonates. At 1 and 2 years of age, insulin secretion and sensitivity were measured by exogenous glucose administration and hyperinsulinaemic-euglycamic clamp, respectively. Glucose-stimulated insulin secretion was less in males than females at both ages, although there were no sex-linked differences in glucose tolerance. Insulin sensitivity was greater in females than males at 1 but not 2 years of age. Birthweight was inversely related to the area under the glucose curve and positively correlated to insulin sensitivity at 2 but not 1 years of age. In contrast, neonatal glucocorticoid overexposure induced by ACTH treatment had no effect on whole body glucose tolerance, insulin secretion or insulin sensitivity at either age, although this treatment altered insulin receptor abundance in specific skeletal muscles of the 2 year old horses. These findings show that glucose-insulin dynamics in young adult horses are sexually dimorphic and determined by a combination of genetic and environmental factors acting during early life.Published here Open Access on RADAR -
de Blasio M, Boije M, Kempster SL, Smith GCS, Charnock-Jones S, Denyer A, Hughes A, Wooding FBP, Blache D, Fowden AL, Forhead A, 'Leptin matures aspects of lung structure and function in the ovine fetus'
Endocrinology 157 (1) (2016) pp.395-404
ISSN: 0013-7227 eISSN: 1945-7170AbstractIn human and ovine fetuses, glucocorticoids stimulate leptin secretion, although the extent to which leptin mediates the maturational effects of glucocorticoids on pulmonary development is unclear. This study investigated the effects of leptin administration on indices of lung structure and function before birth. Chronically catheterized singleton sheep fetuses were infused iv for 5 days with either saline or recombinant ovine leptin (0.5 mg/kg · d leptin (LEP), 0.5 LEP or 1.0 mg/kg · d, 1.0 LEP) from 125 days of gestation (term ∼145 d). Over the infusion, leptin administration increased plasma leptin, but not cortisol, concentrations. On the fifth day of infusion, 0.5 LEP reduced alveolar wall thickness and increased the volume at closing pressure of the pressure-volume deflation curve, interalveolar septal elastin content, secondary septal crest density, and the mRNA abundance of the leptin receptor (Ob-R) and surfactant protein (SP) B. Neither treatment influenced static lung compliance, maximal lung volume at 40 cmH2O, lung compartment volumes, alveolar surface area, pulmonary glycogen, protein content of the long form signaling Ob-Rb or phosphorylated signal transducers and activators of transcription-3, or mRNA levels of SP-A, C, or D, elastin, vascular endothelial growth factor-A, the vascular endothelial growth factor receptor 2, angiotensin-converting enzyme, peroxisome proliferator-activated receptor γ, or parathyroid hormone-related peptide. Leptin administration in the ovine fetus during late gestation promotes aspects of lung maturation, including up-regulation of SP-B.Published here Open Access on RADAR -
Forhead A, Jellyman J, De Blasio M, Johnson E, Giussani D, Pipkin F, Fowden A, 'Maternal dexamethasone treatment alters tissue and circulating components of the renin-angiotensin system in the pregnant ewe and fetus'
Endocrinology 156 (8) (2015) pp.3038-3046
ISSN: 0013-7227 eISSN: 1945-7170AbstractPublished here Open Access on RADARAntenatal synthetic glucocorticoids promote fetal maturation in pregnant women at risk of preterm delivery and their mechanism of action may involve other endocrine systems. This study investigated the effect of maternal dexamethasone treatment, at clinically relevant doses, on components of the renin-angiotensin system (RAS) in the pregnanteweandfetus.From125 days of gestation (term, 145 2 d), 10 ewes carrying single fetuses of mixed sex (3 female, 7 male) were injected twice im, at 10-11 PM, with dexamethasone (2×12 mg, n=5) or saline (n=5) at 24-hour intervals. At 10 hours after the secondinjection, maternal dexamethasone treatment increased angiotensin-converting enzyme(ACE) mRNA levels in the fetal lungs, kidneys, and heart and ACE concentration in the circulation and lungs, but not kidneys, of the fetuses. Fetal cardiac mRNA abundance of angiotensin II (AII) type 2 receptor decreased after maternal dexamethasone treatment. Between the two groups of fetuses, there were no significant differences in plasma angiotensinogen or renin concentrations; in transcript levels of renalrenin,orAIItype1or2receptorsinthelungsandkidneys;orinpulmonary,renalorcardiacprotein content of the AII receptors. In the pregnant ewes, dexamethasone administration increased pulmonary ACE and plasma angiotensinogen, and decreased plasma renin, concentrations. Some of the effects of dexamethasone treatment on the maternal and fetal RAS were associated with altered insulin and thyroid hormone activity. Changes in the local and circulating RAS induced by dexamethasone exposure in utero may contribute to the maturational and tissue-specific actions of antenatal glucocorticoid treatment.
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De Blasio M, Boije M, Vaughan OR, Bernstein BS, Davies KL, Plein A, Kempster SL, Smith GCS, Charnock-Jones DS, Blache D, Wooding F, Giussani DA, Fowden AL, Forhead AJ, 'Developmental expression and glucocorticoid control of the leptin receptor in fetal ovine lung'
PLoS ONE 10 (8) (2015)
ISSN: 1932-6203AbstractPublished hereThe effects of endogenous and synthetic glucocorticoids on fetal lung maturation are wellestablished, although the role of leptin in lung development before birth is unclear. This study examined mRNA and protein levels of the signalling long-form leptin receptor (Ob-Rb) in fetal ovine lungs towards term, and after experimental manipulation of glucocorticoid levels in utero by fetal cortisol infusion ormaternal dexamethasone treatment. In fetal ovine lungs, Ob-Rb protein was localised to bronchiolar epithelium, bronchial cartilage, vascular endothelium, alveolar macrophages and type II pneumocytes. Pulmonary Ob-Rb mRNA abundance increased between 100 (0.69 fractional gestational age) and 144 days (0.99) of gestation, and by 2-4-fold in response to fetal cortisol infusion and maternal dexamethasone treatment. In contrast, pulmonary Ob-Rb protein levels decreased near term and were halved by glucocorticoid treatment, without any significant change in phosphorylated signal transducer and activator of transcription-3 (pSTAT3) at Ser727, total STAT3 or the pulmonary pSTAT3: STAT3 ratio. LeptinmRNA was undetectable in fetal ovine lungs at the gestational ages studied. These findings demonstrate differential control of pulmonary Ob-Rb transcript abundance and protein translation, and/or post-translational processing, by glucocorticoids in utero. Localisation of Ob-Rb in the fetal ovine lungs, including alveolar type II pneumocytes, suggests a role for leptin signalling in the control of lung growth and maturation before birth.
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Fowden AL, Forhead AJ, Sferruzzi-Perri AN, Burton GJ, Vaughan OR, 'Endocrine regulation of placental phenotype'
Placenta 36 (Supplement 1) (2015) pp.s50-s59
ISSN: 0143-4004 eISSN: 1532-3102AbstractPublished hereHormones have an important role in regulating fetal development. They act as environmental signals and integrate tissue growth and differentiation with relation to nutrient availability. While hormones control the developmental fate of resources available to the fetus, the actual supply of nutrients and oxygen to the fetus depends on the placenta. However, much less is known about the role of hormones in regulating placental development, even though the placenta has a wide range of hormone receptors and produces hormones itself from early in gestation. The placenta is, therefore, exposed to hormones by autocrine, paracrine and endocrine mechanisms throughout its lifespan. It is known to adapt its phenotype in response to environmental cues and fetal demand signals, particularly when there is a disparity between the fetal genetic drive for growth and the nutrient supply. These adaptive responses help to maintain fetal growth during adverse conditions and are likely to depend, at least in part, on the hormonal milieu. This review examines the endocrine regulation of placental phenotype with particular emphasis on the glucocorticoid hormones. It focuses on the availability of placental hormone receptors and on the effects of hormones on the morphology, transport capacity and endocrine function of the placenta.
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Jellyman J, Valenzuela O, Allen V, Forhead A, Holdstock N., Fowden A., 'Neonatal glucocorticoid overexposure programs pituitary-adrenal function in ponies'
Domestic Animal Endocrinology 50 (2015) pp.45-49
ISSN: 0739-7240AbstractPublished hereThe present study tested the hypothesis that overexposure to endogenous glucocorticoids in neonatal life alters the reactivity of the hypothalamic-pituitary-adrenal (HPA) axis in ponies at 1 and 2yr of age. Newborn foals received saline (0.9% NaCl, n = 8, control) or long-acting adrenocorticotropic hormone (ACTH) (Depot Synacthen 0.125mg intramuscularly twice daily, n = 9) for 5d after birth to raise cortisol concentrations 5- to 6-fold. At 1 and 2yr of age, HPA axis function was assessed by bolus administration of short-acting ACTH (1μg/kg intravenous) and insulin (0.5 U/kg intravenous) to induce hypoglycemic on separate days. Arterial blood samples were taken at 5 to 30-min intervals before and after drug administration to measure plasma ACTH and/or cortisol concentrations. There were no differences in the basal plasma ACTH or cortisol concentrations or in the cortisol response to exogenous ACTH with neonatal treatment or age. At 1 and 2yr of age, the increment in plasma ACTH but not cortisol at 60min in response to insulin-induced hypoglycemia was greater in ponies treated neonatally with ACTH than saline (P < 0.05). Neonatal cortisol overexposure induced by neonatal ACTH treatment, therefore, alters functioning of the HPA axis in adult ponies.
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Wooding FBP, Kimura J, Forhead AJ, 'Functional immunocytochemistry of Tragulus placenta: Implications for ruminant evolution'
Placenta 35 (5) (2014) pp.305-310
ISSN: 0143-4004 eISSN: 1532-3102AbstractPublished hereIntroduction and methods Tragulus, the mouse deer, is considered the most primitive ruminant, with a diffuse placenta grossly quite unlike the cotyledonary type of the other ruminants. This immunocytochemical investigation of placental transporters was designed to elucidate possible mechanisms of evolution to the cotyledonary form. Results and discussion Tragulus expresses several of the major transport systems characteristic of the ruminants: the trophoblast binucleate cell (BNC) dynamics, the requirement for two isoforms, GT1 and GT3, for glucose transport, the provision of Aquaporin 3 for water control, and uterine milk and histiotrophic secretion from uterine glands. However whereas the expression of the 9kD Calcium Binding Protein (9CBP) for calcium transport in ruminants is restricted to the intercotyledonary trophoblast with its areolae, Tragulus, having no intercotyledonary area, expresses 9CBP throughout the villus trophoblast. There is some localised development of areolar-like structures in the mid term Tragulus but it is insignificant at term. The strong expression of Glucose Transporter 1 (GT1) in the BNC granules is unique to Tragulus. Conclusion Tragulus relies on essentially similar transport and BNC dynamics as the other ruminants. Thus the evolutionary pressures driving the development of the cotyledonary placenta probably lie in the increase in body size and the consequent need for a larger placental area to ensure sufficient glucose for the fetus. The delivery in Tragulus of GT1 to the maternal facing side may be this species unique solution to maintain the glucose supply. © 2014 Elsevier Ltd. All rights reserved.
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Forhead A, Fowden A, 'Thyroid hormones in fetal growth and prepartum maturation'
Journal of Endocrinology 221 (3) (2014) pp.R87-R103
ISSN: 0022-0795AbstractPublished hereThe thyroid hormones, thyroxine (T) and triiodothyronine (T), are essential for normal growth and development of the fetus. Their bioavailability in utero depends on development of the fetal hypothalamic-pituitary-thyroid gland axis and the abundance of thyroid hormone transporters and deiodinases that influence tissue levels of bioactive hormone. Fetal T and T concentrations are also affected by gestational age, nutritional and endocrine conditions in utero, and placental permeability to maternal thyroid hormones, which varies among species with placental morphology. Thyroid hormones are required for the general accretion of fetal mass and to trigger discrete developmental events in the fetal brain and somatic tissues from early in gestation. They also promote terminal differentiation of fetal tissues closer to term and are important in mediating the prepartum maturational effects of the glucocorticoids that ensure neonatal viability. Thyroid hormones act directly through anabolic effects on fetal metabolism and the stimulation of fetal oxygen consumption. They also act indirectly by controlling the bioavailability and effectiveness of other hormones and growth factors that influence fetal development such as the catecholamines and insulin-like growth factors (IGFs). By regulating tissue accretion and differentiation near term, fetal thyroid hormones ensure activation of physiological processes essential for survival at birth such as pulmonary gas exchange, thermogenesis, hepatic glucogenesis, and cardiac adaptations. This review examines the developmental control of fetal T and T bioavailability and discusses the role of these hormones in fetal growth and development with particular emphasis on maturation of somatic tissues critical for survival immediately at birth. © 2014 Society for Endocrinology.
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Sferruzzi-Perri A, Vaughan O, Forhead A, Fowden A, 'Hormonal and nutritional drivers of intrauterine growth'
Current Opinion in Clinical Nutrition and Metabolic Care 16 (3) (2013) pp.298-309
ISSN: 1363-1950 eISSN: 1473-6519AbstractPURPOSE OF REVIEW: Size at birth is critical in determining life expectancy with both small and large neonates at risk of shortened life spans. This review examines the hormonal and nutritional drivers of intrauterine growth with emphasis on the role of foetal hormones as nutritional signals in utero.Published here
RECENT FINDINGS: Nutrients drive intrauterine growth by providing substrate for tissue accretion, whereas hormones regulate nutrient distribution between foetal oxidative metabolism and mass accumulation. The main hormonal drivers of intrauterine growth are insulin, insulin-like growth factors and thyroid hormones. Together with leptin and cortisol, these hormones control cellular nutrient uptake and the balance between accretion and differentiation in regulating tissue growth. They also act indirectly via the placenta to alter the materno-foetal supply of nutrients and oxygen. By responding to nutrient and oxygen availability, foetal hormones optimize the survival and growth of the foetus with respect to its genetic potential, particularly during adverse conditions. However, changes in the intrauterine growth of individual tissues may alter their function permanently.
SUMMARY: In both normal and compromised pregnancies, intrauterine growth is determined by multiple hormonal and nutritional drivers which interact to produce a specific pattern of intrauterine development with potential lifelong consequences for health. -
Fowden A, Jellyman J, Valenzuela O, Forhead A, 'Nutritional Programming of Intrauterine Development: A Concept Applicable to the Horse?'
Journal of Equine Veterinary Science 33 (5) (2013) pp.295-304
ISSN: 0737-0806AbstractHuman epidemiological observations and studies of experimental animals have shown that low birth weight is associated with adult phenotypes characterized by abnormalities in cardiovascular, metabolic, and endocrine function. In human populations, these changes can lead to overt degenerative diseases such as hypertension and type 2 diabetes. Because fetal growth depends primarily on the nutrient supply, the associations between birth weight and adult phenotype have been linked to poor nutrition in utero. The fetal supply of nutrients and oxygen depends on both the availability of these substances in the mother and the functional capacity of the placenta to supply them to the fetus. This review takes a comparative approach to examining the nutritional programming of adult physiological phenotype in mammals with emphasis on the horse where possible. It considers the role of maternal nutritional state and placental function in these processes and discusses the cellular and molecular mechanisms operating in utero that are responsible for the epigenetic regulation of phenotypical diversity.Published here -
Fowden A, Forhead A, Ousey J, 'Endocrine adaptations in the foal over the perinatal period'
Equine Veterinary Journal 44 (s41) (2012) pp.130-139
ISSN: 0425-1644 eISSN: 2042-3306AbstractIn adapting to life ex utero, the foal encounters a number of physiological challenges. It has to assume the nutritional, respiratory and excretory functions of the placenta and activate full regulatory control over its own internal environment for the first time. To achieve this, there must be structural and functional changes to a wide range of tissues including several endocrine glands. In most species, including the horse, these maturational changes begin in late gestation and continue into the first few days of neonatal life. Consequently, during this perinatal period, there are major changes in the sensitivity and/or set point of key endocrine axes, which alter the circulating hormone concentrations in the foal. In turn, these endocrine changes are responsible for many of the other physiological adaptations essential for neonatal survival. The perinatal alterations in the hypothalamic-pituitary-adrenal (HPA) axis are particularly important in these processes, although the sympatho-adrenal medullary axis and endocrine pancreas also have key roles in ensuring homeostasis during the multiple novel stimuli experienced at birth. Abnormalities in the perinatal endocrine profile caused by adverse conditions before or after birth may, therefore, lead to maladaptation or aid survival of the newborn foal depending on the specific circumstances. This review examines the perinatal changes in endocrinology in normal and compromised foals and the role of these endocrine changes in the physiological adaptations to extrauterine life with particular emphasis on the HPA axis, adreno-medullary catecholamines and the endocrine pancreas. © 2012 EVJ Ltd.Published here -
Jellyman J, Allen V, Forhead A, Holdstock N, Fowden A, 'Hypothalamic-pituitary-adrenal axis function in pony foals after neonatal ACTH-induced glucocorticoid overexposure'
Equine Veterinary Journal 44 (s41) (2012) pp.38-42
ISSN: 0425-1644 eISSN: 2042-3306AbstractReasons for performing the study: The effects of overexposure to glucocorticoids during early life of the foal on the subsequent HPA programming of the hypothalamic-pituitary-adrenal axis are unknown. Objectives: To test the hypotheses that excess glucocorticoid exposure in early life subsequently increases both basal plasma concentrations of cortisol and the adrenocortical responsiveness to exogenous adrenocorticotropic hormone (ACTH). Methods: Foals received either saline (0.9% NaCl, n = 9) or long-acting ACTH (0.125mg i.m. b.i.d., n = 6) for 5 days from Day 1 to increase endogenous cortisol concentrations. Long-term indwelling catheters were inserted under local anaesthesia into the jugular veins of foals aged 2 and 12 weeks. After recovery, short-acting ACTH was given as a single i.v. injection (2μg/kg bwt) and blood samples were taken at 5-30min intervals before and after ACTH administration to measure plasma cortisol concentrations. Results: Basal plasma cortisol concentrations were higher in ACTH- than in saline-treated foals at age 3 weeks, but not at 13 weeks. There were no significant differences in either the time profile or the area under the cortisol curve in response to ACTH between the 2 groups. Conclusions: These data suggest that ACTH-induced overexposure to glucocorticoids during early post natal life of the foal does not have a programming effect on HPA axis function at 13 weeks. In foals, the effects of ACTH-induced overexposure to glucocorticoids, if any, may not become apparent until much later in life in a long-lived species such as the horse. Potential relevance: These studies suggest that clinical and other stressful conditions that raise plasma cortisol concentrations during early life are unlikely to programme cardiovascular and metabolic function in horses in the short term. © 2012 EVJ Ltd.Published here -
Fowden A, Forhead A, 'Insulin deficiency alters the metabolic and endocrine responses to undernutrition in fetal sheep near term'
Endocrinology 153 (8) (2012) pp.4008-4018
ISSN: 0013-7227 eISSN: 1945-7170AbstractInsulin deficiency affects the adult metabolic response to undernutrition, but its effects on the fetal response to maternal undernutrition remain unknown. This study examined the effects of maternal fasting for 48 h in late gestation on the metabolism of fetal sheep made insulin deficient by pancreatectomy (PX). The endocrine and metabolic responses to maternal fasting differed between intact, sham-operated and PX fetuses, despite a similar degree of hypoglycemia. Compared with intact fetuses, there was no increase in the plasma concentrations of cortisol or norepinephrine in PX fetuses during maternal fasting. In contrast, there was a significant fasting-induced rise in plasma epinephrine concentrations in PX but not intact fetuses. Umbilical glucose uptake decreased to a similar extent in both groups of fasted animals but was associated with a significant fall in glucose carbon oxidation only in intact fetuses. Pancreatectomized but not intact fetuses lowered their oxygen consumption rate by 15-20% during maternal fasting in association with increased uteroplacental oxygen consumption. Distribution of uterine oxygen uptake between the uteroplacental and fetal tissues therefore differed with fasting only in PX fetuses. Both groups of fetuses produced glucose endogenously after maternal fasting for 48 h, which prevented any significant fall in the rate of fetal glucose utilization. In intact but not PX fetuses, fasting-induced glucogenesis was accompanied by a lower hepatic glycogen content. Chronic insulin deficiency in fetal sheep therefore leads to changes in the counterregulatory endocrine response to hypoglycemia and an altered metabolic strategy in dealing with nutrient restriction in utero. Copyright © 2012 by The Endocrine Society.Published here -
Belteki G, Kempster S, Forhead A, Giussani D, Fowden A, Curley A, Charnock-Jones D, Smith G, 'Paraoxonase-3, a Putative Circulating Antioxidant, Is Systemically Up-Regulated in Late Gestation in the Fetal Rat, Sheep, and Human'
The Journal of Clinical Endocrinology & Metabolism 95 (8) (2011) pp.3798-3805
ISSN: 0021-972X eISSN: 1945-7197AbstractContext: Surfactant is a successful therapeutic based on supplementing preterm infants with a substance that would normally have been up-regulated in late gestation. Although prematurity is associated with oxidative stress, no effective antioxidant therapy has yet been identified. Objective: Our objective was to identify endogenous antioxidants involved in fetal preparation for birth. Design: We performed transcript profiling of fetal rat lung and intestine at 16 d gestational age (dGA) and 20 dGA with out-of-sample validation. Gene expression was then measured in fetal sheep tissues, comparing 1) advancing GA, 2) exogenous maternal dexamethasone (compared with saline, at 130 dGA), and 3) fetal adrenalectomy at 115-118 d on levels at term. Protein levels were compared in human umbilical cord serum using Western blot. Results: Four transcripts were up-regulated more than 20-fold on the array in both rat lung and intestine. One of these, paraoxonase-3 (Pon3), had been identified as a putative circulating antioxidant. Up-regulation of Pon3 mRNA in rat lung, intestine, and liver was confirmed in siblings (all P 0.001). Pon3 mRNA levels in fetal sheep lung and intestine increased 5.1- and 5.3-fold, respectively (both P0.001) between 100 and 145dGAand were strongly correlated with plasma cortisol (both P 0.001). Fetal sheep pulmonary Pon3 transcript level was increased 55% (P 0.01) by dexamethasoneandreduced74%( P0.001) by adrenalectomy.Termhumaninfantshadmorethan 6-fold higher umbilical cord serum levels of Pon3 than preterm (24-28 wk GA) infants (P 0.001). Conclusions: Pon3, a putative circulating antioxidant, was systemically up-regulated in lategestation rat, sheep, and human fetuses and is a candidate therapeutic in preterm human infants.Published here -
Kempster S, Belteki G, Forhead A, Fowden A, Catalano R, Lam B, McFarlane I, Charnock-Jones D, 'Developmental control of the Nlrp6 inflammasome and a substrate, IL-18, in mammalian intestine'
American Journal of Physiology - Gastrointestinal and Liver Physiology 300 (2) (2011) pp.G253-G263
ISSN: 0193-1857 eISSN: 1522-1547AbstractDevelopmental control of the Nlrp6 inflammasome and a substrate, IL-18, in mammalian intestine. Am J Physiol Gastrointest Liver Physiol 300: G253-G263, 2011. First published November 18, 2010; doi:10.1152/ajpgi.00397.2010.-”The inflammasome is a multiprotein complex whose formation is triggered when a NOD-like receptor binds a pathogen ligand, resulting in activated caspase-1, which converts certain interleukins (IL-1, IL-18, and IL-33) to their active forms. There is currently no information on regulation of this system around the time of birth. We employed transcript profiling of fetal rat intestinal and lung RNA at embryonic days 16 (E16) and 20 (E20) with out-of-sample validation using quantitative RT-PCR. Transcript profiling and quantitative RT-PCR demonstrated that transcripts of core components of the NOD-like receptor Nlrp6 inflammasome (Nlrp6, Pycard, Caspase-1) and one of its substrates, IL-18, were increased at E20 compared with E16 in fetal intestine and not lung. Immunohistochemistry demonstrated increased Pycard in intestinal epithelium. Western blotting demonstrated that IL-18 was undetectable at E16, clearly detectable at E20 in its inactive form, and detectable postnatally in both its inactive and active form. Dramatic upregulation of IL-18 was also observed in the fetal sheep jejunum in late gestation (P 0.006). Transcription factor binding analysis of the rat array data revealed an overrepresentation of nuclear transcription factor binding sites peroxisome proliferator-activated receptor (PPAR-) and retinoid X receptor- and chicken ovalbumin upstream promoter transcription factor 1 in the region 1,000 bp upstream of the transcription start site. Rosiglitazone, a PPAR- agonist, more than doubled levels of NLRP6 mRNA in human intestinal epithelial (Caco2) cells. These observations provide the first evidence, to our knowledge, linking activity of PPAR- to expression of a NOD-like receptor and adds to a growing body of evidence linking pattern recognition receptors of the innate immune system and intestinal colonization.Published here -
Fowden A, Forhead A, 'Adrenal glands are essential for activation of glucogenesis during undernutrition in fetal sheep near term'
Endocrinology and Metabolism 300 (1) (2011) pp.E94-E102
ISSN: 0193-1849AbstractPublished hereFirst published October 19, 2010; doi:10.1152/ajpendo.00205.2010.-”In adults, the adrenal glands are essential for the metabolic response to stress, but little is known about their role in fetal metabolism. This study examined the effects of adrenalectomizing fetal sheep on glucose and oxygen metabolism in utero in fed conditions and after maternal fasting for 48 h near term. Fetal adrenalectomy (AX) had little effect on the rates of glucose and oxygen metabolism by the fetus or uteroplacental tissues in fed conditions. Endogenous glucose production was negligible in both AX and intact, sham-operated fetuses in fed conditions. Maternal fasting reduced fetal glucose levels and umbilical glucose uptake in both groups of fetuses to a similar extent but activated glucose production only in the intact fetuses. The lack of fasting-induced glucogenesis in AX fetuses was accompanied by falls in fetal glucose ultilization and oxygen consumption not seen in intact controls. The circulating concentrations of cortisol and total catecholamines, and the hepatic glycogen content and activities of key gluconeogenic enzymes, were also less in AX than intact fetuses in fasted animals. Insulin concentrations were also lower in AX than intact fetuses in both nutritional states. Maternal glucose utilization and its distribution between the fetal, uteroplacental, and nonuterine maternal tissues were unaffected by fetal AX in both nutritional states. Ovine fetal adrenal glands, therefore, have little effect on basal rates of fetal glucose and oxygen metabolism but are essential for activating fetal glucogenesis in response to maternal fasting. They may also be involved in regulating insulin sensitivity in utero.
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Lanham S, Fowden A, Roberts C, Cooper C, Oreffo R, Forhead A, 'Effects of hypothyroidism on the structure and mechanical properties of bone in the ovine fetus'
Journal of Endocrinology 210 (2011) pp.189-198
ISSN: 0022-0795 eISSN: 1479-6805AbstractThyroid hormones are important for normal bone growth and development in postnatal life. However, little is known about the role of thyroid hormones in the control of bone development in the fetus. Using computed tomography and mechanical testing, the structure and strength of metatarsal bones were measured in sheep fetuses in which thyroid hormone levels were altered by thyroidectomy or adrenalectomy. In intact fetuses, plasma concentrations of total calcium and the degradation products of C-terminal telopeptides of type I collagen increased between 100 and 144 days of gestation (term 145G2 days), in association with various indices of bone growth and development. Thyroid hormone deficiency induced by thyroidectomy at 105-110 days of gestation caused growth retardation of the fetus and significant changes in metatarsal bone structure and strength when analyzed at both 130 and 144 days of gestation. In hypothyroid fetuses, trabecular bone was stronger with thicker, more closely spaced trabeculae, despite lower bone mineral density. Plasma osteocalcin was reduced by fetal thyroidectomy. Removal of the fetal adrenal gland at 115-120 days of gestation, and prevention of the prepartum rises in cortisol and triiodothyronine, had no effect on bodyweight, limb lengths, metatarsal bone structure or strength, or circulating markers of bone metabolism in the fetuses studied near term. This study demonstrates that hypothyroidism in utero has significant effects on the structure and strength of bone, with different consequences for cortical and trabecular bone.Published here -
Forhead A, Jellyman J, Gillham K, Ward J, Blache D, Fowden A, 'Renal growth retardation following angiotensin II type 1 (AT 1) receptor antagonism is associated with increased at 2 receptor protein in fetal sheep'
Journal of Endocrinology 208 (2) (2011) pp.137-145
ISSN: 0022-0795 eISSN: 1479-6805AbstractThe actions of angiotensin II on type 1 (AT ) and type 2 (AT ) receptor subtypes are important for normal kidney development before birth. This study investigated the effect of AT receptor antagonism on renal growth and growth regulators in fetal sheep during late gestation. From 125 days of gestation (term 145±2 days), chronically catheterised sheep fetuses were infused intravenously for 5 days with either an AT -specific receptor antagonist (GR138950, 2-4 mg/kg per day, n=5) or saline (0.9% NaCl, n=5). Blockade of the AT receptor decreased arterial blood oxygenation and pH and increased blood pCO , haemoglobin and lactate, and plasma cortisol and IGF-II. Blood glucose and plasma thyroid hormones and IGF-I were unchanged between the treatment groups. On the 5th day of infusion, the kidneys of the GR-treated fetuses were lighter than those of the control fetuses, both in absolute and relative terms, and were smaller in transverse cross-sectional width and cortical thickness. In the GR-infused fetuses, renal AT receptor protein concentration and glomerular density were significantly greater than in the saline-infused fetuses. Blockade of the AT receptor had no effect on relative cortical thickness, fractional or mean glomerular volumes, or renal protein levels of the AT receptor, IGF type 1 receptor, insulin receptor or protein kinase C ζ. Therefore, in the ovine fetus, AT receptor antagonism causes increased renal protein expression of the AT receptor subtype, which, combined with inhibition of AT receptor activity, may be partly responsible for growth retardation of the developing kidney. © 2011 Society for Endocrinology.Published here -
Fowden A, Ward J, Wooding F, Forhead A, 'Developmental programming of the ovine placenta.'
Society of Reproduction and Fertility Supplement 67 (2010) pp.41-57
ISSN: 1747-3403AbstractThe pattern of intrauterine growth and size at birth, in particular, programmes the structure and function of tissues later in life in many species, which has important implications for the incidence of adult-onset generative diseases in human populations. In mammals, the main determinant of intrauterine growth is the placental supply of nutrients which, in turn, depends on the size, morphology, transport characteristics and endocrine function of the placenta. However, compared to somatic tissues, little is known about the developmental programming of the placenta. This review examines the epigenetic regulation of placental phenotype with particular emphasis on the nutrient transfer capacity of the ovine placenta and environmental factors shown to cause developmental programming of other tissues. Overall, the placenta is responsive to environmental factors and uses a number of different strategies to adapt its phenotype to help support fetal growth during adverse intrauterine conditions. It is, therefore, not just a passive conduit for nutrient transfer to the fetus but alters its nutrient supply capacity dynamically to optimise fetal nutrient acquisition. Thus, the placental epigenome provides both a memory of environmental conditions experienced during development and an index of the future well being of the offspring.Published here -
Franko K, Forhead A, Fowden A, 'Differential effects of prenatal stress and glucocorticoid administration on postnatal growth and glucose metabolism in rats'
Journal of Endocrinology 204 (3) (2010) pp.319-329
ISSN: 0022-0795AbstractGlucocorticoid administration during pregnancy programmes cardiovascular and metabolic functions in the adult offspring. Often, the control procedures are stressful per se and raise maternal glucocorticoid concentrations. This study compared the effects of maternal injection with dexamethasone (dex, 200 μg/kg) or saline with no treatment from 15 to 20 days of rat pregnancy on offspring growth and glucose metabolism. Near term, maternal corticosterone concentrations were higher in the saline-treated dams and lower in the dex-treated dams relative to untreated animals. In both male and female offspring, growth rate was measured for 14 weeks, and glucose tolerance was assessed between 12 and 13 weeks together with body fat content and plasma concentrations of insulin, leptin, and corticosterone between 14 and 15 weeks. Offspring liver was collected at different ages and was analyzed for glycogen content and gluconeogenic enzyme activity. Compared with untreated animals, both dex and saline treatments altered postnatal growth although adult body weight was unaffected. The two treatments had different effects on adult insulin concentrations and on hepatic glycogen content and gluconeogenic enzyme activities both pre- and postnatally. Relative to untreated animals, adult glucose tolerance was improved by maternal saline injection in males but not in females, while it was impaired in female offspring but not in male offspring of the dex-treated dams. Adult glucose tolerance was related to male body fat content but not to female body fat content. Dex and saline treatments of pregnant rats have differential sex-linked effects on the growth and glucose metabolism of their offspring, which indicates that the programming actions of natural and synthetic glucocorticoids may differ. © 2010 Society for Endocrinology.Published here -
Wooding F, Ramirez-Pinilla M, Forhead A, 'Functional studies of the placenta of the lizard Mabuya sp. (Scincidae) using immunocytochemistry'
Placenta 31 (8) (2010) pp.675-685
ISSN: 0143-4004 eISSN: 1532-3102AbstractMost lizards lay eggs. However viviparity has evolved in the Squamata on many separate occasions by the process of extended retention of the egg coincident with gradual loss of the eggshell. This process is linked to reduction of the amount of yolk which is coupled with development of placental nutrient transfer. The family Scincidae currently show a range of multiple independent origins of viviparity and placentation along this pathway, and the genus Mabuya shows one of the most structurally complex placentas. This study investigates the transport potential of the different areas of the Mabuya placenta using immunocytochemistry to localize the systems in place for calcium, glucose and water transfer. The localization of these transporters demonstrated restricted distributions in the specialized areas of this morphologically complex placenta. © 2010 Elsevier Ltd. All rights reserved.Published here -
Forhead A, Cutts S, Matthews P, Fowden A, 'Role of thyroid hormones in the developmental control of tissue glycogen in fetal sheep near term'
Experimental Physiology 94 (10) (2009) pp.1079-1087
ISSN: 0958-0670AbstractDevelopmental and glucocorticoid-induced changes in tissue glycogen content occur in the fetus near term coincident with an increase in plasma triiodothyronine (T), although the role of thyroid hormones in mediating these changes is unknown. This study investigated glycogen content in the liver, heart and skeletal muscle of sheep fetuses after experimental manipulation of thyroid hormone concentration in utero by T infusion and fetal thyroidectomy (TX). At 130 days of gestation (term 145 ± 2 days), hepatic glycogen was greater, and muscle glycogen was lower, in the TX fetuses than in the intact fetuses. However, between 130 and 144 days of gestation the normal increment in hepatic glycogen, and decrement in cardiac glycogen, seen in intact fetuses was abolished when the prepartum rise in T , but not cortisol, was prevented by TX. At 144 days of gestation, hepatic glycogen was lower, and cardiac glycogen was higher, in the TX compared with intact fetuses. In intact fetuses at 130 days of gestation, 5 days of intravenous T infusion (8-12 μg kg day) caused a small but significant increase in hepatic glycogen, although the concentration achieved was not as great as that observed in intact fetuses infused with cortisol (2-3 mg kg day) for 5 days. Infusion of T reduced cardiac glycogen to the level observed in mature fetuses near term and immature fetuses infused with cortisol for 5 days. Glycogen content in fetal skeletal muscle increased between 100 and 115 days of gestation, but was unaffected by cortisol or T infusion. Therefore, thyroid hormones are important in the developmental control of hepatic and cardiac glycogen content in the ovine fetus near term and may mediate, in part, the maturational effects of cortisol. © 2009 The Physiological Society.Published here -
Franko K, Forhead A, Fowden A, 'Effects of maternal dietary manipulation during different periods of pregnancy on hepatic glucogenic capacity in fetal and pregnant rats near term'
Nutrition, Metabolism & Cardiovascular Diseases 19 (8) (2009) pp.555-562
ISSN: 0939-4753AbstractBackground and aim: Low birth weight is associated with an increased incidence of adult glucose intolerance, type 2 diabetes and cardiovascular disease in humans. In pregnant rats, dietary calorie or protein deprivation results in growth retarded pups, which become glucose intolerant adults with abnormal hepatic glucose metabolism and gluconeogenic enzyme activities. However, whether these abnormalities are present before birth remain unknown. Methods and results: This study examined the effects of manipulating dietary protein and carbohydrate intake during rat pregnancy on the fetal and maternal hepatic activities of the gluconeogenic enzymes, glucose-6-phosphatase (G6Pase) and phosphoenolpyruvate carboxykinase (PEPCK). Wistar rats were fed ad libitum with either standard chow throughout pregnancy (25% protein, 57% carbohydrate, nZ6) or an isocaloric, low protein, high carbohydrate diet (LPHC, 8% protein, 81% carbohydrate) for different periods of pregnancy (early, 0e10 days, nZ6; late, 10e20 days, nZ7; throughout, 0e20 days, nZ6) before tissue collection at day 20. The LPHC diet had no effect on fetal or placental weights, or on fetal hepatic activities of G6Pase and PEPCK in the early LPHC group. In contrast, fetuses of dams fed the LPHC diet in late or throughout pregnancy had lower body and placental weights, and higher hepatic G6Pase and PEPCK activities than controls. Maternal hepatic G6Pase activity was elevated in all LPHC groups, while maternal PEPCK activity was only increased significantly in the late LPHC group. Conclusions: Feeding a LPHC diet, particularly during late pregnancy, therefore, up-regulates fetal and maternal hepatic glucogenic capacity.Published here -
Fowden A, Forhead A, 'Endocrine Regulation of Feto-Placental Growth'
Hormone Research 72 (5) (2009) pp.257-265
ISSN: 0301-0163 eISSN: 1423-0046AbstractHormones are both growth stimulatory and growth inhibitory in utero. They regulate tissue growth and development by controlling the rates of cell proliferation, apoptosis and differentiation in many fetal tissues. They also signal the level of resources available for intrauterine growth to the fe- tal tissues and relay back to the placenta the degree of mismatch between the actual fetal nutrient supply and the fetal nutrient demands for growth. They affect intrauterine growth by anabolic and catabolic actions on fetal metabolism and by altering the nutrient transfer capacity and endocrine function of the placenta. By modifying the fetal growth trajectory, hormones have a central role in programming development in utero and in determining the phenotypic outcome of changes in feto-placental growth during adverse intrauterine conditions. This review examines the role of hormones in feto-placental growth with particular emphasis on insulin, the insulin-like growth factors and glucocorticoids. © 2009 by S. Karger AG, Basel.Published here -
Fowden A, Forhead A, 'Hormones as epigenetic signals in developmental programming'
Experimental Physiology 94 (6) (2009) pp.607-625
ISSN: 0958-0670AbstractIn mammals, including man, epidemiological and experimental studies have shown that a range of environmental factors acting during critical periods of early development can alter adult phenotype. Hormones have an important role in these epigenetic modifications and can signal the type, severity and duration of the environmental cue to the developing feto-placental tissues. They affect development of these tissues both directly and indirectly by changes in placental phenotype. They act to alter gene expression, hence the protein abundance in a wide range of different tissues, which has functional consequences for many physiological systems both before and after birth. By producing an epigenome specific to the prevailing condition in utero, hormones act as epigenetic signals in developmental programming, with important implications for adult health and disease. This review examines the role of hormones as epigenetic signals by considering their responses to environmental cues, their effects on phenotypical development and the molecular mechanisms by which they programme feto-placental development, with particular emphasis on the glucocorticoids. © 2009 The Physiological Society.Published here -
Forhead A, Fowden A, 'The hungry fetus? Role of leptin as a nutritional signal before birth'
The Journal of Physiology 587 (6) (2009) pp.1145-1152
ISSN: 0022-3751AbstractIn adult animals, leptin is an adipose-derived hormone that is important primarily in the regulation of energy balance during short- and long-term changes in nutritional state. Expression of leptin and its receptors is widespread in fetal and placental tissues, although the role of leptin as a nutritional signal in utero is unclear. Before birth, leptin concentration correlates with several indices of fetal growth, and may be an endocrine marker of fetal size and energy stores in the control of metabolism and maturation of fetal tissues. In addition, leptin synthesis and plasma concentration can be modified by insulin, glucocorticoids, thyroid hormones and oxygen availability in utero, and therefore, leptin may be part of the hormonal response to changes in the intrauterine environment. Evidence is emerging to show that leptin has actions before birth that are tissue-specific and may occur in critical periods of development. Some of these actions are involved in the growth and development of the fetus and others have long-term consequences for the control of energy balance in adult life. © 2009 The Authors. Journal compilation © 2009 The Physiological Society.Published here -
Holmes K, Charnock Jones S, Forhead A, Giussani D, Fowden A, Licence D, Kempster S, Smith G, 'Localization and control of expression of VEGF-A and the VEGFR-2 receptor in fetal sheep intestines'
Pediatric Research 63 (2) (2008) pp.143-148
ISSN: 0031-3998 eISSN: 1530-0447AbstractWe studied expression of vascular endothelial growth factor A (VEGF-A) and its main receptor, VEGFR-2, in the small intestine from five groups of fetal sheep (each n = 5): 1) preterm controls, 2) term controls, 3) preterm animals where the fetus was infused with cortisol, or 4) saline, and 5) term animals where adrenalectomy had been performed preterm. The main transcript expressed in fetal small intestine was VEGF-A165. Comparing term with preterm animals, there were significantly higher levels of expression of VEGF-A protein (p = 0.005). Levels of VEGF-A protein expression were lower in term adrenalectomized animals (p = 0.01) and were higher in preterm animals infused with cortisol (p = 0.01), compared with their respective control groups. Immunohistochemistry demonstrated strongest expression of VEGF-A protein in the epithelial cells and lamina propria of the villi. Intestinal expression of mRNA encoding the VEGFR-2 receptor did not significantly vary with gestational age. In situ hybridization localized VEGFR-2 to the lamina propria of the villous core and receptor autoradiography using I VEGF-A demonstrated binding in the same site. These data show that intestinal VEGF-A is up-regulated with advancing gestation in a glucocorticoid-dependent manner-novel findings consistent with a role for VEGF-A stimulated angiogenesis in preparing the fetal gut for birth. © International Pediatrics Research Foundation, Inc. 2008. All Rights Reserved.Published here -
Fowden A, Forhead A, Ousey J, 'The endocrinology of equine parturition'
Experimental and Clinical Endocrinology & Diabetes 116 (7) (2008) pp.393-403
ISSN: 0947-7349 eISSN: 1439-3646AbstractDelivery of viable young requires co-ordination of fetal maturation with the onset of labour at term. In turn, this depends on a cascade of fetal and maternal endocrine events. The sequence of these events is broadly similar in most mammals but there are differences in placental hormone synthesis and in the timing and magnitude of key prepartum endocrine changes between species. In most farm animals, maternal progesterone (P) levels decline and oestrogen levels increase in the last 5-10 days before delivery in response to activation of the fetal hypothalamic-pituitary-adrenal (HPA) axis and increased fetal cortisol concentrations. This cortisol surge is also responsible for fetal maturation and increasing uteroplacental prostaglandin (PG) synthesis. In the mare, there is little, if any, P in the maternal plasma during late gestation and both progestagens and oestrogens are produced by a feto-placental unit which uses precursors supplied by the fetus to synthesise a range of C21 and C18 steroids, many of which are unique to the horse. Regulation of uterine quiescence and activation is, therefore, complex in the mare near term. Indeed, total progestagen concentrations rise and total oestrogen levels fall in the mare during the last 20-30 days of gestation and only show the chariges typical of impending parturition in other species in the last 24-48 h before delivery. Fetal cortisol concentrations also rise late in gestation in the horse compared to other species. In common with other species, the prepartum endocrine cascade appears to begin in the fetal horse with activation of the fetal HPA axis but, initially, the primary product of the fetal equine adrenal appears to be pregnenolone (P) and not cortisol. This leads to increased progestagen production by the uteroplacental tissues, which maintains uterine quiescence in the face of increasing uterine stretch caused by the rapidly growing fetus. Very close to term in association with increasing fetal ACTH levels, the fetal equine adrenals appear to switch to producing cortisol. This late cortisol surge induces a period of rapid fetal maturation and may also contribute to increased uteroplacental oestradiol-17β and PG production. The fall in P availability may reduce uteroplacental progestagen production and lift the block on myometrial contractility. Finally, increased PG secretion activates myometrial contractions, which stimulate oxytocin release via a neuroendocrine reflex. The endocrine regulation of equine parturition, therefore, involves progestagens, oestrogens, PGs and oxytocin as in other species. However, further studies are required to establish the causes and consequences of the rise and fall in maternal progestagens and the extent to which initiation of equine labour depends on the fetal HPA axis. © J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart.Published here -
Fowden A, Forhead A, Coan P, Burton G, 'The placenta and intrauterine programming'
Journal of Neuroendocrinology 20 (4) (2008) pp.439-450
ISSN: 0953-8194AbstractIntrauterine programming is the process by which the structure and function of tissues are altered permanently by insults acting during early development. In mammals, the placenta controls intrauterine development by supplying oxygen and nutrients, and by regulating the bioavailability of specific hormones involved in foetal growth and development. Consequently, the placenta is likely to have a key role in mediating the programming effects of suboptimal conditions during development. This review examines placental phenotype in different environmental conditions and places particular emphasis on regulation of placental nutrient transfer capacity and endocrine function by insults known to cause intrauterine programming. More specifically, it examines the effects of a range of environmental challenges on the size, morphology, blood flow and transporter abundance of the placenta and on its rate of consumption and production of nutrients. In addition, it considers the role of hormone synthesis and metabolism by the placenta in matching intrauterine development to the prevailing environmental conditions. The adaptive responses that the placenta can make to compensate for suboptimal conditions in utero are also assessed in relation to the strategies adopted to maximise foetal growth and viability at birth. Environmentally-induced changes in placental phenotype may provide a mechanism for transmitting the memory of early events to the foetus later in gestation, which leads to intrauterine programming of tissue development long after the original insult. © Journal compilation © 2008 Blackwell Publishing.Published here -
Wooding F, Kimura J, Fukuta K, Forhead A, 'A Light and Electron Microscopical Study of the Tragulid (Mouse Deer) Placenta'
Placenta 28 (10) (2007) pp.1039-1048
ISSN: 0143-4004 eISSN: 1532-3102AbstractThe Tragulidae are the living relics of the basal ruminant stock. They have a diffuse placenta, with no aggregations of the placental villi into localised placentomes characteristic of all other ruminants. Despite this difference, this ultrastructural and immunocytochemical investigation demonstrates that in Tragulus the trophoblast binucleate cell (BNC) plays the same central role in development and structure as in all other ruminants. It shows an identical development and ultrastructure, produces granules reactive with bovine placental lactogen and pregnancy associated glycoprotein antibodies, and migrates when mature through the trophoblast tight junction to fuse into a mosaic of syncytial plaques from which the granules are released to the mother and which have replaced the uterine epithelium. Unlike the persistent plaques in the sheep and goat placenta, in Tragulus they are transient, dying by apoptosis with the fragments phagocytosed by the trophoblast. This brings the trophoblast into direct endotheliochorial apposition to maternal tissue until BNC migration and fusion replace the dead plaque. This intimate fetomaternal confrontation has not been shown in any other ruminant, and could be a relic of the evolutionary development of the synepitheliochorial from the original basic eutherian endo- or hemo-chorial placenta. © 2007 Elsevier Ltd. All rights reserved.Published here -
O'Connor D, Blache D, Hoggard N, Brookes E, Wooding F, Fowden A, Forhead A, 'Developmental control of plasma leptin and adipose leptin messenger ribonucleic acid in the ovine fetus during late gestation: Role of glucocorticoids and thyroid hormones'
Endocrinology 148 (8) (2007) pp.3750-3757
ISSN: 0013-7227 eISSN: 1945-7170AbstractIn developed countries, the increasing incidence of obesity is a serious health problem. Leptin exposure in the perinatal period affects long-term regulation of appetite and energy expenditure, but control of leptin production in utero is unclear. This study investigated perirenal adipose tissue (PAT) and placental leptin expression in ovine fetuses during late gestation and after manipulation of plasma glucocorticoid and thyroid hormone concentrations. Between 130 and 144 d of gestation (term at 145 ± 2 d), plasma leptin and PAT leptin mRNA levels increased in association with increments in plasma cortisol and T3. Fetal adrenalectomy prevented these developmental changes, and exposure of intact 130 d fetuses to glucocorticoids, by cortisol infusion or maternal dexamethasone treatment, caused premature elevations in plasma leptin and PAT leptin gene expression. Fetal thyroidectomy increased plasma leptin and PAT leptin mRNA abundance, whereas intravenous T infusion to intact 130 d fetuses had no effect on circulating or PAT leptin. Leptin mRNA expression was low in the ovine placenta. Therefore, in the sheep fetus, PAT appears to be a primary source of leptin in the circulation, and leptin gene expression is regulated by both glucocorticoids and thyroid hormones. Developmental changes in circulating and PAT leptin may mediate the maturational effects of cortisol in utero and have long-term consequences for appetite regulation and the development of obesity. Copyright © 2007 by The Endocrine Society.Published here -
Forhead A, Jellyman J, Gardner D, Giussani D, Kaptein E, Visser T, Fowden A, 'Differential effects of maternal dexamethasone treatment on circulating thyroid hormone concentrations and tissue deiodinase activity in the pregnant ewe and fetus'
Endocrinology 148 (2) (2007) pp.800-805
ISSN: 0013-7227 eISSN: 1945-7170AbstractClinically, treatment of pregnant women at risk of preterm delivery with synthetic glucocorticoids accelerates fetal maturation. This study investigated the effect of maternal dexamethasone treatment, in clinically relevant doses, on plasma thyroid hormone concentrations and tissue deiodinase activities (D1, D2, and D3) in ewes and their fetuses. From 125 d of gestation (term 145 ± 2 d), pregnant ewes were injected twice im with either saline (2 ml of 0.9% NaCl, n = 11) or dexamethasone (2 x 12 mg in 2 ml of saline, n = 10) at 24-h intervals. Maternal dexamethasone treatment increased plasma T and reverse T (rT), but not T, concentrations in the fetuses. In the dexamethasone-exposed fetuses, hepatic D1 activity was higher, and renal and placental D3 activities were lower, than in the saline-exposed fetuses. In the ewes, plasma concentrations of T and T were reduced, and rT increased, by dexamethasone treatment without any change in tissue deiodinase activity. Therefore, maternal dexamethasone treatment has different effects on the thyroid hormone axis of the pregnant ewe and fetus. In the fetus, the dexamethasone-induced rise in circulating T may be due to both increased hepatic production of T from T, and reduced clearance of T by the kidney and placenta. Changes in T bioavailability may mediate some of the maturational effects of antenatal glucocorticoid treatment in the preterm fetus. Copyright © 2007 by The Endocrine Society.Published here -
Franko K, Giussani D, Forhead A, Fowden A, 'Effects of dexamethasone on the glucogenic capacity of fetal, pregnant, and non-pregnant adult sheep'
Journal of Endocrinology 192 (1) (2007) pp.67-73
ISSN: 0022-0795AbstractFetal glucocorticoids have an important role in the prepartum maturation of physiological systems essential for neonatal survival such as glucogenesis. Consequently, in clinical practice, synthetic glucocorticoids, like dexamethasone, are given routinely to pregnant women threatened with pre-term delivery to improve the viability of their infants. However, little is known about the effects of maternal dexamethasone treatment on the glucogenic capacity of either the fetus or mother. This study investigated the effects of dexamethasone treatment using a clinically relevant dose and regime on glycogen deposition and the activities of glucose-6-phosphatase (G6Pase) and phosphoenolpyruvate carboxykinase (PEPCK) in the liver and kidney of pregnant ewes and their fetuses, and of non-pregnant ewes. Dexamethasone administration increased the glycogen content of both the fetal and adult liver within 36 h of beginning treatment. It also increased G6Pase activity in the liver and kidney of the fetuses but not of their mothers or the non-pregnant ewes. Neither hepatic nor renal PEPCK activity was affected by dexamethasone in any group of animals. These changes in glycogen content and G6Pase activity were accompanied by rises in the plasma glucose and insulin concentrations and by a fall in the plasma cortisol level in the fetus and both groups of adult animals. In addition, dexamethasone treatment raised fetal plasma tri-iodothyronine (T) concentrations and reduced maternal levels of plasma T and thyroxin, but had no effect on thyroid hormone concentrations in the non-pregnant ewes. These findings show that maternal dexamethasone treatment increases the glucogenic capacity of both the mother and fetus and has major implications for glucose availability both before and after birth. © 2007 Society for Endocrinology.Published here -
Fowden A, Forhead A, 'Effects of pituitary hormone deficiency on growth and glucose metabolism of the sheep fetus'
Endocrinology 148 (10) (2007) pp.4812-4820
ISSN: 0013-7227 eISSN: 1945-7170AbstractPituitary hormones are essential for normal growth and metabolic responsiveness after birth, but their role before birth remains unclear. This study examined the effects of hypophysectomizing fetal sheep on their growth and glucose metabolism during the late normal and extended periods of gestation, and on their metabolic response to maternal fasting for 48 h near term. Fetal hypophysectomy reduced crown rump length (CRL), limb lengths, and body weight but increased ponderal index relative to controls near normal term. It also lowered the daily rate of crown rump length increment uniformly from 35 d before, to 20 d after normal term. Hypophysectomized (HX) fetuses had normal weight-specific rates of umbilical uptake, utilization, and oxidation of glucose but lower rates of umbilical oxygen uptake than controls near term. All these metabolic rates were significantly less in HX fetuses during the extended period of gestation than in HX and intact fetuses near normal term. In contrast to controls, glucogenesis was negligible in HX fetuses during maternal fasting. Consequently, the rate of glucose utilization decreased significantly in fasted HX but not intact fetuses. Conversely, the rate of CO production from glucose carbon decreased in fasted intact but not HX fetuses. Fetal hypophysectomy also prevented the fasting-induced increases in plasma cortisol and norepinephrine concentrations seen in controls. These findings demonstrate that the pituitary hormones are important in regulating the growth rate and adaptive responses of glucose metabolism to undernutrition in fetal sheep. They also suggest that fetal metabolism is altered when gestational length is extended. Copyright © 2007 by The Endocrine Society.Published here -
Wooding F, Dantzer V, Klisch K, Jones C, Forhead A, 'Glucose Transporter 1 Localisation Throughout Pregnancy in the Carnivore Placenta: Light and Electron Microscope Studies'
Placenta 28 (5-6) (2007) pp.453-464
ISSN: 0143-4004 eISSN: 1532-3102AbstractGlucose is one of the major fetal nutrients. Maternofetal transfer requires transport across the several placental membranes. This transfer is mediated by one or more of the fourteen known isoforms of glucose transporter. So far only Glucose Transporters 1 and 3 (GT1, GT3) have been shown to be located in placental membranes. GT1 may be the only one on the syncytiotrophoblast (human) or both may be present on the same membrane (rodents) or be required in sequence (ruminants, horses and elephant). This paper shows GT1 to be the only transporter demonstrable by immunocytochemistry in carnivore (cat, dog and mink) endotheliochorial placental membranes. GT1 is invariably present on both apical and basal surfaces of the cyto- and syncytiotrophoblast in all carnivore species examined and the pattern of development is described from implantation to term. © 2006 Elsevier Ltd. All rights reserved.Published here -
Forhead A., Curtis K., Kaptein E., Visser T., Fowden A., 'Developmental control of iodothyronine deiodinases by cortisol in the ovine fetus and placenta near term'
Endocrinology 147 (12) (2006) pp.5988-5994
ISSN: 0013-7227 eISSN: 1945-7170AbstractPreterm infants have low serum T and T levels, which may partly explain the immaturity of their tissues. Deiodinase enzymes are important in determining the bioavailability of thyroid hormones: deiodinases D1 and D2 convert T to T, whereas deiodinase D3 inactivates T and produces rT from T. In human and ovine fetuses, plasma T rises near term in association with the prepartum cortisol surge. This study investigated the developmental effects of cortisol and T on tissue deiodinases and plasma thyroid hormones in fetal sheep during late gestation. Plasma cortisol and T concentrations in utero were manipulated by exogenous hormone infusion and fetal adrenalectomy. Between 130 and 144 d of gestation (term 145 ± 2 d), maturational increments in plasma cortisol and T, and D1 (hepatic, renal, perirenal adipose tissue) and D3 (cerebral), and decrements in renal and placental D3 activities were abolished by fetal adrenalectomy. Between 125 and 130 d, iv cortisol infusion raised hepatic, renal, and perirenal adipose tissue D1 and reduced renal and placental D3 activities. Infusion with T alone increased hepatic D1 and decreased renal D3 activities. Therefore, in the sheep fetus, the prepartum cortisol surge induces tissue-specific changes in deiodinase activity that, by promoting production and suppressing clearance of T, may be responsible for the rise in plasma T concentration near term. Some of the maturational effects of cortisol on deiodinase activity may be mediated by T. Copyright © 2006 by The Endocrine Society.Published here -
Ward J., Forhead A., Wooding F., Fowden A., 'Functional significance and cortisol dependence of the gross morphology of ovine placentomes during late gestation'
Biology of Reproduction 74 (1) (2006) pp.137-145
ISSN: 0006-3363 eISSN: 1529-7268AbstractThe gross morphological appearance of ovine placentomes is known to alter in response to adverse intrauterine conditions that increase fetal cortisol exposure. The direct effects of fetal cortisol on the placentome morphology, however, remain unknown, nor is the functional significance of the different placentome types clear. The present study investigated the gross morphology of ovine placentomes in relation to placental nutrient delivery to sheep fetuses during late gestation and after experimental manipulation of the fetal cortisol concentration. As fetal cortisol levels rose naturally toward term, a significant decrease was observed in the proportion of the D-type placentomes that had the hemophagous zone everted over the bulk of the placentomal tissue. When the prepartum cortisol surge was prevented by fetal adrenalectomy, there were proportionately more everted C- and D-type placentomes and fewer A-type placentomes with the hemophagous zone inverted into the placentome compared with those of intact fetuses at term. Raising cortisol concentrations by infusion before term reduced the incidence of D-type placentomes and lowered the proportion of individually tagged placentomes that became more everted during the 10- to 15-day period between tagging and delivery. Cortisol, therefore, appears to prevent hemophagous zone eversion in ovine placentomes during late gestation. The distribution of placentome types appeared to have no effect on the net rates of placental delivery of glucose and oxygen to the fetus under normal conditions. When fetal cortisol levels were raised by exogenous infusion, however, placental delivery of glucose, but not oxygen, to the fetus, measured as umbilical uptake, was reduced to a greater extent in fetuses with a higher proportion of C- and D-type placentomes. The gross morphology of the ovine placentomes is, therefore, determined, at least in part, by the fetal cortisol concentration and may influence placental nutrient transfer when fetal cortisol concentrations are high during late gestation. These findings have important implications for the placental control of fetal growth and development, particularly during adverse intrauterine conditions. © 2006 by the Society for the Study of Reproduction, Inc.Published here -
Fowden A., Giussani D., Forhead A., 'Intrauterine programming of physiological systems: Causes and consequences'
Physiology 21 (1) (2006) pp.29-37
ISSN: 1548-9213AbstractThe intrauterine conditions in which the mammalian fetus develops have an important role in regulating the function of its physiological systems later in life. Changes in the intrauterine availability of nutrients, oxygen, and hormones program tissue development and lead to abnormalities in adult cardiovascular and metabolic function in several species. The timing, duration, severity, and type of insult during development determines the specific physiological outcome. Intrauterine programming of physiological systems occurs at the gene, cell, tissue, organ, and system levels and causes permanent structural and functional changes, which can lead to overt disease, particularly with increasing age. ©2006 Int. Union Physiol. Sci./Am. Physiol. Soc.Published here -
Gnanalingham M., Giussani D., Sivathondan P., Forhead A., Stephenson T., Symonds M., Gardner D., 'Chronic umbilical cord compression results in accelerated maturation of lung and brown adipose tissue in the sheep fetus during late gestation'
Endocrinology and Metabolism 289 (2005)
ISSN: 0193-1849AbstractUmbilical cord compression (UCC) sufficient to reduce umbilical blood flow by 30% for 3 days, results in increased fetal plasma cortisol and catecholamines that are likely to promote maturation of the fetal lung and brown adipose tissue (BAT). We determined the effect of UCC on the abundance of uncoupling protein (UCP)1 (BAT only) and -2, glucocorticoid receptor (GR), and 11β-hydroxysteroid dehydrogenase (11β-HSD)1 and -2 mRNA, and mitochondrial protein voltage-dependent anion channel (VDAC) and cytochrome c in these tissues. At 118 ± 2 days of gestation (dGA; term ∼145 days), 14 fetuses were chronically instrumented. Eight fetuses were then subjected to 3 days of UCC from 125 dGA, and the remaining fetuses were sham operated. All fetuses were then exposed to two 1-h episodes of hypoxemia at 130 ± 1 and 134 ± 1 dGA before tissue sampling at 137 ± 2 dGA. In both tissues, UCC upregulated UCP2 and GR mRNA, plus VDAC and cytochrome c mitochondrial proteins. In lung, UCC increased 11β-HSD1 mRNA but decreased 11β-HSD2 mRNA abundance, a pattern reversed for BAT. UCC increased UCP1 mRNA and its translated protein in BAT. UCP2, GR, 11β-HSD1 and -2 mRNA, plus VDAC and cytochrome c protein abundance were all significantly correlated with fetal plasma cortisol and catecholamine levels, but not thyroid hormone concentrations, in the lung and BAT of UCC fetuses. In conclusion, chronic UCC results in precocious maturation of the fetal lung and BAT mitochondria, an adaptation largely mediated by the surge in fetal plasma cortisol and catecholamines that accompanies UCC. Copyright © 2005 the American Physiological Society.Published here -
Giussani D., Forhead A., Fowden A., 'Development of cardiovascular function in the horse fetus'
The Journal of Physiology 565 (3) (2005) pp.1019-1030
ISSN: 0022-3751AbstractIn mammals, the mechanisms regulating an increase in fetal arterial blood pressure with advancing gestational age remain unidentified. In all species studied to date, the prepartum increase in fetal plasma cortisol has an important role in the maturation of physiological systems essential for neonatal survival. In the horse, the prepartum elevation in fetal cortisol and arterial blood pressure are delayed relative to other species. Hence, the mechanisms governing the ontogenic increase in arterial blood pressure in the horse fetus may mature much closer to term than in other fetal animals. In the chronically instrumented pony mare and fetus, this study investigated how changes in fetal peripheral vascular resistance, in plasma concentrations of noradrenaline, adrenaline and vasopressin, and in the maternal-to-fetal plasma concentration gradient of oxygen and glucose relate to the ontogenic changes in fetal arterial blood pressure and fetal plasma cortisol concentration as term approaches. The data show that, towards term in the horse fetus, the increase in arterial blood pressure occurs together with reductions in metatarsal vascular resistance, elevations in plasma concentrations of cortisol, vasopressin, adrenaline and noradrenaline, and falls in the fetal: maternal ratio of blood P and glucose concentration. Correlation analysis revealed that arterial blood pressure was positively related with plasma concentrations of vasopressin and noradrenaline, but not adrenaline in the fetus, and inversely related to the fetal: maternal ratio of blood P, but not glucose, concentration. This suggests that increasing vasopressinergic and noradrenergic influences as well as changes in oxygen availability to the fetus and uteroplacental tissues may contribute to the ontogenic increase in fetal arterial blood pressure towards term in the horse. © The Physiological Society 2005.Published here -
Fletcher A., Forhead A., Fowden A., Ford W., Nathanielsz P., Giussani D., 'Effects of gestational age and cortisol treatment on ovine fetal heart function in a novel biventricular Langendorff preparation'
The Journal of Physiology 562 (2) (2005) pp.493-505
ISSN: 0022-3751AbstractStructural and functional maturation of a number of fetal organs and physiological systems occurs in the immediate period prior to term, in association with the prepartum increase in fetal plasma cortisol concentration. At present, little is known about how myocardial sensitivity to adrenergic and muscarinic cholinergic stimulation changes as the fetus approaches term, nor the role of the prepartum increase in plasma cortisol concentration in mediating these changes. This study used a novel Langendorff, biventricular, ovine fetal heart preparation to investigate the effects of advancing gestation and cortisol treatment on myocardial sensitivity to adrenergic (isoprenaline) and muscarinic cholinergic (carbachol) stimulation. It was hypothesized that cortisol infusion would fully mimic developmental changes in myocardial responsiveness to adrenergic and cholinergic stimulation. Sixteen Welsh Mountain sheep fetuses were surgically prepared under general anaesthesia with vascular catheters. At 125 ± 1 days gestational age (dGA; term, 145 dGA) fetuses were infused with saline vehicle (n = 7; Premature Control) or with cortisol (n = 4; 2-3 mg kg d I.V.; Premature Cortisol) for 5 days. The Term Control group (n = 5) comprised fetuses that were surgically prepared at 130 dGA and infused with vehicle for 5 days prior to delivery (n = 2), or that received no surgery (n = 3). Under terminal anaesthesia, Premature Control and Premature Cortisol fetuses were delivered at 130 dGA and Term Control fetuses between 135 and 143 dGA. Following exsanguination under anaesthesia, fetal hearts were mounted in the Langendorff preparation, allowing measurement of left ventricular (LV) developed pressure and right ventricular (RV) developed pressure, heart rate (HR), coronary perfusion pressure and perfusate distribution to the myocardium. Cortisol infusion elevated fetal plasma cortisol concentrations to values similar to those measured close to term (45.0 ± 7.1 ng ml). Advancing gestational age, but not cortisol treatment, enhanced fetal LV developed pressure, RV developed pressure and HR responses to carbachol (P < 0.05). Advancing gestational age, but not cortisol treatment, suppressed fetal LV developed pressure, RV developed pressure and HR responses to isoprenaline (P < 0.05). Maximum doses of either carbachol or isoprenaline had no effect on coronary perfusate distribution. Changes in myocardial responsiveness to adrenergic and muscarinic cholinergic stimulation with advancing gestation provide mechanisms that contribute to the maturation of the cardiovascular system as the ovine fetus approaches term. These changes in myocardial responsiveness are not solely dependent on preparturient elevations in fetal plasma cortisol concentration. © The Physiological Society 2004.Published here -
Fowden A., Giussani D., Forhead A., 'Endocrine and metabolic programming during intrauterine development'
Early Human Development 81 (9) (2005) pp.723-734
ISSN: 0378-3782AbstractIn humans, low birth weight is associated with an increased risk of metabolic dysfunction in adult life. Many of these metabolic disorders have an endocrine origin and are accompanied by abnormal hormone concentrations. This has led to the hypothesis that adult metabolic disease arises in utero as a result of programming of key endocrine systems during suboptimal intrauterine conditions associated with fetal growth retardation. This review examines the experimental evidence for prenatal endocrine programming with particular emphasis on endocrine axes involved in growth and metabolism, namely, the hypothalamic-pituitary-adrenal axis, the endocrine pancreas and the somatotrophic axis. It also considers how changes in these endocrine systems contribute to the programming of metabolism in later life. © 2005 Elsevier Ireland Ltd. All rights reserved.Published here -
Gnanalingham M., Mostyn A., Forhead A., Fowden A., Symonds M., Stephenson T., 'Increased uncoupling protein-2 mRNA abundance and glucocorticoid action in adipose tissue in the sheep fetus during late gestation is dependent on plasma cortisol and triiodothyronine'
The Journal of Physiology 567 (1) (2005) pp.283-292
ISSN: 0022-3751AbstractThe endocrine regulation of uncoupling protein-2 (UCP2), an inner mitochondrial protein, in fetal adipose tissue remains unclear. The present study aimed to determine if fetal plasma cortisol and triiodothyronine (T) influenced the mRNA abundance of UCP2, glucocorticoid receptor (GR) and 11β-hydroxysteroid dehydrogenase type 1 (11βHSD1) and 2 (11βHSD2) in fetal adipose tissue in the sheep during late gestation. Perirenal-abdominal adipose tissue was sampled from ovine fetuses to which either cortisol (2-3 mg kg day) or saline was infused for 5 days up to 127-130 days gestation, or near term fetuses (i.e. 142-145 days gestation) that were either adrenalectomised (AX) or remained intact. Fetal plasma cortisol and T concentrations were higher in the cortisol infused animals and lower in AX fetuses compared with their corresponding control group, and increased with gestational age. UCP2 and GR mRNA abundance were significantly lower in AX fetuses compared with age-matched controls, and increased with gestational age and by cortisol infusion. Glucocorticoid action in fetal adipose tissue was augmented by AX and suppressed by cortisol infusion, the latter also preventing the gestational increase in 11βHSD1 mRNA and decrease in 11βHSD2 mRNA. When all treatment groups were combined, both fetal plasma cortisol and T concentrations were positively correlated with UCP2, GR and 11βHSD2 mRNA abundance, but negatively correlated with 11βHSD1 mRNA abundance. In conclusion, plasma cortisol and T are both required for the late gestation rise in UCP2 mRNA and differentially regulate glucocorticoid action in fetal adipose tissue in the sheep during late gestation. © The Physiological Society 2005.Published here -
Fowden A., Gardner D., Ousey J., Giussani D., Forhead A., 'Maturation of pancreatic β-cell function in the fetal horse during late gestation'
Journal of Endocrinology 186 (3) (2005) pp.467-473
ISSN: 0022-0795AbstractAt birth, the endocrine pancreas becomes more directly involved in the control of glycaemia than in utero. However, compared with other tissues, relatively little is known about the maturational changes that occur in the fetal endocrine pancreas in preparation for extrauterine life. This study examined the pancreatic β-cell response to exogenous administration of glucose and arginine in fetal horses with respect to their gestational age and concentration of cortisol, the hormone responsible for prepartum maturation of other fetal tissues. Glucose administration had no effect on fetal insulin secretion between 175 and 230 days of gestation but evoked a rapid insulin response in fetuses closer to term (290-327 days). In late gestation, the β-cell response was more rapid and greater in magnitude in fetuses with basal cortisol levels higher than 15 ng/ml than in those with lower cortisol values at the time of glucose administration. The fetal β-cell response to arginine was unaffected by the rise in fetal plasma cortisol towards term. These findings show that there are maturational changes in pancreatic β-cell function in fetal horses as cortisol levels rise close to term. Primarily, these prepartum maturational changes were in the mechanisms of glucose-stimulated insulin secretion, which would enable the β cells to regulate glycaemia at the higher glucose levels observed postnatally. © 2005 Society for Endocrinology.Published here -
Fahmi A., Forhead A., Fowden A., Vandenberg J., 'Cortisol influences the ontogeny of both α- and β-subunits of the cardiac sodium channel in fetal sheep'
Journal of Endocrinology 180 (3) (2004) pp.449-455
ISSN: 0022-0795 eISSN: 1479-6805AbstractDuring development, the heart has to adapt to changes in shape, size and, at birth, to significant changes in arterial pressure. The orderly contraction of the heart is dependent on the coordinated expression of ion channels at appropriate densities in individual cardiac myocytes. The present study demonstrated that the expression of the α-subunit of the cardiac sodium channel, SCN5a, was high at mid gestation but then decreased until 10 days before birth before increasing again. Whereas the β-subunit, SCN1b, gradually increased in expression towards partum, there was no detectable expression of SCN3b at any gestational time point. Fetal adrenalectomy prior to the normal prepartum surge in cortisol caused a reduction in expression of SCN1b and a 7.0 kb transcript of SCN5a, but not the major 8.5 kb transcript. Conversely, cortisol infusion into immature fetuses precociously increased expression levels of SCN1b and the SCN5a 7.0 kb transcript. The results show that cortisol regulates cardiac SCN gene expression in fetal sheep during late gestation. These findings could have implications for the aetiology of sudden infant death syndrome and for the intrauterine programming of adult cardiovascular disease. © 2004 Society for Endocrinology.Published hereDOI (broken, 2018.11.07): https://doi.org/10.1677/joe.0.1800449
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Fowden A., Forhead A., 'Endocrine mechanisms of intrauterine programming'
Reproduction 127 (5) (2004) pp.515-526
ISSN: 1470-1626 eISSN: 1741-7899AbstractEpidemiological findings and experimental studies in animals have shown that individual tissues and whole organ systems can be programmed in utero during critical periods of development with adverse consequences for their function in later life. Detailed morphometric analyses of the data have shown that certain patterns of intrauterine growth, particularly growth retardation, can be related to specific postnatal outcomes. Since hormones regulate fetal growth and the development of individual fetal tissues, they have a central role in intrauterine programming. Hormones such as insulin, insulin-like growth factors, thyroxine and the glucocorticoids act as nutritional and maturational signals and adapt fetal development to prevailing intrauterine conditions, thereby maximizing the chances of survival both in utero and at birth. However, these adaptations may have long-term sequelae. Of the hormones known to control fetal development, it is the glucocorticoids that are most likely to cause tissue programming in utero. They are growth inhibitory and affect the development of all the tissues and organ systems most at risk of postnatal pathophysiology when fetal growth is impaired. Their concentrations in utero are also elevated by all the nutritional and other challenges known to have programming effects. Glucocorticoids act at cellular and molecular levels to alter cell function by changing the expression of receptors, enzymes, ion channels and transporters. They also alter various growth factors, cytoarchitectural proteins, binding proteins and components of the intracellular signalling pathways. Glucocorticoids act, directly, on genes and, indirectly, through changes in the bioavailability of other hormones. These glucocorticoid-induced endocrine changes may be transient or persist into postnatal life with consequences for tissue growth and development both before and after birth. In the long term, prenatal glucocorticoid exposure can permanently reset endocrine systems, such as the somatotrophic and hypothalamic-pituitary-adrenal axes, which, in turn, may contribute to the pathogenesis of adult disease. Endocrine changes may, therefore, be both the cause and the consequence of intrauterine programming. © 2004 Society for Reproduction and Fertility.Published here -
Forhead A., Ousey J., Allen W., Fowden A., 'Postnatal insulin secretion and sensitivity after manipulation of fetal growth by embryo transfer in the horse'
Journal of Endocrinology 181 (3) (2004) pp.459-467
ISSN: 0022-0795 eISSN: 1479-6805AbstractThis study examined the effects of intrauterine growth on insulin secretion and resistance in newborn foals. Embryo transfer between small pony and large Thoroughbred mares was used to produce four groups of foals with different birth weights (pony in pony n=7; pony in Thoroughbred n=7; Thoroughbred in Thoroughbred n=8; Thoroughbred in pony n=8). On day 2 after birth, glucose (0.5 g/kg) was administered intravenously to the foal and blood samples were taken for 2 h to determine plasma glucose and insulin concentrations. On day 3, insulin sensitivity was assessed by giving insulin (0.75 U/kg i.v.) and measuring the decrement in plasma glucose in the foals. There were no significant differences in insulin secretion, insulin sensitivity or glucose tolerance between the control and growth-retarded Thoroughbred foals. Overgrown pony foals delivered by Thoroughbred mares had higher basal insulin levels and greater β cell responses to glucose than the other groups of foals. The relationship between plasma glucose and insulin was also significantly steeper in overgrown pony foals than in the other groups. Variations in intrauterine growth rate, therefore, affect postnatal insulin secretion in the horse. More specifically, it is overgrowth, not growth retardation in utero that alters equine β cell function in the immediate neonatal period. © 2004 Society for Endocrinology.Published herehttps://doi.org/10.1677/joe.0.1810459
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Forhead A., Fowden A., 'Role of angiotensin II in the pressor response to cortisol in fetal sheep during late gestation'
Experimental Physiology 89 (3) (2004) pp.323-329
ISSN: 0958-0670AbstractGlucocorticoids increase blood pressure in utero, but the mechanisms responsible are unclear. This study investigated the hypothesis that the hypertensive effects of cortisol depend upon a functional renin-angiotensin system (RAS). The study examined, in the sheep fetus, whether blockade of the Ang II type 1 (AT) specific receptor prevented the cortisol-induced increase in blood pressure. From 124 ± 1 days of gestation (term 145 ± 2 days), 27 chronically catheterized sheep fetuses were infused I.V. for 5 days with one of the following: (I) saline (0.9% NaCl at 2.5 ml day, n = 6); (2) cortisol (3-5 mg kg day, n = 7); (3) AT receptor antagonist (GR138950, 1-3 mg kg day in saline, GRS, n = 7); or (4) cortisol and GR138950 (GRC, n = 7). On all days of infusion, plasma cortisol was greater in both groups of cortisol-treated fetuses than in the respective control fetuses (P < 0.05), and GR138950 prevented the pressor response to exogenous Ang II. Over 5 days of infusion, blood pressure increased by a maximum of 7.6 ± 1.4 mmHg (mean ± S.E.M., P < 0.05) in the cortisol-, but not saline-infused, fetuses. Blockade of the AT receptor caused significant reductions in blood pressure in both GRS- and GRC-treated groups (P < 0.05); in the GRS-treated fetuses, the fall in blood pressure was significant from the first day of infusion, while in GRC-treated fetuses the decrement was not significant until the second day (P < 0.05). Over the period of the infusion, decreases in arterial blood pH and P, and an increase in P, were observed in the fetuses treated with the AT receptor antagonist (P < 0.05). Therefore, in the sheep fetus, 5 days of AT receptor antagonism suppresses the cortisol-induced rise in blood pressure. These results suggest that cortisol may increase blood pressure within 24 h of administration by a mechanism that is independent of the fetal RAS. Thereafter, Ang II, via the AT receptor, may mediate, in part, the hypertensive effects of cortisol in utero. © The Physiological Society 2004.Published here -
Forhead A, Poore K, Mapstone J, Fowden A, 'Developmental regulation of hepatic and renal gluconeogenic enzymes by thyroid hormones in fetal sheep during late gestation'
The Journal of Physiology 548 (3) (2003) pp.941-947
ISSN: 0022-3751AbstractTissue glucose-6-phosphatase (G6P) and phosphoenolpyruvate carboxykinase (PEPCK) activities were investigated in sheep fetuses after experimental manipulation of thyroid hormone status. Increments in hepatic and renal G6P and PEPCK activities seen between 127-130 and 140-145 days of gestation (term, 145 ± 2 days) were abolished when the normal prepartum rise in plasma triiodothyronine (T , but not cortisol, was prevented by fetal thyroidectomy (TX). At 127-130 days, hepatic and renal G6P, and renal PEPCK, activities were similar in intact and TX fetuses; however, hepatic PEPCK was increased by TX. At 140-145 days, tissue G6P and PEPCK activities in TX fetuses were lower than in intact fetuses. In immature fetuses infused with cortisol (2-3 mg (kg body wt) day) for five days, hepatic and renal enzyme activities were increased to those seen in mature fetuses near term. After five days of T infusion (8-12 μg (kg body wt) day), G6P and PEPCK activities in the liver and kidney were greater than in saline-infused fetuses, but only renal G6P and PEPCK increased to the level seen close to term. Therefore, in fetal sheep, thyroid hormones are important for the prepartum rises in G6P and PEPCK activities in the liver and kidney and may mediate, in part, the maturational effects of cortisol.Published here -
Zimmermann H., Gardner D., Jellyman J., Fowden A., Giussani D., Forhead A., 'Effect of dexamethasone on pulmonary and renal angiotensin-converting enzyme concentration in fetal sheep during late gestation'
American Journal of Obstetrics & Gynecology 189 (5) (2003) pp.1467-1471
ISSN: 0002-9378 eISSN: 1097-6868AbstractOBJECTIVES: The effect of dexamethasone on tissue angiotensin-converting enzyme (ACE) was investigated in fetal sheep. STUDY DESIGN: Pulmonary and renal ACE concentrations were measured in 16 sheep fetuses at between 127 and 131 days of gestation (term 145 ± 2 days): 6 were untreated, whereas 10 were chronically catheterized and infused intravenously with either saline solution (0.9%, n = 4) or dexamethasone (45-60 μg · kg · d, n = 6) for the previous 2 days. The dexamethasone dose increased plasma dexamethasone to around one fifth of that measured in newborn human infants delivered after maternal dexamethasone treatment. RESULTS: Over the period of infusion, arterial blood pressure increased significantly in the dexamethasone (+6.8 ± 1.5 mm Hg, P < .05) but not saline-treated fetuses (+1.6 ± 0.6 mm Hg). At delivery, pulmonary ACE in the dexamethasone-infused fetuses (1.24 ± 0.26 nmoles hippurate · min · mg protein) was significantly greater than in the control fetuses (0.50 ± 0.07 nmoles · min · mg protein, P < .005); renal ACE was unchanged by dexamethasone treatment. Overall, pulmonary ACE and blood pressure were correlated on the last day of infusion (r = 0.70, P < .05). CONCLUSION: The rise in pulmonary ACE seen in dexamethasone-treated sheep fetuses may contribute, in part, to the glucocorticoid-induced increase in blood pressure.Published here -
Lisle S., Lewis R., Petry C., Ozanne S., Hales C., Forhead A., 'Effect of maternal iron restriction during pregnancy on renal morphology in the adult rat offspring'
British Journal of Nutrition 90 (1) (2003) pp.33-39
ISSN: 0007-1145AbstractIn rats, maternal anaemia during pregnancy causes hypertension in the adult offspring, although the mechanism is unknown. The present study investigated the renal morphology of adult rats born to mothers who were Fe-deficient during pregnancy. Rats were fed either a control (153 mg Fe/kg diet, n 7) or low-Fe (3 mg/kg diet, n 6) diet from 1 week before mating and throughout gestation. At delivery, the Fe-restricted (IR) mothers were anaemic; the IR pups were also anaemic and growth-retarded at 2 d of age. At 3 and 16 months, systolic blood pressure in the IR offspring (163 (SEM 4) and 151 (SEM 4) mmHg respectively, n 13) was greater than in control animals (145 (SEM 3) and 119 (SEM 4) mmHg respectively, n 15, P<0.05). At post mortem at 18 months, there was no difference in kidney weight between treatment groups, although relative kidney weight as a fraction of body weight in the IR offspring was greater than in control animals (P<0.05). Glomerular number was lower in the IR offspring (11.4 (SEM 1.1) per 4 mm, n 13) compared with control rats (14.8 (SEM 0.7), n 15, P<0.05). Maternal treatment had no effect on glomerular size, but overall, female rats had smaller and more numerous glomeruli per unit area than male rats. When all animals were considered, inverse relationships were observed between glomerular number and glomerular size (r-0.73, n 28, P<0.05), and glomerular number and systolic blood pressure at both 3 months (r-0.42, n 28, P<0.05) and 16 months of age (r-0.64, n 28, P<0.05). Therefore, in rats, maternal Fe restriction causes hypertension in the adult offspring that may be due, in part, to a deficit in nephron number.Published here -
Mostyn A., Pearce S., Budge H., Elmes M., Forhead A., Fowden A., Stephenson T., Symonds M., 'Influence of cortisol on adipose tissue development in the fetal sheep during late gestation'
Journal of Endocrinology 176 (1) (2003) pp.23-30
ISSN: 0022-0795 eISSN: 1479-6805AbstractThe present study examined the extent to which the late gestation rise in fetal plasma cortisol influenced adipose tissue development in the fetus. The effect of cortisol on the abundance of adipose tissue mitochondrial proteins on both the inner (i.e. uncoupling protein (UCP)1) and outer (i.e. voltage-dependent anion channel (VDAC)) mitochondrial membrane, together with the long and short forms of the prolactin receptor (PRLR) protein and leptin mRNA was determined. Perirenal adipose tissue was sampled from ovine fetuses to which (i) cortisol (2-3 mg/day for 5 days) or saline was infused up to 127-130 days of gestation, and (ii) adrenalectomised and intact controls at between 142 and 145 days of gestation (term = 148 days). UCP1 protein abundance was significantly lower in adrenalectomised fetuses compared with age-matched controls, and UCP1 was increased by cortisol infusion and with gestational age. Adrenalectomy reduced the concentration of the long form of PRLR, although this effect was only significant for the highest molecular weight isoform. In contrast, neither the short form of PRLR VDAC protein abundance or leptin mRNA expression was significantly affected by gestational age or cortisol status. Fetal plasma triiodothyronine concentrations were increased by cortisol and with gestational age, an affect abolished by adrenalectomy. When all treatment groups were combined, both plasma cortisol and triiodothyronine concentrations were positively correlated with UCP1 protein abundance. In conclusion, an intact adrenal is necessary for the late gestation rise in UCP1 protein abundance but cortisol does not appear to have a major stimulatory role in promoting leptin expression in fetal adipose tissue. It remains to be established whether effects on UCP1 protein are directly regulated by cortisol alone or mediated by other anabolic fetal hormones such as triiodothyronine.Published hereDOI [broken, 2018.11.07] https://doi.org/10.1677/joe.0.1760023
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Ousey J., Forhead A., Rossdale P., Grainger L., Houghton E., Fowden A., 'Ontogeny of uteroplacental progestagen production in pregnant mares during the second half of gestation'
Biology of Reproduction 69 (2) (2003) pp.540-548
ISSN: 0006-3363 eISSN: 1529-7268AbstractIn pregnant mares during late gestation, little, if any, progesterone (P) is found in the maternal circulation. Hence, quiescence of the equine uterus is believed to be maintained by metabolites of pregnenolone and P known as progestagens, which are produced by the uteroplacental tissues. However, little is known about the ontogeny, distribution, or actual rates of uteroplacental progestagen production in pregnant mares and their fetuses during the second half of pregnancy. Therefore, the present study measured the rates of uteroplacental uptake and output of eight specific progestagens in chronically catheterized, pregnant pony mares from 180 days to term. No significant uteroplacental uptake of any of the eight individual progestagens was observed from the uterine circulation. In contrast, significant uteroplacental uptake was observed for five of the eight individual progestagens from the umbilical circulation, and the uptakes increased toward term. The major uteroplacental progestagen outputs were 5α-pregnane-3,20-dione (5αDHP) and 20α-hydroxy-5α-pregnan-3-one (20α5P). These were released into both the umbilical and uterine circulations at rates that increased toward term. The majority of the total uteroplacental 20α5P output was distributed into the uterine circulation at all gestational ages studied. In contrast, distribution of the total uteroplacental 5αDHP output switched from preferential delivery into the uterine circulation before 220 days of gestation to release predominantly into the umbilical circulation after 260 days. These findings demonstrate that uteroplacental progestagen production changes during the second half of gestation, which may have important implications for the maintenance of pregnancy and the onset of labor in the mare.Published here -
Coomer R., Forhead A., Bathe A., Head M., 'Plasma angiotensin-converting enzyme (ACE) concentration in Thoroughbred racehorses'
Equine Veterinary Journal 35 (1) (2003) pp.96-98
ISSN: 0425-1644 eISSN: 2042-3306Published here -
Giussani D., Forhead A., Gardner D., Fletcher A., Allen W., Fowden A., 'Postnatal cardiovascular function after manipulation of fetal growth by embryo transfer in the horse'
The Journal of Physiology 547 (1) (2003) pp.67-76
ISSN: 0022-3751AbstractThis study used between-breed embryo transfer in the horse to investigate the effects of maternal size and uterine capacity on fetal growth and postnatal cardiovascular and neuroendocrine functions. Equine embryos were transferred to establish eight Thoroughbred-in-Thoroughbred (TinT), seven Pony-in-Pony (PinP), five Thoroughbred-in-Pony (TinP) and eight Pony-in-Thoroughbred (PinT), pregnancies. Maternal and foal weights and placental microscopic area were measured at birth. At 6 days of postnatal life, arterial blood pressure and heart rate were monitored and blood samples were taken for hormone analysis before, during and after a 10 min period of nitroprusside-induced hypotension. Values for maternal and foal weights and placental area at birth were larger in TinT than in PinP pregnancies (P < 0.05). PinT pregnancies resulted in larger placentae and heavier foals relative to PinP (P < 0.05). TinP had smaller placentae and lighter foals relative to TinT (P < 0.05). Growth-enhanced (PinT) foals showed elevated basal arterial blood pressure and baroreflex threshold, reduced baroreflex sensitivity, diminished plasma catecholamine responses to acute stress, and increased cortisol responsiveness to ACTH. Conversely, growth-restricted (TinP) foals showed no change in basal arterial blood pressure, baroreflex threshold or adrenocortical responsiveness to ACTH, but had enhanced baroreflex sensitivity and augmented plasma catecholamine responses to acute stress. The data show that fetal growth acceleration as well as fetal growth restriction, resulting from between-breed embryo transfer in the horse, leads to altered postnatal regulation of blood pressure and the circulating concentrations of cortisol. These findings suggest that deviations in the pattern and rate of fetal growth both above and below the normal trajectory may influence cardiovascular function in postnatal life.Published here -
Li J., Forhead A., Dauncey M., Gilmour R., Fowden A., 'Control of growth hormone receptor and insulin-like growth factor-I expression by cortisol in ovine fetal skeletal muscle'
The Journal of Physiology 541 (2) (2002) pp.581-589
ISSN: 0022-3751AbstractInsulin-like growth factor (IGF)-I has an important role in myogenesis but its developmental regulation in skeletal muscle before birth remains unknown. In other tissues, cortisol modulates IGF gene expression and is responsible for many of the prepartum maturational changes essential for neonatal survival. Hence, using RNase protection assays and ovine riboprobes, expression of the IGF-I and growth hormone receptor (GHR) genes was examined in ovine skeletal muscle during late gestation and after experimental manipulation of fetal plasma cortisol levels by fetal adrenalectomy and exogenous cortisol infusion. Muscle IGF-I, but not GHR, mRNA abundance decreased with increasing gestational age in parallel with the prepartum rise in plasma cortisol. Abolition of this cortisol surge by fetal adrenalectomy prevented the prepartum fall in muscle IGF-I mRNA abundance. Conversely, raising cortisol levels by exogenous infusion earlier in gestation prematurely lowered muscle IGF-I mRNA abundance but had no effect on GHR mRNA. When all data were combined, plasma cortisol and muscle IGF-I mRNA abundance were inversely correlated in individual fetuses. Cortisol is, therefore, a developmental regulator of IGF-I gene expression and is responsible for suppressing expression of this gene in ovine skeletal muscle near term. These observations have important implications for muscle development both before and after birth, particularly during conditions which alter intrauterine cortisol exposure.Published here -
O'Connor S., Fowden A., Holdstock N., Giussani D., Forhead A., 'Development changes in pulmonary and renal angiotensin-converting enzyme concentration in fetal and neonatal horses'
Reproduction, Fertility and Development 14 (2002) pp.413-417
ISSN: 1031-3613 eISSN: 1448-5990AbstractAngiotensin-converting enzyme (ACE) has an active role in the control of blood pressure and body fluid homeostasis both before and after birth. This study investigated the ontogeny of pulmonary and renal ACE concentrations in fetal and neonatal horses. Fetal pulmonary ACE concentration increased from 250 days towards term (c. 335 days). Newborn foals showed significantly higher mean concentrations of pulmonary ACE (4.40 ± 0.62 nmol min1 mg protein) than both fetuses during late gestation (1.23 ± 0.51 nmol min mg protein) and animals aged 1 day to 2 weeks of postnatal age (0. 85 ± 0.15 nmol min mg protein). Renal ACE was detected in fetal horses from 100 days of gestation but showed no developmental trend during the second half of gestation or in early postnatal life. Overall in the fetus, mean concentrations of renal ACE were also approximately 10 times lower than mean pulmonary values. Renal ACE concentration may be related to the functional immaturity of the equine kidneys. The increase in pulmonary ACE concentration seen towards term in the fetal horse may be induced by the prepartum cortisol surge that occurs very close to delivery in this species. Therefore, premature delivery in this species may interrupt the onset of ACE production in the fetal lungs and circumvent the normal maturation of the renin-angiotensin system.Published here -
Forhead A., Fowden A., 'Effects of thyroid hormones on pulmonary and renal angiotensin-converting enzyme concentrations in fetal sheep near term'
Journal of Endocrinology 173 (1) (2002) pp.143-150
ISSN: 0022-0795 eISSN: 1479-6805AbstractIn the sheep fetus, pulmonary and renal concentrations of angiotensin-converting enzyme (ACE) increase towards term in parallel with the prepartum surges in plasma cortisol and tri-iodothyronine (T). The ontogenic change in pulmonary ACE has been shown to be induced, at least in part, by cortisol but the role of the thyroid hormones is unknown. Therefore, this study investigated the effects of thyroid hormones on tissue ACE concentration in fetal sheep during late gestation. Pulmonary and renal ACE concentrations were measured in sheep fetuses after experimental manipulation of thyroid hormone status by fetal thyroidectomy and exogenous hormone infusion. In intact fetuses, pulmonary and renal ACE concentrations increased between 127-132 and 142-145 days of gestation (term 145 ± 2 days), coincident with the prepartum rises in plasma cortisol and T. The ontogenic increment in pulmonary ACE concentration was abolished when the prepartum surge in T, but not cortisol, was prevented by fetal thyroidectomy. At 143-145 days, ACE concentration in the lungs and kidneys of the thyroidectomised fetuses were both lower than those in the intact fetuses. In intact fetuses at 127-132 days, pulmonary ACE was upregulated by intravenous infusions of either cortisol (2-3 mg/kg per day) or T (8-12 μg/kg per day) for 5 days. Renal ACE was unaffected by cortisol or T infusion. Therefore, thyroid hormones have an important role in the developmental control of pulmonary and renal ACE concentration in the sheep fetus towards term. In addition, the prepartum rise in plasma T appears to mediate, in part, the maturational effect of cortisol on pulmonary ACE concentration.Published hereDOI [broken, 2018.11.07] https://doi.org/10.1677/joe.0.1730143
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Lewis R., Forhead A., Petry C., Ozanne S., Nicolas Hales C., 'Long-term programming of blood pressure by maternal dietary iron restriction in the rat'
British Journal of Nutrition 88 (3) (2002) pp.283-290
ISSN: 0007-1145AbstractWe have reported that blood pressure was elevated in 3-month-old rats whose mothers were Fe-restricted during pregnancy. These animals also had improved glucose tolerance and decreased serum triacylglycerol. The aim of the present study was to determine whether these effects of maternal nutritional restriction, present in these animals at 3 months of age, can be observed in the same animals in later life. Pulmonary and serum angiotensin converting enzyme (ACE) concentrations were also measured to investigate whether the renin-angiotensin system was involved in the elevation of blood pressure observed in the offspring of Fe-restricted dams. Systolic blood pressure was higher in the offspring of Fe-restricted dams at 16 months of age. Heart and kidney weight were increased as a proportion of body weight in the offspring of Fe-restricted dams. The pulmonary ACE concentration was not significantly different between the groups. The serum ACE concentration was significantly elevated in the offspring of Fe-restricted dams at 3 but not 14 months of age. There was a strong correlation between serum ACE levels at 3 and 14 months of age. Glucose tolerance and serum insulin were not different between the maternal diet groups. Serum triacylglycerol tended to be lower in the offspring of Fe-restricted dams. There were no differences in serum non-esterified fatty acids or serum cholesterol between the maternal diet groups. This study provides further evidence that maternal nutrition has effects on the offspring that persist throughout life. At 16 months of age, the elevation of blood pressure in Fe-restricted offspring does not appear to be mediated via changes in ACE levels. Both cardiac hypertrophy and decreased serum triacylglycerol have also been observed in Fe-restricted fetuses, suggesting that these changes may be initiated in utero.Published here -
Forhead A., Thomas L., Crabtree J., Hoggard N., Gardner D., Giussani D., Fowden A., 'Plasma leptin concentration in fetal sheep during late gestation: Ontogeny and effect of glucocorticoids'
Endocrinology 143 (4) (2002) pp.1166-1173
ISSN: 0013-7227 eISSN: 1945-7170AbstractThe ontogeny and developmental control of plasma leptin concentration in the fetus are poorly understood. The present study investigated plasma leptin concentration in chronically catheterized sheep fetuses near term, and in neonatal and adult sheep. The effect of glucocorticoids on plasma leptin in utero was examined by fetal adrenalectomy and exogenous cortisol or dexamethasone infusion. In intact, untreated fetuses studied between 130 and 140 d (term, 145 ± 2 d), plasma leptin concentration increased in association with the prepartum cortisol surge. Positive relationships were observed between plasma leptin in utero and both gestational age and plasma cortisol. Plasma leptin was also inversely correlated with fetal pO. The ontogenic rise in plasma leptin was abolished by fetal adrenalectomy. In intact fetuses at 123-127 d, plasma leptin was increased by infusions of cortisol (3-5 mg kgd, +127 ± 21%) for 5 d and dexamethasone (45-60 μg kgd, +268 ± 61%) for 2 d. However, the cortisol-induced rise in plasma leptin was transient; by the fifth day of infusion, plasma leptin was restored to within the baseline range. These findings show that, in the sheep fetus, an intact adrenal gland is required for the normal ontogenic rise in plasma leptin near term. Furthermore, fetal treatment with exogenous and endogenous glucocorticoids increases circulating leptin concentration in utero.Published here -
Clarke K., Ward J., Forhead A., Giussani D., Fowden A., 'Regulation of 11β-hydroxysteroid dehydrogenase type 2 activity in ovine placenta by fetal cortisol'
Journal of Endocrinology 172 (3) (2002) pp.527-534
ISSN: 0022-0795 eISSN: 1479-6805AbstractThe effect of fetal cortisol on the activity of the type 2 isoform of the enzyme, 11β-hydroxysteroid dehydrogenase (11β-HSD2), was examined in ovine placenta and fetal kidney by measuring tissue 11β-HSD2 activity during late gestation when endogenous fetal cortisol levels rise and after exogenous cortisol administration to immature fetuses before the prepartum cortisol surge. Placental 11β-HSD2 activity decreased between 128-132 days and term (≈ 145 days of gestation) in association with the normal prepartum increase in fetal plasma cortisol. Raising fetal cortisol levels to prepartum values in the immature fetus at 128-132 days of gestation reduced placental 11β-HSD2 activity to term values. In contrast, 11β-HSD2 activity in the fetal renal cortex was unaffected by gestational age or cortisol infusion. When all the data were combined, there was an inverse correlation between the log fetal plasma cortisol level at delivery and placental 11β-HSD2 activity, expressed both on a weight-specific basis and per mg placental protein. Fetal cortisol therefore appears to be a physiological regulator of placental, but not renal, 11β-HSD2 activity in fetal sheep during late gestation. These findings have important implications, not only for glucocorticoid exposure in utero, but also for the local actions of cortisol within the placental tissues that are involved in initiating parturition in the sheep.Published hereDOI [broken, 2018.11.07] https://doi.org/10.1677/joe.0.1720527
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Poore K, Forhead A, Gardner D, Giussani D, Fowden A, 'The effects of birth weight on basal cardiovascular function in pigs at 3 months of age'
The Journal of Physiology 539 (3) (2002) pp.969-978
ISSN: 0022-3751AbstractIn man, epidemiological studies have shown that low birth weight (BW) is associated with an increased risk of cardiovascular disease in later life. In this study, the long-term consequences of variations in natural BW on basal cardiovascular function were investigated in pigs at 3 months of postnatal age. Low (< 1.41 kg; n = 20) and high (> 1.52 kg; n = 20) BW Large White piglets were selected from a total of 12 litters for study at 3 months of age. Basal mean arterial pressure (MAP) and heart rate (HR) were recorded for ∼30 min using standard recording equipment and basal arterial blood samples were taken for hormone analyses. Concentrations of angiotensin-converting enzyme (ACE) were also measured in kidney, lung and plasma. Basal MAP, but not HR, in 3-monthold pigs was significantly inversely related to BW and positively related to the ratio of head length to BW. Postnatal growth rate of low BW pigs was slower than that of high BW pigs such that low BW piglets remained significantly smaller at 3 months of age. There were no differences in basal plasma adrenaline or cortisol concentrations between low and high BW pigs. However, basal plasma noradrenaline concentrations were significantly elevated in low BW compared to high BW pigs. Renal and pulmonary ACE levels were significantly reduced in low BW compared to high BW pigs. These data show that basal MAP in 3-month-old pigs is negatively associated with BW and positively correlated to disproportionate size at birth. This effect was associated with an increase in basal plasma noradrenaline concentrations.Published here -
Forhead A., Li J., Gilmour R., Dauncey M., Fowden A., 'Thyroid hormones and the mRNA of the GH receptor and IGFs in skeletal muscle of fetal sheep'
Endocrinology and Metabolism 282 (2002)
ISSN: 0193-1849AbstractThyroid hormones are required for the normal development of skeletal muscle in utero, although their mechanism of action is poorly understood. The present study examined the effects of the thyroid hormones on the gene expression of the growth hormone receptor (GHR) and the insulin-like growth factors (IGFs) IGF-I and IGF-II, in skeletal muscle of fetal sheep during late gestation (term 145 ± 2 days) and after manipulation of plasma thyroid hormone concentration. Thyroidectomy at 105-110 days of gestation suppressed muscle GHR and IGF-I gene expression in fetuses studied at 127-130 and 142-145 days. Muscle GHR mRNA abundance remained unchanged with increasing gestational age in intact and thyroidectomized fetuses. In the intact fetuses, a decrease in muscle IGF-I gene expression was observed between 127-130 and 142-145 days, which coincided with the normal prepartum surges in plasma cortisol and triiodothyronine (T). At 127-130 days, downregulation of muscle IGF-I mRNA abundance was induced prematurely in intact fetuses by an infusion of cortisol for 5 days (2-3 mg·kg·day iv), which increased plasma cortisol and T concentrations to values seen near term. However, increasing plasma T alone by an infusion of T for 5 days (8-12 μg·kg·day iv) in intact fetuses at this age had no effect on GHR or IGF-I gene expression in skeletal muscle. In the thyroidectomized fetuses, no additional change in the low level of muscle IGF-I mRNA abundance was seen with increasing gestational age, but at 127-130 days, IGF-I gene expression was reduced further when plasma cortisol and T concentrations were increased by exogenous cortisol infusion. Muscle IGF-II mRNA abundance was not affected by thyroidectomy, gestational age, or exogenous hormone infusion. These findings show, in the sheep fetus, that thyroid hormones may influence the growth and development of skeletal muscle via changes in the local activity of the somatotrophic axis.Published here -
Fowden A., Ousey J., Forhead A., Rossdale P., Grainger L., Houghton E., 'Uteroplacental production of 5α-pregnane-3,20-dione (5αDHP) in pregnant mares'
Theriogenology 58 (2002) pp.821-824
ISSN: 0093-691X eISSN: 1879-3231Published here -
Fowden A., Ousey J., Forhead A., 'Comparative aspects of prepartum maturation: Provision of nutrients'
Pferdeheilkunde 17 (6) (2001) pp.653-658
ISSN: 0177-7726AbstractAt birth, the pattern of nutrition changes from a continuous but limited supply of nutrients from the placenta to an intermittent yet more plentiful provision of metabolic substrates via the gut. The success of this transition from parenteral to enterai nutrition depends on adequate fuel reserves, functional mechanisms for regulating nutrient utilization and production, a gastrointestinal tract competent at digestion and sufficient motor development to allow suckling. Maturational changes in key tissues (eg liver, gut) and endocrine systems (eg pancreas, adrenal) therefore occur during late gestation in preparation for the nutritional transition at birth. In many species, these maturational changes are dependent on the prepartum increase in cortisol secretion by the fetal adrenal. In fetal sheep, cortisol has been shown to stimulate hepatic glycogen deposition, induce hepatic gluconeogenic enzymes and adrenoreceptors and accelerate the structural and functional development of the gut. In fetal horses, prepartum maturation of the glucogenic and glucoregulatory capacities occurs comparatively late in gestation coincidentally with the natural rise in fetal plasma cortisol which occurs much closer to term in this than other domestic species. The relatively narrow window for glucocorticoid dependent maturation in the foal has consequences for survival both in utero in response to adverse conditions and at birth. Fetal foals are unable to produce glucose endogenously during late gestation and develop severe hypoglycaemia if delivered prematurely. Foals born with low cortisol levels therefore adapt poorly to extrauterine life while, conversely, increasing fetal glucocorticoid levels by betamethasone administration or by stress induced fetal cortisol secretion can lead to early delivery of viable foals which are normoglycaemic and able to digest enteral feeds. Increase prenatal exposure to glucocorticoid therefore appears to be as much a prerequisite for the neonatal transition from parenteral to enteral nutrition in the horse as it is in other species.Published here -
Forhead A, Gulati V, Poore K, Fowden A, 'Ontogeny of pulmonary and renal angiotensin-converting enzyme in pigs'
Molecular and Cellular Endocrinology 185 (1-2) (2001) pp.127-133
ISSN: 0303-7207AbstractPublished hereThe present study investigated the ontogeny of pulmonary and renal angiotensin-converting enzyme (ACE) in foetal and postnatal pigs, and examined the effect of cortisol on tissue ACE in utero. Data were compared with those in sheep at similar ages. Under anaesthesia, tissues and umbilical blood were collected from pig foetuses between 81-115 days of gestation (term, 115±2 days). Twelve foetuses delivered at 97±2 days were infused with saline or cortisol (3-6 mgkgday) using osmotic mini-pumps implanted 6 days previously. Tissues were collected from newborn piglets, and from pigs at 2-4 weeks, 10-12 weeks and 10-12 months of age. Unlike in sheep, gestational age and exogenous cortisol had no effect on pulmonary or renal ACE in pigs. After birth, pulmonary ACE decreased to a nadir at 2-4 weeks and remained low thereafter. Renal ACE increased between 10-12 weeks and 10-12 months. Postnatal changes in tissue ACE may have consequences for cardiovascular, pulmonary and renal function in pigs. Copyright © 2001 Elsevier Science Ireland Ltd.
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Fowden A., Mapstone J., Forhead A., 'Regulation of glucogenesis by thyroid hormones in fetal sheep during late gestation'
Journal of Endocrinology 170 (2) (2001) pp.461-469
ISSN: 0022-0795 eISSN: 1479-6805AbstractThe effects of thyroid hormone deficiency in utero on the fetal glucogenic capacity were investigated by measuring glucose production and hepatic levels of glycogen and gluconeogenic enzymes in normal sheep fetuses in the fed and fasted states during late gestation and in those made thyroid hormone deficient by fetal thyroidectomy (TX). In the fed state, fetal TX had no effect on glucose uptake, utilisation or production by the fetus. It also had no apparent effect on the glycogen content or activities of the key gluconeogenic enzymes in the fetal liver. In addition, fetal plasma concentrations of insulin, cortisol, adrenaline or noradrenaline were unaffected by fetal TX in the fed state. In contrast, the rates of fetal O consumption and CO production per kilogram fetal bodyweight were significantly lower in TX than in intact fetuses in the fed state (PDOI [broken, 2018.11.07] https://doi.org/10.1677/joe.0.1700461Published here -
Sangild P., Schmidt M., Jacobsen H., Fowden A., Forhead A., Avery B., Greve T., 'Blood chemistry, nutrient metabolism, and organ weights in fetal and newborn calves derived from in vitro-produced bovine embryos'
Biology of Reproduction 62 (6) (2000) pp.1495-1504
ISSN: 0006-3363 eISSN: 1529-7268AbstractCalves born after in vitro production (IVP) of embryos often show reduced perinatal viability. The present experiment investigated a series of physiological variables in the immediate prenatal and postnatal period of IVP dairy calves. Fetal IVP and control calves (each n = 7) were prepared with vascular catheters at 248 ± 1 day gestation (term = 280 days), and blood samples were taken for five days before premature delivery by cesarean section. IVP fetuses compared with controls had significantly elevated arterial hemoglobin and oxygen content (8.41 vs. 7.52% and 5.75 vs. 3.79%, respectively) whereas lactate level was lowered (1.89 vs. 2.26 mM). The umbilical venous-arterial concentration differences in oxygen, lactate, and glucose indicated that IVP fetuses relied more on lactate and less on glucose as oxidative substrates. The fetal glucose tolerance, and the basal and adrenocorticotropin-stimulated cortisol levels were similar between the groups. In the immediate postnatal period, IVP calves showed elevated venous blood pH (7.294 vs. 7.270), hemoglobin (9.06 vs. 8.25%), oxygen contents (6.33 vs. 4.64%), K levels (4.89 vs. 4.56 mM), and rectal temperature (38.9 vs. 37.4°C), and lowered blood Na (139.9 vs. 141.0 mM), Cl (100.2 vs. 103.1 mM) and glucose levels (2.86 vs. 3.11 mM). There were no differences in body dimensions and organ weights, except that the fore legs and hind legs were slightly longer in the IVP group (76.1 vs. 72.4 cm and 93.4 vs. 88.8 cm, respectively). Although prenatal and neonatal IVP calves differed from control calves in a number of variables, the effects were relatively minor and provide no direct evidence for the hypothesis that IVP calves have an impaired capacity to adapt to life ex utero. In fact, several parameters indicated enhanced rather than retarded maturation of IVP calves when data from premature calves were compared with data from a group of control calves delivered at term.Published here -
Forhead A., Li J., Saunders J., Dauncey M., Gilmour R., Fowden A., 'Control of ovine hepatic growth hormone receptor and insulin-like growth factor I by thyroid hormones in utero'
Endocrinology and Metabolism 278 (2000)
ISSN: 0193-1849AbstractBy use of RNase protection assays, hepatic growth hormone receptor (GHR) and insulin-like growth factor I (IGF-I) mRNA abundances were measured in sheep fetuses after experimental manipulation of fetal plasma thyroid hormone concentrations by fetal thyroidectomy (TX) and exogenous infusion of triiodothyronine (T ) and cortisol. TX abolished the normal prepartum rise in hepatic GHR abundance but had little effect on hepatic GHR gene expression at 127-130 days (term 145 ± 2 days). By contrast, it upregulated basal IGF-I expression in immature fetal liver by increasing both Class 1 and Class 2 transcript abundance but had no further effects on IGF-I gene mRNA levels at 142-145 days. Raising plasma T to prepartum values by exogenous infusion of either T or cortisol into immature intact fetuses prematurely raised hepatic GHR and IGF-I mRNA abundances to values similar to those seen in intact fetuses at 142-145 days. In TX fetuses, cortisol infusion increased hepatic GHR mRNA but not total IGF-I mRNA abundance at 127-130 days. These findings show that thyroid hormones have an important role in the regulation of hepatic GHR and IGF-I gene expression in fetal sheep during late gestation and suggest that T mediates the maturational effects of cortisol on the hepatic somatotropic axis close to term.Published here -
Forhead A., Broughton Pipkin F., Taylor P., Baker K., Balouzet V., Giussani D., Fowden A., 'Developmental changes in blood pressure and the renin-angiotensin system in pony fetuses during the second half of gestation.'
Journal of Reproduction and Fertility. Supplement (56) (2000) pp.693-703
ISSN: 0449-3087AbstractBlood pressure, heart rate and the plasma concentrations of cortisol and components of the renin-angiotensin system were measured in chronically catheterized Pony mares (n=15) and their fetuses during the second half of gestation (day 153-336 of gestation; term is normally between day 320 and day 340 of gestation). Fetal blood pressure increased towards term with the prepartum surge in plasma cortisol concentration, and there was a correlation between fetal blood pressure and both gestational age (r = 0.88, P < 0.0005) and plasma cortisol concentration (r = 0.88, P < 0.0005). Plasma concentrations of angiotensin-converting enzyme (ACE) and angiotensinogen increased towards term in the fetus; plasma ACE correlated with gestational age (r = 0.83, P < 0.0005), plasma cortisol (r = 0.76, P < 0.005) and blood pressure (r = 0.84, P < 0.0005), whereas plasma concentrations of angiotensinogen correlated with gestational age only (r = 0.80, P <0.0005). Fetal heart rate was correlated inversely with gestational age (r = -0.67, P < 0.05), plasma ACE concentration (r = -0.58, P < 0.05) and plasma angiotensinogen concentration (r = -0.69, P < 0.05). There was a positive correlation between plasma angiotensin II and renin concentrations in the fetuses (r = 0.81, P < 0.05). No gestational changes in plasma angiotensin II or renin concentrations were observed in either the mares or fetuses. Maternal blood pressure, heart rate, plasma ACE and plasma angiotensinogen concentrations also did not change over the period of study. Therefore, in Pony fetuses, maturational changes in the activity of the renin-angiotensin system occur towards term and coincide with the prepartum cortisol surge. These changes in the fetal renin-angiotensin system may be responsible, at least in part, for the observed ontogenic increase in fetal blood pressure.Published here -
Forhead A., Broughton Pipkin F., Fowden A., 'Effect of cortisol on blood pressure and the renin-angiotensin system in fetal sheep during late gestation'
The Journal of Physiology 526 (1) (2000) pp.167-176
ISSN: 0022-3751Abstract1. The effects of cortisol on blood pressure and the circulating components of the renin-angiotensin system (RAS) were investigated in sheep fetuses during late gestation and after exogenous cortisol infusion. 2. Plasma cortisol concentration was greater in fetuses at 140 ± 1 days of gestation (term 145 ± 2 days) compared to those studied earlier in gestation (128 ± 1 days), although. because of wide inter-animal variation, no differences were observed in blood pressure or plasma angiotensin II (AII), renin or angiotensinogen (Ao) concentrations. 3. At 129 ± 1 days of gestation, an infusion of cortisol for 5 days (2-3 mg kg day I.V.) increased plasma cortisol concentration to a value normally seen close to term. This rise in plasma cortisol was accompanied by increase in blood pressure and plasma concentrations of AII, renin and Ao. 4. When observations from all fetuses were considered, plasma cortisol concentration correlated with plasma AII and renin, and blood pressure correlated with plasma cortisol and AII concentrations. 5. Intravenous administration of an AII type 1 (AT)-specific receptor antagonist (3 mg kg GR138950) caused a reduction in blood pressure in all fetuses; the hypotensive response was greatest in fetuses studied near term and in cortisol-treated fetuses. Overall, the magnitude of the hypotension induced by GR138950, and the concomitant rise in plasma renin, both correlated with the plasma cortisol concentration before GR138950 treatment. 6. These findings show that, in the sheep fetus during late gestation, the RAS becomes more important in the maintenance of resting blood pressure when plasma cortisol concentration is elevated, whether endogenously or exogenously.Published here -
Fowden A., Forhead A., White K., Taylor P., 'Equine uteroplacental metabolism at mid- and late gestation'
Experimental Physiology 85 (5) (2000) pp.539-545
ISSN: 0958-0670AbstractUptakes of oxygen, glucose and lactate by the gravid uterus, fetus and uteroplacental tissues were measured in chronically catheterized pregnant ponies and their fetuses at mid- and late gestation (term = 335 days). Rates of O uptake by the gravid uterus, fetus and uteroplacental tissues were significant at both gestational ages and were 2- to 3-fold higher in late gestation than the mid-gestation values of 3338 ± 794, 1352 ± 258 and 2035 ± 602 μmol min, respectively (n = 4). Similarly, there were significant uptakes of glucose by the gravid uterus, fetus and uteroplacental tissues at both mid- and late gestation. However, unlike O uptake, glucose uptake by the uterus and uteroplacental tissues did not increase between mid- and late gestation. No significant uptakes or outputs of lactate were observed by the uterus or uteroplacental tissues at either gestational age, although there was a significant umbilical uptake of lactate in late but not mid-gestation. There was no change in the distribution of uterine O uptake between the fetus and uteroplacental tissues with increasing gestational age. The uteroplacental tissues accounted for about 50% of the uterine O uptake at both gestational ages. In contrast, the proportion of the uterine glucose uptake used by the uteroplacental tissues decreased from 73.2 ± 2.1% (n = 5) at mid-gestation to 61.1 ± 1.9% (n = 4, P < 0.02) in late gestation. The gestational changes in uteroplacental carbohydrate metabolism in the mare differ from those seen in the ewe and may have important consequences for the duration and outcome of pregnancy in the mare.Published here -
Fletcher A., Goodfellow M., Forhead A., Gardner D., Mcgarrigle H., Fowden A., Giussani D., 'Low doses of dexamethasone suppress pituitary-adrenal function but augment the glycemic response to acute hypoxemia in fetal sheep during late gestation'
Pediatric Research 47 (5) (2000) pp.684-691
ISSN: 0031-3998 eISSN: 1530-0447AbstractDespite the widespread use of antenatal glucocorticoid therapy in obstetric practice, little is known about the effects of synthetic glucocorticoids on the fetal capacity to respond to episodes of acute hypoxemia, such as may occur during labor and delivery. This study investigated the effects of prolonged fetal exposure to low concentrations of dexamethasone on the fetal ACTH, cortisol, and glycemic responses to an episode of acute hypoxemia during the period of dexamethasone treatment in sheep. At 118 d of gestation (term is approximately 145 d), 11 fetal sheep had catheters implanted under halothane anesthesia. From 124 d, five fetuses were infused i.v. continuously with dexamethasone (1.80 ± 0.15 μg · kg · h in 0.9% saline at 0.5 mL/h) for 48 h, and the other six fetuses received saline solution i.v. at the same rate. At 45 h of infusion, acute hypoxemia was induced in all fetuses for 1 h by reducing the maternal inspired fraction of oxygen. During glucocorticoid treatment, fetal plasma dexamethasone concentrations increased to 3.9 ± 0.2 nM by 24 h and remained elevated for the rest of the infusion period. During hypoxemia, a similar fall in fetal arterial Po occurred in both saline-infused and dexamethasone-treated fetuses. In control fetuses, significant increases in plasma ACTH and cortisol concentrations and in blood glucose concentrations occurred during hypoxemia. Dexamethasone treatment prevented the increases in fetal plasma ACTH and cortisol, and augmented the blood glucose response, induced by hypoxemia. These data indicate that prolonged fetal exposure to low concentrations of dexamethasone suppresses pituitary-adrenal function, but augments the glycemic response, to acute hypoxemia in fetal sheep during late gestation.Published here -
Fowden A., Taylor P., White K., Forhead A., 'Ontogenic and nutritionally induced changes in fetal metabolism in the horse'
The Journal of Physiology 528 (1) (2000) pp.209-219
ISSN: 0022-3751Abstract1. Using the Fick principle and tracer methodology, the metabolic rates of chronically catheterized fetal foals (n = 24) were measured at different gestational ages during the second half of gestation and in response to maternal fasting for 36 h in late gestation (n = 4, term 335 days). 2. Absolute rates of umbilical blood flow, fetal glucose utilization and umbilical uptake of oxygen (O) and glucose increased from mid-gestation to 300 days and then plateauxed until term. The absolute rate of umbilical lactate uptake was significant after, but not before, 280 days of gestation. 3. Weight specific rates of umbilical uptake and fetal utilization of glucose decreased progressively throughout the second half of gestation. Weight specific rates of CO production from glucose carbon were also inversely correlated with gestational age. Umbilical lactate uptake per kilogram of fetus was lower after 320 days than between 281 and 300 days. In contrast, no gestational trends were observed in the weight specific rates of fetal O uptake and urea production. Glucose production by the fetal horse was negligible, even very close to term. 4. Maternal fasting for 36 h reduced the rate of umbilical uptake and utilization of glucose production but had no effect on the rates of endogenous glucose production and umbilical uptake of oxygen and lactate by the horse fetus. 5. The observations show that fetal metabolism is highly dependent on glucose in the horse compared to the sheep in mid- and late gestation. Different species therefore adopt different strategies in meeting the nutritional demands of the growing fetus during the second half of gestation.Published here -
Forhead A., Gillespie C., Fowden A., 'Role of cortisol in the ontogenic control of pulmonary and renal angiotensin-converting enzyme in fetal sheep near term'
The Journal of Physiology 526 (2) (2000) pp.409-416
ISSN: 0022-3751Abstract1. This study examined the ontogeny of angiotensin-converting enzyme (ACE) concentration in the lungs and kidneys of fetal, newborn and adult sheep, and investigated the effects of cortisol infusion on tissue and plasma ACE in the chronically catheterised ovine fetus. 2. Pulmonary and renal ACE in utero increased from 113 days of gestation towards term; peak tissue ACE concentrations were observed in fetuses studied at 143 days (term, 145 ± 2 days). The high level of ACE seen in the fetal lungs close to term was maintained in the lambs and adult ewes whereas renal ACE decreased immediately after birth and rose to a maximal value in the adult ewes. In all groups of animals studied, higher mean concentrations of ACE were observed in the kidneys than in the lungs. Ontogenic increments in pulmonary and renal ACE in utero were coincident with the prepartum cortisol surge. In untreated and saline-infused fetuses, plasma cortisol correlated with both pulmonary (r=0·83, P <0·0001) and renal (r=0·53, P <0·01) ACE concentrations, irrespective of gestational age. 3. An intravenous infusion of cortisol (2-3 mg kg day) at either 113 or 129 days raised plasma cortisol to the level seen near term and caused an increase in pulmonary ACE at both gestational ages. Pulmonary ACE concentration in the cortisol-infused fetuses at 129 days, but not at 113 days, was similar to that observed in the fetuses near term. In contrast, cortisol infusion had no effect on renal ACE concentration at either 113 or 129 days of gestation. Plasma ACE concentration was also increased by exogenous cortisol at 129 days. 4. Therefore, these findings suggest that the ontogenic rise in ACE concentration observed in the lungs of the sheep fetus near term is induced, at least in part, by the prepartum cortisol surge.Published here -
Fowden A., Forhead A., Bloomfield M., Taylor P., Silver M., 'Pancreatic α cell function in the fetal foal during late gestation'
Experimental Physiology 84 (4) (1999) pp.697-705
ISSN: 0958-0670AbstractPlasma glucagon concentrations were measured in chronically catheterized fetal ponies and their mothers between 260 days of gestation and term (≃ 335 days). Fetal α cell responses to arginine and variations in fetal glycaemia were also examined during late gestation. Immunoreactive glucagon was present in fetal plasma at 260 days of gestation and its concentration in utero increased after 320 days and then again at birth. Maternal plasma glucagon concentrations were higher after 300 days than earlier in gestation but were lower than the corresponding fetal value throughout the period of gestation studied. Fetal α cells responded rapidly to intravenous arginine infusion but not to changes in the fetal glucose level induced by maternal fasting for 36 h or by intrafetal infusion of glucose. The maximal increment in fetal plasma glucagon in response to arginine occurred at the end of the 5 min infusion and was positively correlated to the basal preinfusion plasma glucagon concentrations. Fetal plasma glucagon concentrations were unaffected by either hyper- or hypoglycaemia. In contrast, maternal plasma glucagon levels were significantly increased by fasting. These observations indicate that equine pancreatic α cells are functional in utero but that they are unresponsive to variations in glycaemia until after birth.Published here -
Forhead A., Li J., Gilmour R., Fowden A., 'Control of hepatic insulin-like growth factor II gene expression by thyroid hormones in fetal sheep near term'
Endocrinology and Metabolism 275 (1998)
ISSN: 0193-1849AbstractThe effects of thyroid hormones on hepatic insulin-like growth factor (IGF) II gene expression and their interaction with cortisol in the ontogenic control of this gene were investigated in fetal sheep during late gestation (term 145 ± 2 days) and after experimental manipulation of fetal plasma hormone concentrations. In intact fetuses, a significant decrease in hepatic IGF-II mRNA abundance was observed between 127-130 and 142-145 days of gestation, which coincided with the normal prepartum rise in plasma cortisol and triiodothyronine (T) concentrations. This ontogenic decline in hepatic IGF-II gene expression was abolished in fetuses in which the prepartum rise in plasma T, but not cortisol, was prevented by fetal thyroidectomy. At 127-130 days, downregulation of hepatic IGF-II mRNA abundance was induced prematurely in intact fetuses by an infusion of cortisol for 5 days (2-3 mg · kg · day iv). Plasma concentrations of cortisol and T in the cortisol-infused intact fetuses were increased to values seen close to term. Similar findings were observed in thyroidectomized fetuses, in which, despite thyroidectomy, cortisol infusion significantly increased plasma T concentrations and caused a premature decrease in hepatic IGF-II mRNA levels. However, in intact fetuses at 127-130 days, the increasing of T concentrations alone by exogenous T infusion (8-12 μgκg· day iv for 5 days) had no effect on hepatic IGF-II mRNA levels. Overall, a decrease in hepatic IGF-II mRNA abundance was only observed in fetuses in which there were concurrent increases in plasma cortisol and T concentrations. When observations from all fetuses were considered, irrespective of gestational age or treatment, hepatic IGF-II mRNA levels were negatively correlated with plasma cortisol and T but not thyroxine concentrations. Partial correlation analysis of hepatic IGF-II, cortisol, and T values showed that the plasma concentration of cortisol in the fetus had the predominant effect on hepatic IGF-II mRNA abundance. These findings show that T may mediate, in part, the maturational effects of cortisol on hepatic IGF-II gene expression but that it is ineffective without a concomitant rise in fetal plasma cortisol. Hence, increased concentrations of both cortisol and T appear necessary to induce downregulation of hepatic IGF-II mRNA abundance in fetal sheep close to term.Published here -
Forhead A., Melvin R., Balouzet V., Fowden A., 'Developmental changes in plasma angiotensin-converting enzyme concentration in fetal and neonatal lambs'
Reproduction, Fertility and Development 10 (5) (1998) pp.393-398
ISSN: 1031-3613 eISSN: 1448-5990AbstractRelationships between plasma angiotensin-converting enzyme (ACE) and cortisol, and blood pressure were examined in chronically catheterized ewes and their fetuses during late gestation (111-141 days, term 145 ± 2 days). Plasma ACE was also measured in non-pregnant adult ewes and in lambs over the first 5 weeks of life. In fetuses near term (136-141 days), plasma ACE was greater than in those studied earlier in gestation; overall, plasma ACE correlated with gestational age (r = 0.72). The ontogenic rise in plasma ACE was associated with prepartum increases in plasma cortisol (r = 0.67) and blood pressure (r = 0.66). No relationship was observed between plasma ACE and partial pressure of oxygen in utero. Peak plasma ACE concentration observed in fetuses near term was maintained in newborn lambs for 3 days after birth. By 2 weeks of postnatal age, plasma ACE had decreased to the value seen in non-pregnant adult ewes. Maternal plasma ACE was similar at all gestational ages studied, and was lower than that observed in nonpregnant ewes. Therefore, in the sheep fetus, plasma ACE increased towards term in association with the prepartum cortisol surge. Developmental changes in ACE activity may be partly responsible for the ontogenic rise in fetal blood pressure.Published here -
Fowden A., Li J., Forhead A., 'Glucocorticoids and the preparation for life after birth: Are there long-term consequences of the life insurance?'
Proceedings of the Nutrition Society 57 (1) (1998) pp.113-122
ISSN: 0029-6651Published here -
Fowden A., Li J., Forhead A., Sliver M., 'Hormones as nutritional signals during intrauterine development'
Equine Veterinary Journal 30 (6) (1998) pp.464-
ISSN: 0425-1644 eISSN: 2042-3306Published here -
Forhead A., Pipkin F., Sutherland M., Fowden A., 'Changes in the maternal and fetal renin-angiotensin systems in response to angiotensin II type 1 receptor blockade and angiotensin-converting enzyme inhibition in pregnant sheep during late gestation'
Experimental Physiology 82 (4) (1997) pp.761-776
ISSN: 0958-0670AbstractThe effects of maternal administration of either an angiotensin II type 1 (AT,) receptor antagonist (GR138950) or an angiotensin-converting enzyme (ACE) inhibitor (captopril) on the renin-angiotensin system (RAS) were investigated in chronically catheterized ewes and their fetuses during late gestation. From 127 ± 1 days of gestation until parturition at 145 ± 2 days, each ewe received daily I.V. injections of GR138950 (3 mg kg, n = 10 animals) or captopril (3 mg kg, n = 6) or an equivalent volume of vehicle solution (0.9% NaCl, n = 10). On the first day of treatment, plasma renin concentrations in the pregnant ewe increased within 2 h of administration of either GR138950 (median change followed by lower and upper quartiles (25%, 75%): +38.3 ng ml h (15.6, 80.7); P < 0.05) or captopril (+ 22.1 ng ml h-l (19.2, 28.8); P < 0.05). Maternal plasma concentrations of angiotensin II (AII) also increased by 871 pg ml(-l)(555, 1340; P < 0·05) in the GR138950-treated ewes. In the fetuses of both groups of drug-treated animals, an increase in plasma renin concentration was observed within 2 h of maternal treatment with either GR138950 (+116 ng ml h (1.2, 18.6); P < 0.05) or captopril (+ 59.3 ng ml(41.7, 74.6); P < 0.05). These short-term changes in circulating renin and AII concentrations observed in the pregnant ewe were sustained after 1 week of GR138950 administration. In addition, 1 week of GR138950 treatment decreased plasma angiotensinogen (Ao) concentrations in both the ewe (-0.36 μg ml (-0.58, -0.16); P< 0.05) and the fetus (-0.43 μg ml (-0.59, -0.09); P < 0.05). A long-term reduction in maternal plasma AII, and an increase in fetal plasma renin concentration, were associated with 1 week of captopril administration. Neither drug had any consistent effect on plasma ACTH or cortisol concentrations in the pregnant ewe or fetus. These findings show that, during ovine pregnancy, antagonism of maternal AII activity, either by blockade of the AT, receptor or by inhibition of AII synthesis, induces changes in the circulating components of the RAS in the mother and fetus. In both the pregnant ewe and fetus, the RAS is shown to be activated by suppression of AII activity.Published here -
Fowden A., Forhead A., Silver M., Macdonald A., 'Glucose, lactate and oxygen metabolism in the fetal pig during late gestation'
Experimental Physiology 82 (1) (1997) pp.171-182
ISSN: 0958-0670AbstractUsing [U-C]glucose tracer, rates of umbilical uptake, utilization and production of glucose, and of CO production from glucose carbon, were measured in seven chronically catheterized fetal pigs, when the sow was in the fed state, between 100 and 113 days of gestation (term, 114 ± 2 days). At the same time, rates of umbilical O and lactate uptake were determined in all seven fetuses by the Fick principle. The mean fetal rates of umbilical glucose uptake, glucose utilization and CO production from glucose carbon were 38.4 ± 4.2, 41.3 ± 5.2 and 126.9 ± 12.6 μmol min (kg fetal body weight), respectively (n = 7). No glucose production was therefore detected in the fetuses. Production of CO from glucose carbon accounted for 37.3 ± 3.4% (n = 7) of the umbilical O uptake, which averaged 340 ± 13 μmol min kg (n = 7). There was also significant umbilical lactate uptake in the fetal piglets when the sour was in the fed stare (32.6 ± 10.4 μmol min kg, n = 7, P < 0.05). No significant changes in fetal glucose, O or lactate metabolism were observed with increasing age towards term. The fetal rates of glucose metabolism and of umbilical uptake of O and lactate were not correlated with the fetal blood glucose level. Hence, glucose is used for both oxidative and non-oxidative metabolism in utero and is an important, although not the sole, source of carbon for metabolic processes in the fetal pig during late gestation.Published here -
Forhead A., Dobson H., 'Plasma glucose and cortisol responses to exogenous insulin in fasted donkeys'
Research in Veterinary Science 62 (3) (1997) pp.265-269
ISSN: 0034-5288AbstractSusceptibility to equine hyperlipaemia is increased by poor food intake. To assess the contribution of changes in insulin sensitivity, plasma glucose and cortisol responses to an intravenous insulin challenge (0.4 IU kg bodyweight) were compared with those observed after saline administration in six donkeys fasted either overnight or for three days. Three days of fasting decreased both the rate of insulin-induced hypoglycemia and the maximal hypoglycemic response. A transitory increase in plasma cortisol which peaked within one to four hours of insulin administration was observed in three of the six overnight-fasted donkeys and in all of the three-day fasted donkeys; inter-animal variation appeared to exist in the responsiveness of the hypothalamic-pituitary-adrenocortical (HPA) axis to stimulation by insulin-induced hypoglycemia. Fasting is likely to present a risk of equine hyperlipaemia, at least in part, by the reduction in tissue sensitivity to the glucoregulatory action of insulin.Published here -
Forhead A., Whybrew K., Hughes P., Broughton Pipkin F., Sutherland M., Fowden A., 'Comparison of angiotensin II type 1 receptor blockade and angiotensin-converting enzyme inhibition in pregnant sheep during late gestation'
British Journal of Pharmacology 119 (2) (1996) pp.393-401
ISSN: 0007-1188Abstract1. The effects of antagonism of the maternal renin-angiotensin system (RAS) with either an angiotensin II type 1-(AT) specific receptor blocker (GR138950) or an angiotensin-converting enzyme (ACE) inhibitor (captopril) were compared in chronically-catheterised ewes and their foetuses during late gestation. 2. Daily from 127 ± 1 days of gestation until parturition at 145 ± 2 days, each ewe received i.v. either GR138950 (3 mg kg; n = 10), captopril (3 mg kg; n = 6) or an equivalent volume of vehicle solution (0.9% w/v saline; n = 10). 3. Within 2 h of drug administration, GR138950 abolished the maternal, but not the foetal, presser responses to angiotensin II (AII; 100-188 ng kg, i.v.; P 0.05) ewes at 2 h after drug administration. Captopril also significantly decreased foetal blood pressure by 5 ± 1 mmHg (P 0.05) ewes were significantly different from those seen in the vehicle-treated animals (P < 0.05). 8. There were no apparent adverse effects of maternal GR138950 or captopril treatment on foetal viability. 9. The present study demonstrated that administration of either GR138950 or captopril to pregnant ewes effectively blocked the maternal RAS, and caused hypotension and a decrease in uterine blood flow. However, only captopril appeared to cross the placenta to influence directly the RAS of the sheep foetus. This suggests that the fall in foetal oxygenation observed after AT-specific receptor blockade and ACE inhibition originates primarily from changes in the maternal and/or placental vasculature. Despite these changes, neither GR138950 nor captopril were detrimental to the outcome of pregnancy when foetal blood loss was kept to a minimum.Published here -
Fowden A., Szemere J., Hughes P., Gilmour R., Forhead A., 'The effects of cortisol on the growth rate of the sheep fetus during late gestation'
Journal of Endocrinology 151 (1) (1996) pp.97-105
ISSN: 0022-0795AbstractUsing indwelling crown-rump length (CRL)-measuring devices, the growth rate of sheep fetuses was monitored during late gestation and after experimental manipulation of fetal plasma cortisol by exogenous infusion and fetal adrenalectomy. In intact control fetuses, the increment in CRL declined progressively during the last 20-25 days of gestation: mean ± S.E.M. values fell from 5.5 ± 0.4 mm/day (n=12) at 21-25 days before delivery to 25 ± 0.3 mm/day (n=12) in the last 5 days before birth (P 0.05), had a significant effect on the fetal CRL increment measured over 5-day periods during the last 25-30 days of gestation. These findings show that cortisol inhibits growth of the axial skeleton in the sheep fetus during late gestation. They also indicate that the prepartum cortisol surge may be responsible for the normal decline in fetal growth rate observed towards term in this species.Published here -
Forhead A., Fowden A., Silver M., Hughes P., Broughton-Pipkin F., Sutherland M., 'Haemodynamic responses to an angiotensin II receptor antagonist (GR117289) in maternal and fetal sheep'
Experimental Physiology 80 (2) (1995) pp.285-298
ISSN: 0958-0670AbstractAn AT-specific angiotensin II receptor antagonist (GR117289; 1 mg/kg I.V. bolus) was administered daily to ten chronically catheterized, normotensive ewes during late pregnancy (from 126 ± 1 days) until parturition (139 ± 1 days); five control animals received an equivalent volume of vehicle solution. Following drug administration, mean maternal blood pressure decreased from 87 ± 1 mmHg to a minimum of 79 ± 1 mmHg at 0.5 h (P < 0.05; n = 10) and remained low for 4-6 h without any concomitant change in fetal blood pressure or maternal and fetal heart rates. In animals fitted with flow probes, uterine blood flow decreased from 443 ± 21 to 363 ± 27 ml/min at 0.5 h post-drug (P < 0.05; n = 6); this change was positively correlated with the reduction in maternal blood pressure. The mean decrements in uterine and umbilical blood flows measured by steady-state infusion of tritiated water were -611 ± 171 ml/min at 4-6 h (P < 0.05; n = 5) and -71 ± 19 ml/min at 0.5-1 h (P < 0.05; n = 5), respectively. Significant reductions (P < 0.05; n = 10) in fetal arterial oxygen tension (-1.6 ± 0.4 mmHg), saturation (-6.6 ± 1.6%) and content (-0.3 ± 0.1 μmol/ml) were evident at 0.5 h post-drug and. were maintained for 6-12 h. Umbilical oxygen delivery decreased at 0.5-1 h following drug administration (P < 0.01; n = 5), but was unaccompanied by any significant change in fetal oxygen consumption. Chronic decreases in daily fetal pH and blood oxygen content occurred in GR117289-treated ewes. There were no significant differences in gestational length or neonatal outcome between vehicle- and GR117289-treated groups of ewes with single fetuses.Published here -
Forhead A., Smart D., Smith R., Dobson H., 'Transport-induced stress responses in fed and fasted donkeys'
Research in Veterinary Science 58 (2) (1995) pp.144-151
ISSN: 0034-5288AbstractPlasma endocrine and metabolic responses to transport for 30 minutes and four hours were investigated in six fed donkeys. In the unstressed animals there was a pulsatile secretion of cortisol at two-hour intervals, from minima of 51·4 ± 17·6 nmol litre to maxima of 1600 ± 11·0 nmol litre, but during transport this pulsatility was lost and the animals' stress response was characterised by steady high concentrations of 110 to 220 nmol litre. The cortisol concentration decreased after the journey and remained at a minimum until the restoration of pulsatile secretion 8·5 to 10·5 hours later. The transport-induced adrenocortical response did not produce any significant changes in the plasma concentrations of triglycerides, cholesterol, glucose, total protein, albumin, globulin or urea. The donkeys' responses to transport for four hours were also investigated after they had been deprived of food for one or three days. Food deprivation alone increased plasma cortisol and triglyceride concentrations, and decreased glucose and insulin concentrations, and transport consistently, and feeding after the journey sometimes, accentuated their adrenocortical function; the changes in cortisol concentrations as a result of the journey tended to be lower than in the fed animals. Transport had no effect upon the triglyceride response to either period of fasting. Hyperglycaemia was induced by transport in four of the six donkeys fasted for one day and in all of them after three days of fasting. © 1995.Published here -
Forhead A., Fowden A., Silver M., Broughton-Pipkin F., 'Angiotensin II antagonism in sheep during late gestation'
Early Human Development 38 (1) (1994) pp.63-
ISSN: 0378-3782Published here -
Forhead A., Smart D., Smith R., Dobson H., 'Endocrine and metabolic responses to transportation in periparturient donkeys'
Animal Reproduction Science 36 (1994) pp.315-327
ISSN: 0378-4320 eISSN: 1873-2232AbstractPeriparturient equidae are particularly susceptible to hyperlipaemia, a severe metabolic disorder that can be induced and aggrevated by stressful situations. To define maternal endocrine and metabolic adaptations to the peripartum period, plasma concentrations of progesterone, oestradiol, 13,14-dihydro-15-keto-prostaglandin F (PGFM), triglyceride, cholesterol, glucose, total protein, urea, cortisol and insulin were examined in two donkey mares throughout late gestation (-50 days), parturition (Day 0) and early lactation ( + 100 days), and in one non-pregnant mare over six oestrous cycles. Maternal progesterone and oestradiol concentrations increased towards term, to maxima of 50-60 nmol 1 and 130-170 pmol 1, respectively, and decreased rapidly from 2 days prepartum to < 5 nmol 1 and < 15 pmol 1 at parturition. Plasma PGFM concentrations of 8-11 nmol 1 over 1 week prepartum decreased to < 1 nmol 1 1 day postpartum. Maternal triglyceride concentrations increased from 1-2 nmol 1 over late gestation to a maximum of 2-4 mmol 1 at parturition. Thereafter, values rapidly decreased to <0.5 mmol 1 by 3 days postpartum. Plasma cholesterol and total protein profiles also followed this pattern: no consistent changes were evident in glucose, urea, cortisol or insulin concentrations. To assess endocrine and metabolic responses to a stressor in animals under gestational or lactational energy demands, plasma cortisol, triglyceride, cholesterol, glucose and insulin concentrations were examined in the same two donkey mares transported for approximately 4 h at 3-10 weeks prepartum and 2-9 weeks postpartum. These responses were compared with those observed in non-pregnant donkeys. Transportation increased cortisol concentrations in pregnant (maximally by 215 and 130%), lactating (32 and 85%) and non-pregnant animals (145±9%). Plasma glucose concentrations remained stable in all but one lactating donkey; the hyperglycemic effect may have been an indirect indicator of a reduced tissue sensitivity to insulin. Stressor-induced suppression of circulating insulin was apparent in postpartum (-57 and -51%) and non-pregnant animals (-46 ± 4%). Triglyceride and cholesterol concentrations in all donkeys were unchanged by transportation. The observed shifts in lipid metabolism, possibly facilitated by gestational changes in concentrations of progesterone and oestradiol, are likely to make the peripartum mare vulnerable to the development of equine hyperlipaemia. However, an additional environmental stressor (4 h transportation), which stimulated an adrenocortical response in periparturient donkeys, was unable to induce any consistent alteration in metabolic function or evidence of potential dysfunction. © 1994.Published here -
Forhead A., French J., Ikin P., Fowler J., Dobson H., 'Relationship between plasma insulin and triglyceride concentrations in hypertriglyceridaemic donkeys'
Research in Veterinary Science 56 (3) (1994) pp.389-392
ISSN: 0034-5288AbstractHyperinsulinaemia is a commonly-observed characteristic of insulin resistance, and a reduction in insulin sensitivity is thought to be either a causative and/or symptomatic feature of equine hyperlipaemia. A positive correlation (r=0·545, P=0·0015) existed between plasma insulin and triglyceride concentrations determined in 31 donkeys with naturally occurring hyperlipidaemia/hyperlipaemia. Greater insulin values tended to occur in the animals with an overweight body score. Inter-animal variation in insulin concentrations, however, prevented the identification of any differences either within hypertriglyceridaemic donkeys (when classified by clinical condition, date of arrival to a sanctuary and eventual outcome after treatment) or between groups of normotriglyceridaemic (n=6) and experimentally fasted hypertriglyceridaemic (n=5) donkeys. Determination of basal plasma insulin concentrations may not provide an accurate assessment of underlying insulin sensitivity. Alternatively, hyperinsulinaemia may be evident only in animals with established insulin resistance. © 1994.Published here -
Smart D., Singh I., Smith R., Forhead A., Dobson H., 'The hypothalamic-pituitary-adrenal axis in post-partum ewes'
Animal Reproduction Science 35 (1994) pp.223-229
ISSN: 0378-4320 eISSN: 1873-2232AbstractThe aim of the study was to investigate whether following the painful and stressful process of parturition, basal and stimulated cortisol secretion differed with time post-partum, and if opioids have any role in the control of basal cortisol secretion in the early post-partum ewe. In Experiment 1, spring-lambing Welsh Mountain ewes had their lambs removed at parturition (Day 0). On Days 1, 7, 14 and 28, blood samples were taken from the ewes every 2 h via an indwelling jugular venous catheter from 08:00 to 22:00 h. Half of the group (n=5) were transported in an enclosed truck from 10:00 to 14:00 h. Basal cortisol concentrations were significantly (P<0.05) lower on Day 1 (2.52 ± 1.36 nmol l) than on Days 7, 14 and 28 (9.68 ± 2.27 nmol l, 8.24 ± 3.64 nmol l, 9.59±0.6 nmol l, respectively). There was a significant positive correlation (r = 0.69, P<0.05) between the cortisol response to stress, measured as area under the cortisol curve during transport, and day post-partum, until after Day 14. There was no statistical difference in the response between Days 14 and 28 (57.95 ± 15.6 nmol l vs. 58.75 ± 8.41 nmol l). In Experiment 2, eight suckled ewes were divided into two groups on Days 1-4 post-partum. One group (n=4) was injected intravenously with 1 mg kg of naloxone every hour for 5 h; the control group received saline. All animals were bled every 15 min, via an indwelling jugular venous catheter, from 1 h before to 1 h after treatment. Naloxone had no effect on basal cortisol secretion (7.21 ± 0.78 nmol l vs. 5.85 ± 1.92 nmol l) in the early post-partum ewe. In conclusion, basal cortisol concentrations were reduced immediately after parturition, by non-opioidergic mechanisms, and there was a reduced cortisol response to transport until after Day 14. This indicates that parturition temporarily disrupts the hypothalamic-pituitary-adrenal axis in sheep. © 1994.Published here -
Smart D., Forhead A., Smith R., Dobson H., 'Transport stress delays the oestradiol-induced LH surge by a non-opioidergic mechanism in the early postpartum ewe'
Journal of Endocrinology 142 (3) (1994) pp.447-451
ISSN: 0022-0795AbstractThe present study was designed to investigate whether transport, a mild environmental stressor, could affect the oestradiol-induced LH surge in postpartum ewes and, if so, the mechanism involved. Welsh Mountain ewes, with lambs removed at parturition (day 0) and hand-milked 12 and 48 h later, were given 50 μg oestradiol benzoate intramuscularly at various times postpartum. Blood samples were taken via an indwelling jugular venous catheter every 2 h from 8 to 24 h after oestradiol injection. All results are given as means ± S.D. On day 1 oestradiol was unable to induce an LH surge in any ewe. Transport (10-14h after oestradiol) delayed the onset of the oestradiol-induced LH surge on day 14 (17.5 ± 1.7 vs 14.4 ± 2.0 h, n=5 each; P<0.05), but not on day 28 (14.9 ± 2.0 vs 14.0 ± 2.4 h, n=5 out of 7). Transport had no effect on the amplitude of the surge on either day. Naloxone treatment (1 mg/kg per 2h) was unable to prevent the delay caused by transport (18.0 ± 1.1 vs 17.5 ± 1.7 h, n=8 each), and did not affect the amplitude of the surge (28.4 ± 5.3 vs 28.1 ± 2.3 ng/ml, n=8 each). The duration of the LH surges were not assessed. On day 7, transport from 16 to 20 h after oestradiol delayed the LH surge (22.8 ± 2.0 vs 18.0 ± 2.8 h, n=8 each; P<0.05) and reduced the surge amplitude (19.7 ± 1.7 vs 22.8 ± 2.8 ng/ml; P<0.05), whilst transport from 10 to 14 h did not. Transport (16 to 20 h) had no effect on surge duration (6.25 ± 0.7 vs 6.75 ± 1.0 h). In conclusion, transport inhibited the oestradiol-induced LH release in the early postpartum ewe by a non-opioidergic mechanism, but only if the stressor occurred within 2-3 h of the expected onset of the surge.Published here
Books
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Fowden A., Ward J., Forhead A., Control of fetal metabolism: Relevance to developmental origins of health and disease, Cambridge University Press (2006)
ISBN: 9780521847438AbstractIntroduction Epidemiological observations in several human populations have shown that impaired growth in utero is associated with an increased risk of cardiovascular, metabolic and other diseases in later life (Barker 2001). Since the major determinant of fetal growth is the supply of nutrients to the fetus (Harding and Johnson 1995), these epidemiological associations have led to the hypothesis that adult disease originates in utero as a result of nutritional programming of tissues during early life. This hypothesis has been investigated experimentally in a number of species using a range of techniques to manipulate nutrient availability in the fetus (Table 10.1). These studies all support the hypothesis and show that the prenatal nutritional environment has long-term consequences for the offspring, even when there is little change in body weight. Hence, the factors controlling the fetal supply and utilisation of nutrients are important in the aetiology of adult disease. However, compared to postnatal metabolism, little is known about the programming of fetal metabolism per se. The aims of this review are, therefore, threefold: first, to consider the effects of varying nutrient availability on fetal metabolism; second, to examine the role of hormones in mediating these effects; and, finally, to discuss the mechanisms by which metabolic programming may occur in utero. Nutritional regulation of fetal metabolism The effects of varying nutrient availability on fetal metabolism depend on the specific nature of the nutritional challenge and on the duration, severity and gestational age at onset of the insult.Published here
Book chapters
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Forhead AJ, Fowden AL, 'Formation and growth of the fetus' in Michael Skinner (ed.), Encyclopedia of Reproduction, Elsevier (2018)
ISBN: 9780128118993AbstractPublished hereThe fetus grows maximally in absolute terms during mid and late gestation, with coordinated increments in body length, weight, and organ size. Fetal growth patterns are assessed by longitudinal ultrasound scanning and morphometric measurements at birth. The growth potential of the fetus is driven by its genome and regulated by a wide range of factors in the intrauterine environment, including nutrient and oxygen transfer across the placenta. Size at birth is an important determinant of neonatal outcome and adult health in the longer term.
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Fowden A, Forhead A, 'Endocrine interactions in the control of fetal growth' in Bhatia J, Bhutta ZA, Kalhan SC (ed.), Endocrine interactions in the control of fetal growth, S. Karger AG (2013)
ISBN: 978-3-318-02387-9 eISBN: 978-3-318-02388-6AbstractHormones are both growth stimulatory and growth inhibitory in utero. They act as environmental and maturational signals in regulating tissue accretion and differentiation during late gestation. They ensure that fetal development is appropriate for the nutrient supply and is optimal for neonatal survival. Growth-stimulatory hormones, such as insulin, the insulin-like growth factors and the thyroid hormones, have anabolic effects on fetal metabolism and increase cellular nutrient uptake and energy production for tissue accretion. Thyroid hormones also have specific effects on tissue differentiation at key developmental milestones. Similarly, leptin appears to affect development of specific fetal tissues and may counterbalance the maturational actions of other hormones near term. Glucocorticoids inhibit growth in utero but are essential for prepartum tissue differentiation in preparation for delivery. They also affect fetal bioavailability of most of the other growth-regulatory hormones. In addition, many of these hormones alter the placental capacity to supply nutrients for fetal growth. In producing a fetoplacental epigenome specific to the prevailing intrauterine environment, hormones interact to produce phenotypical diversity with potential health consequences long after birth.Published here -
, 'The consequences for preterm infants of antenatal glucocorticoid treatment.' in Birth Rites and Rights, Hart Publishing (2011)
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, 'Glucocorticoids and placental programming' in The Placenta and Human Developmental Programming, Cambridge University Press (2010)
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Vaughan O, Forhead A, Fowden A, 'Glucocorticoids and placental programming' in Burton GJ, Barker DJP, Moffett A, Thornburg K (ed.), Glucocorticoids and placental programming, Cambridge University Press (2010)
ISBN: 9780521199452 eISBN: 9780511933806AbstractIntroduction: Size at birth is critical in determining life expectancy. It affects not only neonatal viability but also adult rates of mortality and morbidity. Human epidemiological observations have shown that the smaller the neonate the less likely it is to survive at birth, and the more likely it is to develop adult-onset degenerative diseases such as hypertension and glucose intolerance. The associations between low birth weight and the risks of developing adult disease have now been demonstrated in several populations of different ages, genders and ethnicities, and shown to occur independently of current weight and exercise level When intrauterine growth is restricted in experimental animals, there are changes in cardiovascular and metabolic function in the adult offspring consistent with the human epidemiological data. Together the animal and human studies have led to the concept that tissues and organ systems can be programmed in utero by suboptimal conditions during critical stages of development. Because size at birth is determined primarily by the placental supply of nutrients to the fetus the placenta may have an important role in the programming of adult phenotype and susceptibility to disease. Indeed, in human populations the size and shape of the placenta have been related to the risk of developing particular diseases in later life (Chapter 2). However, compared to fetal somatic tissues, relatively little is known about programming of the placenta per sechapter. Chapter 14Published here -
, 'The role of hormones in intrauterine development' in Fetal Origins of Cardiovascular and Lung Disease, NIH Monographs (2001)
Other publications
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Fowden AL, Vaughan OR, Murray AJ & Forhead AJ , 'Metabolic consequences of glucocorticoid exposure before birth', (2022)
AbstractPublished here Open Access on RADARGlucocorticoids have an important role in development of the metabolic phenotype in utero. They act as environmental and maturational signals in adapting feto-placental metabolism to maximize the chances of survival both before and at birth. They influence placental nutrient handling and fetal metabolic processes to support fetal growth, fuel storage and energy production with respect to nutrient availability. More specifically, they regulate the transport, utilization and production of a range of nutrients by the feto-placental tissues that enables greater metabolic flexibility in utero while minimizing any further drain on maternal resources during periods of stress. Near term, the natural rise in fetal glucocorticoid concentrations also stimulates key metabolic adaptations that prepare tissues for the new energy demanding functions after birth. Glucocorticoids, therefore, have a central role in the metabolic communication between the mother, placenta and fetus that optimizes offspring metabolic phenotype for survival to reproductive age. This review discusses the effects of maternal and fetal glucocorticoids on the supply and utilization of nutrients by the feto-placental tissues with particular emphasis on studies using quantitative methods to assess metabolism in rodents and sheep in vivo during late pregnancy. It considers the routes of glucocorticoid overexposure in utero, including experimental administration of synthetic glucocorticoids, and the mechanisms by which these hormones control feto-placental metabolism at the molecular, cellular and systems levels. It also briefly examines the consequences of intrauterine glucocorticoid overexposure for postnatal metabolic health and the generational inheritance of metabolic phenotype.
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Fowden AL, Forhead AJ, 'Endocrine regulation of fetal metabolism towards term: Hormone and fetal metabolism', (2021)
AbstractPublished here Open Access on RADARHormones have an important role in regulating fetal metabolism in relation to the prevailing nutritional conditions both in late gestation and during the prepartum period as the fetus prepares for birth. In particular, the pancreatic, thyroid and adrenal hormones all affect fetal uptake and utilization of nutrients for oxidative metabolism, tissue accretion and fuel storage. These hormones also influence the fetal metabolic preparations for the nutritional transition from intra- to extra-uterine life. This review discusses the role of insulin, glucagon, thyroxine, tri-iodothyronine, cortisol and the catecholamines in these processes during normal intrauterine conditions and in response to maternal undernutrition with particular emphasis on the sheep fetus. It also considers the metabolic interactions between these hormones and their role in the maturation of key tissues, such as the liver, skeletal muscle and adipose tissue, in readiness for their new metabolic functions after birth. Endocrine regulation of fetal metabolism is shown to be multifactorial and dynamic with a central role in optimising metabolic fitness for survival both in utero and at birth.
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Fowden AL, Giussani DA, Forhead AJ, 'Physiological development of the equine fetus during late gestation', (2019)
AbstractPublished here Open Access on RADARIn many species, the pattern of growth and physiological development in utero has an important role in determining not only neonatal viability but also adult phenotype and disease susceptibility. Changes in fetal development induced by a range of environmental factors including maternal nutrition, disease, placental insufficiency and social stresses have all been shown to induce adult cardiovascular and metabolic dysfunction that often lead to ill health in later life. Compared to other precocious animals, much less is known about the physiological development of the fetal horse or the longer term impacts on its phenotype of altered development in early life because of its inaccessibility in utero, large size and long lifespan. This review summaries the available data on the normal metabolic, cardiovascular and endocrine development of the fetal horse during the second half of gestation. It also examines the responsiveness of these physiological systems to stresses such as hypoglycaemia and hypotension during late gestation. Particular emphasis is placed on the role of the equine placenta and fetal endocrine glands in mediating the changes in fetal development seen towards term and in response to nutritional and other environmental cues. The final part of the review presents the evidence that the early life environment of the horse can alter its subsequent metabolic, cardiovascular and endocrine phenotype as well as its postnatal growth and bone development. It also highlights the immediate neonatal environment as a key window of susceptibility for programming of equine phenotype. Although further studies are needed to identify the cellular and molecular mechanisms involved, developmental programming of physiological phenotype is likely to have important implications for the health and potential athletic performance of horses, particularly if born with abnormal body weight, premature or dysmature characteristics or produced by assisted reproductive technologies, indicative of an altered early life environment.
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Forhead AJ, 'Breathing for two: maternal asthma and lung development in the fetus', (2019)
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Forhead AJ, 'Legacy of excess: consequences of maternal obesity for the adult offspring', (2018)
AbstractPublished here Open Access on RADARLinked articles: This Perspective highlights an article by Lomas‐Soria et al. To read this article, visit https://doi.org/10.1113/JP276372.