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1 Department of Pediatrics, University of California Los Angeles School of Medicine, Mattel Children's Hospital at UCLA, Los Angeles, California 90095; and 2 Departments of Internal Medicine and Pediatrics, University of Pittsburgh School of Medicine, Magee-Womens Research Institute, Pittsburgh, Pennsylvania 15213
Multiple adult morbidities
are associated with intrauterine growth retardation (IUGR) including
dyslipidemia. We hypothesized that uteroplacental insufficiency and
subsequent IUGR in the rat would lead to altered hepatic fatty acid
metabolism. To test this hypothesis, we quantified hepatic mRNA levels
of acetyl-CoA carboxylase (ACC), carnitine palmitoyltransferase (CPTI),
the
-oxidation-trifunctional protein (HADH), fasting serum
triglycerides, and hepatic malonyl-CoA levels at different ages in
control and IUGR rats. Fetal gene expression of all three enzymes was
decreased. Juvenile gene expression of CPTI and HADH continued
to be decreased, whereas gene expression of ACC was increased. Serum
triglycerides were unchanged. A sex-specific response was noted in the
adult rats. In males, serum triglycerides, hepatic malonyl-CoA levels,
and ACC mRNA levels were significantly increased, and CPTI and HADH
mRNA levels were significantly decreased. In contrast, the female rats
demonstrated no significant changes in these variables. These results
suggest that uteroplacental insufficiency leads to altered hepatic
fatty acid metabolism that may contribute to the adult dyslipidemia
associated with low birth weight.
intrauterine growth retardation; syndrome X; dyslipidemia
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