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1 Department of Obstetrics & Gynecology, Division of Reproductive Sciences, University of Texas Medical Branch, Galveston, Texas, USA
* To whom correspondence should be addressed. E-mail: molongo{at}utmb.edu.
Epidemiological studies have shown increased incidence of hypertension and coronary artery disease in growth-restricted fetuses during their adult life. A novel animal model was used to test the hypothesis regarding the role of abnormal uterine environment in fetal programming of adult vascular dysfunction. Mice lacking a functional endothelial nitric oxide synthase (NOS3-/-KO) and wild-type mice (NOS3+/+WT) were cross bred to produce homozygous NOS3-/-KO, maternally-derived heterozygous (NOS3+/-mat, mother with NOS3 deficiency), paternally-derived heterozygous (NOS3+/-pat, normal mother) and NOS3+/+WT litters. Number of fetuses per litter was smaller in NOS3-/-KO and NOS3+/-mat compared with NOS3+/-pat and NOS3+/+WT. Adult female mice from these litters (7-8 weeks old) were sacrificed and rings preparations of carotid and mesenteric arteries were mounted in a wire myograph to evaluate the passive and reactive vascular characteristics. Slope of the length-tension plot (a measure of vascular compliance) was increased and optimal diameter (as calculated by Laplace equation) was decreased in NOS3-/-KO and NOS3+/-mat compared with NOS3+/-pat and NOS3+/+WT. Acetylcholine caused vasorelaxation in NOS3+/-pat and NOS3+/+WT and contraction in NOS3-/-KO and NOS3+/-mat. Responses to phenylephrine and Ca2+ were increased in NOS3-/-KO and NOS3+/-mat compared to NOS3+/-pat and NOS3+/+WT. Relaxation to isoproterenol was decreased in NOS3-/-KO and NOS3+/-mat versus NOS3+/-pat and NOS3+/+WT. Abnormalities in the passive and reactive in-vitro vascular properties seen in NOS+/-mat mice that developed in a NOS3 deficient maternal/uterine environment compared to the genetically identical NOS3+/-pat mice developing in a normal environment provides the first direct evidence in support of a role for uterine environment in determining vascular function in later life.
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