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Am J Physiol Regul Integr Comp Physiol (April 27, 2006). doi:10.1152/ajpregu.00753.2005
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Submitted on October 24, 2005
Accepted on April 14, 2006

MATERNAL GLUCOCORTICOIDS AND PRENATAL PROGRAMMING OF HYPERTENSION

Lori L. Woods1*

1 Division of Nephrology and Hypertension, Oregon Health and Science University, Portland, Oregon, United States

* To whom correspondence should be addressed. E-mail: woodsl{at}ohsu.edu.

Maternal glucocorticoids have been postulated to play an important role in prenatal programming for adult hypertension in the offspring. However, we have shown previously that offspring hypertension caused by maternal dexamethasone administration at 100 µg/kg/d sc can be accounted for by the corresponding reduction in food intake that these mothers experience. The present studies were designed to determine whether there is a lower dose of dexamethasone that does not reduce maternal food intake yet still causes hypertension in the adult offspring. Pregnant rats were treated with dexamethasone at 50 (D50) or 25 (D25) µg/kg/d sc on days 15-20 of pregnancy. An additional group was untreated or received vehicle injections (control, C). D25 and D50 dams reduced their food intake by 17% during and after treatment and gained 31% less weight than C over the course of gestation. In adulthood (~21 wks), chronically instrumented male offspring of D50 and D25 had normal blood pressures (D50: 131±2 mmHg and D25: 127±3 mmHg vs. 127±2 mmHg in C). Qualitatively similar results were found in female offspring. Thus, neither dexamethasone per se at these doses nor the accompanying modest reductions in maternal food intake and weight gain have blood pressure programming effects. As far as has been tested, there does not appear to be a dose of dexamethasone that, given over this time period in the rat, programs offspring hypertension without reducing maternal food intake and weight gain. These data do not support the hypothesis that maternal glucocorticoids program offspring hypertension directly.




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