Single and multiple prenatal glucocorticoid exposures improve preterm newborn lamb cardiovascular and renal function similarly

2003 ◽  
Vol 188 (2) ◽  
pp. 444-453 ◽  
Author(s):  
Lynne M. Smith ◽  
M.Gore Ervin ◽  
Norihisa Wada ◽  
Machiko Ikegami ◽  
Alan H. Jobe

2005 ◽  
Vol 58 (2) ◽  
pp. 365-365
Author(s):  
L Cataldi ◽  
V Fanos ◽  
D Benini ◽  
F Riccobene ◽  
B De Mitri ◽  
...  


1988 ◽  
Vol 254 (1) ◽  
pp. F38-F44
Author(s):  
C. A. Gleason ◽  
R. I. Clyman ◽  
M. A. Heymann ◽  
F. Mauray ◽  
R. Leake ◽  
...  

To examine the independent effects of a patent ductus arteriosus and of indomethacin therapy on the renal function of the preterm newborn, we created a preterm lamb model in which ductus diameter could be regulated. We studied 24 preterm newborn lambs. Eight lambs (group 1) had their ductus closed at delivery and received no indomethacin. Eight lambs (group 2) had their ductus closed and then received indomethacin (0.3 mg/kg) at 5.5 h; eight lambs (group 3) had their ductus kept open and then received indomethacin at 5.5 h. Hemodynamic and renal function measurements were made at 5 h (pretreatment) and at 12.5 h. In group 2 lambs there was a significant reduction in inulin clearance (GFR) and osmolal clearance after indomethacin. In contrast, lambs with an open ductus (group 3), when compared with lambs with a closed ductus (groups 1 and 2) at 5 h, already had significantly decreased blood pressure, GFR, urine volume, and osmolal clearance. Following indomethacin treatment, group 3 lambs showed no further decrease in renal function. We suggest that in preterm lambs with patent ductus, the apparent lack of renal dysfunction following indomethacin treatment reflects underlying diminished renal function.



2006 ◽  
Vol 104 (4) ◽  
pp. p121-p125 ◽  
Author(s):  
S. Iacobelli ◽  
F. Addabbo ◽  
F. Bonsante ◽  
G. Procino ◽  
G. Tamma ◽  
...  


1994 ◽  
Vol 36 (4) ◽  
pp. 506-513 ◽  
Author(s):  
Karen J Gibson ◽  
Eugenie R Lumbers


1997 ◽  
Vol 41 ◽  
pp. 140-140
Author(s):  
Lynne M. Berry ◽  
Gore Ervin ◽  
Celso Rebello ◽  
Norihisa Wada ◽  
Machiko Ikegami ◽  
...  




1998 ◽  
Vol 43 ◽  
pp. 45-45
Author(s):  
Lynne M Berry ◽  
Norihisa Wada ◽  
M Gore Ervin ◽  
Machiko Ikegami ◽  
Alan H Jobe


2016 ◽  
Vol 52 (6) ◽  
pp. 643-648 ◽  
Author(s):  
Douglas A Blank ◽  
Stuart B Hooper ◽  
Corinna Binder-Heschl ◽  
Martin Kluckow ◽  
Andrew W Gill ◽  
...  


2000 ◽  
Vol 279 (3) ◽  
pp. R830-R838 ◽  
Author(s):  
M. Gore Ervin ◽  
James F. Padbury ◽  
Daniel H. Polk ◽  
Machiko Ikegami ◽  
Lynne M. Berry ◽  
...  

Glucocorticoids are administered for preterm labor to improve postnatal adaptation. We assessed the effect of antenatal betamethasone (Beta) treatment on preterm newborn lamb neuroendocrine [catecholamine, arginine vasopressin (AVP)] and endocrine [triiodothyronine (T3), ANG II, and atrial natriuretic factor (ANF)] adaptive responses following delivery and a hypoxic challenge. Beta treatment included direct fetal injection at 0.2 (F0.2; n = 8) or 0.5 (F0.5; n = 7) mg/kg estimated fetal body weight or maternal injection with 0.2 ( n = 8) or 0.5 mg/kg (M0.5; n = 8). Control animals received fetal and maternal intramuscular injections of saline ( n = 8). After 24 h, lambs were delivered by cesarean section, surfactant treated, and ventilated for 4 h. Relative to the control lambs, 3 h after delivery, there was a marked suppression of plasma cortisol, epinephrine, norepinephrine, and ANG II levels and elevated plasma T3 and ANF levels, systolic blood pressure, and left ventricular contractility (dP/d t; F0.5 and M0.5) values in F0.5 and both maternal Beta-treated groups. However, Beta treatment augmented the cardiac output, cortisol, norepinephrine, AVP, and ANF responses to 20 min of hypoxia (Po 2 = 25–30 mmHg). We concluded that short-term (24 h) antenatal glucocorticoid exposure 1) alters preterm newborn postnatal blood pressure regulation in the face of marked depression of plasma cortisol, catecholamine, and ANG II levels and 2) augments the postnatal neuroendocrine and endocrine responses to a hypoxic challenge.



2007 ◽  
Vol 177 (4S) ◽  
pp. 411-412
Author(s):  
Javier Miller ◽  
Angela Smith ◽  
Kris Gunn ◽  
Erik Kouba ◽  
Eric M. Wallen ◽  
...  


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