Adrenal glands are essential for activation of glucogenesis during undernutrition in fetal sheep near term
Open accessAbstract
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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In late gestation once the sheep fetus has developed the capacity for glucogenesis, the placenta can consume glucose from the fetal circulation if the maternal supply is limited or concentration gradients are manipulated experimentally.
“However, in late gestation once the sheep fetus has developed the capacity for glucogenesis, the placenta can consume glucose from the fetal circulation if the maternal supply is limited or concentration gradients are manipulated experimentally (190,194,248).”
From Placental Origins of Chronic Disease (2016) · cites this paper as [190]
Variations in maternal nutritional state have little effect on oxygen consumption by the ovine utero-placental tissues.
“Variations in maternal nutritional state have little effect on oxygen consumption by the ovine utero-placental tissues (99,148,190,554).”
From Placental Origins of Chronic Disease (2016) · cites this paper as [190]
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- Authors
- Fowden, A. L., & Forhead, A. J.
- Affiliations
- University of Cambridge (GB)
- Corresponding author
- Fowden, A. L.
- ORCID
- Forhead, A. J.
- Venue
- American Journal of Physiology-Endocrinology and Metabolism
- Publisher
- American Physiological Society
- Published
- 2011-01
- Volume
- 300
- Issue
- 1
- Pages
- E94-E102
- ISSN
- 0193-1849 (ISSN-L)
- 1522-1555
- PMC
- PMC3023201
- OpenAlex
- W2166800134
- Cited by
- 33
- References
- 44
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 1 · 2021: 5 · 2019: 3 · 2018: 1 · 2016: 5 · 2015: 4 · 2014: 4 · 2013: 1 · 2012: 7
- FWCI
- 2.32
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Physiology-Endocrinology and Metabolism (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Wellcome Trust
- Biotechnology and Biological Sciences Research Council (S18103)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Keywords
- fetal adrenal gland, adrenalectomy, maternal fasting, fetal glucose metabolism, cortisol, catecholamines, liver glycogen, gluconeogenic enzymes, insulin sensitivity, fetal sheep
- MeSH terms
- Adrenal Cortex Hormones, Adrenal Glands, Adrenalectomy, Algorithms, Animals, Blood Glucose, Female, Food Deprivation, Gluconeogenesis, Glucose, Liver, Liver Glycogen, Oxygen Consumption, Placenta, Pregnancy, Sheep, Umbilical Cord, Uterus, Maternal Nutritional Physiological Phenomena, Fetal Nutrition Disorders
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