|
|
||||||||
1Perinatal Research Centre, Departments of Obstetrics and Gynecology and Physiology, University of Alberta, Edmonton, Alberta, Canada; and 2Physiology, Centre for the Early Origins of Adult Health, School of Molecular and Biomedical Science, University of Adelaide, Adelaide, South Australia, Australia
Submitted 25 February 2005 ; accepted in final form 5 April 2005
| ABSTRACT |
|---|
|
|
|---|
fetal programming; undernutrition; nitric oxide; vascular function; gender
Exposure to chronic hypoxia in ovo results in reduced nitric oxide modulation of vascular responses in arteries from both embryonic and adult chickens (42, 43). In mammals, the vascular effects of prenatal hypoxia have been examined primarily in the fetus (33, 49) or the neonate (54). One recent study, however, demonstrated decreased vasoconstriction in the pulmonary vasculature of adult rat offspring after perinatal exposure to reduced oxygen, but these results are from a specialized vascular bed and the length of exposure to hypoxia included a 1-wk postnatal period (24). Thus the specific effects of chronic hypoxia in utero on peripheral vascular function in mammalian adult offspring are currently unknown.
The myogenic response, defined as vasoconstriction or relaxation in response to increased or decreased intraluminal pressure, respectively, plays a critical role in development of vascular tone and regulation of peripheral vascular resistance (4). This response to pressure is vascular bed dependent (30) and occurs through stretch-activated mechanisms in the vascular smooth muscle but is also modulated by endothelium-derived factors. A role for nitric oxide and/or prostaglandins in modulation of myogenic responses has been shown in a number of vascular beds (8, 15, 30, 47) including the mesentery (13, 30, 41, 44). Evaluation of this response and the factors that modify it are of crucial importance for understanding mechanisms of vascular dysfunction, as has been shown in disease states such as hypertension (9, 20).
Gender- or age-related differences in myogenic responses have not been well studied in the mesenteric vascular bed, which contributes to peripheral vascular resistance (3, 12). However, studies conducted in other vascular beds (11, 21, 26) indicate that myogenic responses tend to be lower in females than males, possibly as a result of increased nitric oxide modulation (11, 21, 26, 39). In addition, although myogenic responses were decreased in arteries from aged compared with young animals (12, 37), those with a predisposition to hypertension have elevated myogenic responses with increasing age (9, 12), which may be related to decreased nitric oxide modulation (27). The few studies that have evaluated gender differences in the vascular function of adult offspring from perturbed pregnancies show that dysfunction occurs in both genders but affects each gender differently (35, 38) and may be more severe in male offspring (6, 40). Age-related decreases in endothelium-dependent relaxation (2) and increased sensitivity to vasoconstrictors (40) have also been observed in adult offspring from nutrient-restricted dams. Whether these gender- or age-related differences in adult offspring are reflective of the intrinsic ability of these vessels to respond to pressure (i.e., myogenic responses) is unknown.
The objectives of this study were to assess the myogenic response and evaluate the role of nitric oxide and prostaglandins in modulating that response in mesenteric arteries from two age groups of female and male adult offspring of rat dams subjected to hypoxia in the last week of pregnancy. To examine the effect of prenatal hypoxia on an aging profile, we chose the ages of 4 and 7 mo so that the rats were still within the active reproductive stage and thus without the additional complications caused by gonadal insufficiencies. Because the dams undergoing hypoxia treatment showed significantly reduced food intake (54), as has been previously observed (5, 51), a group with comparable nutrient restriction was also included. We hypothesized that mesenteric arteries from the older male offspring of either treatment group would demonstrate greater myogenic responses than their younger male littermates, age-matched female littermates, or offspring from control dams, as a result of reduced modulation by vasodilators.
| MATERIALS AND METHODS |
|---|
|
|
|---|
Maternal hypoxia. On day 15 of pregnancy, rats (n = 8) were put into a Plexiglas chamber (volume 140 liters) that could hold a maximum of three pregnant individually housed rats at any one time. Maternal oxygen supply was then reduced to 12% oxygen by continuous infusion of a nitrogen gas and compressed air mixture in the absence of additional carbon dioxide infusion. The level of oxygen and length of exposure during pregnancy were based on previous studies showing that maternal exposure to a hypoxic environment (9.014.0% oxygen) for varying lengths of time induced asymmetric fetal growth restriction (5, 51, 54). A portable oxygen analyzer (Hudson RCI, Temecula, CA) was calibrated daily and used to monitor the oxygen concentration of the chamber, which was only opened once a day to clean cages and weigh rats and food. On the morning of day 22 of pregnancy, rats were removed from the chamber and housed in room air until delivery, which occurred later that same day.
Maternal nutrient restriction. The pregnant rats (n = 8) randomized to a maternal nutrient restriction protocol on day 15 of pregnancy were put into an identical Plexiglas chamber into which compressed air was continuously infused. The chamber was only opened once a day to clean cages and weigh rats. On entry into the chamber on day 15 of pregnancy, rats were restricted to the lowest food intake recorded in pregnant rats exposed to hypoxia (11.5 ± 1.0 g standard rat chow/day). This represented 40% of the daily total food intake by pregnant control rats during this time period. As in the maternal hypoxia protocol, rats were scheduled to be removed from the chamber before delivery on day 22 of pregnancy; however, six of the eight rats delivered on day 21 and were removed from the chamber at this time. After delivery, all rat dams were returned to a normal diet. These animal models were previously described in detail, including maternal food intake and weight gain throughout pregnancy (54).
Female and male offspring. All pups were weighed within 312 h after birth, and the litter size was reduced to eight pups by random selection of an equal sex ratio to ensure consistent feeding. Two or three randomly selected culled pups per litter (at least 1 female and 1 male) were weighed, and gender was confirmed by dissection after decapitation (reported in Table 1). Vascular myogenic response studies (see below) were performed in one or two pups per litter at 1618 wk (4 mo) and 2628 wk (7 mo) of age. These two ages were chosen to represent an aging profile in rats still within their reproductive capacity so that interpretation of the data would not be complicated by gonadal insufficiencies. Adult body weights were assessed at time of death.
|
Experimental protocols for vascular function. All vessels were equilibrated for 1 h at 37°C and an intraluminal pressure of 60 mmHg with bath changes every 10 min. The pressure was increased at 30 min to 75 mmHg for 10 min and then returned to 60 mmHg for the rest of the equilibration period. For each animal, two vessels of similar diameter were mounted in the two-chamber arteriograph. The myogenic response in the absence of drugs was then examined in each vessel. Intraluminal pressure was reduced to 20 mmHg, and the initial lumen diameter was measured. Changes in lumen diameter were then measured after stepwise increases in pressure (20130 mmHg), allowing 4 min between steps. After completion of the myogenic response curves, the pressure was returned to 60 mmHg, the bath medium was changed, and the vessel equilibrated for 20 min. The myogenic response curves were then repeated in the presence of either the prostaglandin H synthase (PGHS) inhibitor meclofenamate (Meclo; 1.0 µmol/l), or the nitric oxide synthase (NOS) inhibitor NG-nitro-L-arginine methyl ester (L-NAME; 100 µmol/l). Each drug was incubated for 20 min before the pressure was reduced to 20 mmHg and the pressure steps outlined above were repeated. After completion of the curves, the pressure was returned to 60 mmHg, the bath medium was changed, and the vessel equilibrated for 20 min. The myogenic response was then assessed in the presence of both Meclo (1.0 µmol/l) and L-NAME (100 µmol/l) as described above. To assess the passive response curve of each vessel, the pressure was returned to 60 mmHg, the vessels were extensively washed in EGTA-Ca2+-free PSS (in mmol/l: 142 NaCl, 4.7 KCl, 1.17 MgSO4, 1.18 KH2PO4, 10 HEPES, 2 EGTA) and equilibrated for 10 min in the presence of papaverine (Sigma; 0.1 mmol/l), and the pressure steps were repeated as outlined above.
Calculations. Percent myogenic tone at each pressure step was calculated with the following formula: percent myogenic tone =(D1 D2)/D1 x 100, where D1 is the arterial lumen diameter in EGTA-Ca2+-free PSS and papaverine and D2 is the arterial lumen diameter in HEPES-PSS containing Ca2+. For each animal, percent myogenic tone from both mounted vessels in the absence of drugs was averaged, with the error not greater than 2 SD, and this value was then used in calculating the means for each experimental group. The percent myogenic response due to the influence of a drug(s) was calculated by the following formula: difference in percent myogenic tone = MR1 MR2, where MR1 is the percent myogenic tone (as calculated above) in the presence of a drug and MR2 is the percent myogenic tone (as calculated above) taken at the same pressure in the absence of any drugs. The percent myogenic tone calculated for a single vessel from each animal was used in calculating the means for each experimental group.
Statistics. Data are expressed as means ± SE. One-way ANOVAs with the Fisher least significant difference (LSD) post hoc test were used to compare body weights within each age group for each gender. Entire curves were compared with two-way ANOVAs and the Fisher LSD post hoc test. Statistical significance was accepted at P < 0.05.
| RESULTS |
|---|
|
|
|---|
Myogenic responses among treatment groups. There were no significant differences in the passive curves between genders or ages or among treatment groups (data not shown). When myogenic responses in mesenteric arteries from male offspring were compared among treatment groups at each age, only 7-mo-old male H offspring showed significant elevation compared with aged-matched male C (Fig. 1B; P < 0.01) or NR (Fig. 1B; P < 0.05) offspring. Myogenic responses were also significantly increased at 7 mo compared with 4 mo of age in male H (P < 0.01) and NR (P < 0.05) but not C offspring.
|
|
Modulation of myogenic tone by inhibition of NOS.
Modulation of active myogenic responses by pretreatment with a drug was calculated at any one pressure as the difference in percent myogenic tone (
percent myogenic tone) in the presence and absence of drug(s). Entire
percent myogenic tone curves were statistically compared among treatment groups or between ages for each gender and were found to be significantly different over a range of pressures. However, for simplicity of presentation, these data were summarized by presenting
percent myogenic tone at 90 mmHg in male offspring and 100 mmHg in female offspring because these pressures corresponded to the largest differences observed in either the active myogenic tone in the absence of drug(s) among treatment groups (male offspring) or the active myogenic tone compared with myogenic tone in the presence of a drug or drugs (female offspring).
Interestingly, the pattern of nitric oxide modulation of myogenic tone in the mesenteric vasculature differed between ages and genders and among treatment groups. In male offspring, there were no significant treatment effects at 4 mo of age. However,
percent myogenic tone was significantly reduced in the presence of L-NAME in arteries from 7-mo-old male H offspring compared with C or NR offspring (Fig. 3A; P < 0.05). There were no age-related differences in
percent myogenic tone in the presence of L-NAME within any offspring group (Fig. 3A).
|
percent myogenic tone in the presence of L-NAME was reduced in arteries from 4-mo-old H offspring compared with C or NR offspring (Fig. 3B; P < 0.05). However, by 7 mo of age the
percent myogenic tone in the presence of L-NAME had recovered to levels similar to those found in C offspring, which resulted in a significant increase in 7- compared with 4-mo-old H offspring (Fig. 3B; P < 0.01).
Modulation of myogenic tone by inhibition of PGHS.
Although the response in arteries from male H offspring at 4 mo of age was similar to that in age-matched control animals, by 7 mo of age
percent myogenic tone was significantly reduced after Meclo treatment compared with age-matched controls (Fig. 4A; P < 0.005). In contrast, at 4 mo of age, arteries from male NR offspring showed reduced
percent myogenic tone after inhibition of PGHS by Meclo treatment compared with age-matched male C or H offspring (Fig. 4A; P < 0.01). By 7 mo of age, arteries from these offspring showed
percent myogenic tone in the presence of Meclo comparable to that in age-matched C offspring. This resulted in a significant increase at 7 mo compared with 4 mo of age in male NR offspring (Fig. 4A; P < 0.04).
|
percent myogenic tone in arteries from 4 mo-old H offspring compared with C offspring (Fig. 4B; P < 0.01). By 7 mo of age,
percent myogenic tone in the presence of Meclo was restored to levels seen in C offspring, resulting in a significant difference between 4- and 7-mo-old female H offspring (Fig. 4B; P < 0.04). There were no differences in
percent myogenic tone after Meclo treatment in arteries from female NR offspring compared with C offspring at either age (Fig. 4B).
Modulation of myogenic tone by inhibition of both NOS and PGHS.
The pattern of differences in
percent myogenic tone in arteries from male offspring in the presence of both inhibitors was similar to that found in the presence of each individual inhibitor. The difference in percent myogenic tone in the presence of both inhibitors was significantly reduced in arteries from 7-mo-old male H offspring compared with those from both their 4-mo-old littermates (Fig. 5A; P < 0.03) and age-matched C offspring (Fig. 5A; P < 0.001). In contrast,
percent myogenic tone was significantly increased in the presence of both inhibitors in 7- compared with 4-mo-old male NR offspring (Fig. 5A; P < 0.05). This pattern resembled that of controls, although there were no significant differences between ages in arteries from male C offspring.
|
percent myogenic tone found at 4 mo of age in female H compared with C offspring (Fig. 5B). In contrast,
percent myogenic tone was significantly increased in arteries from female H offspring at 7 compared with 4 mo of age (Fig. 5B; P < 0.01) and also compared with age-matched female C and NR offspring (Fig. 5B, P < 0.05). There were also no differences at either age in arteries from NR compared with C offspring. | DISCUSSION |
|---|
|
|
|---|
Intrauterine growth restriction resulting from an adverse intrauterine environment may have long-term consequences for adult cardiovascular health (1). In this study, both maternal nutrient restriction and maternal exposure to hypoxia led to reduced birth weights of male offspring along with increased myogenic responses in H offspring compared with either NR or C offspring at 7 mo of age and age-dependent increased responses in both treatment groups that were not observed in control animals. Thus the adaptations of male fetuses to an adverse intrauterine environment may have led to vascular dysfunction. In female offspring, only maternal nutrient restriction led to reduced birth weights, with little accompanying vascular changes in the adults. Interestingly, even though maternal exposure to hypoxia resulted in normal birth weights in female offspring and no overt changes in myogenic responses, there were significant alterations in modulation of these responses by nitric oxide and prostaglandins. This suggests that the underlying regulation of vascular function in adult offspring from complicated pregnancies is altered even in the absence of intrauterine growth restriction. These results are comparable to others that have also shown vascular dysfunction in normally grown offspring from protein-restricted rat dams (2, 50).
The nutrient-restricted group was included in this study because dams treated with hypoxia substantially reduced their food intake (54), consistent with previous reports (5, 51). It is evident in the current study that hypoxia treatment during the latter third of pregnancy induced vascular alterations in both male and female offspring that were independent of the effects of nutrient restriction alone. In males, there was a greater increase in myogenic responses in H than NR offspring at 7 compared with 4 mo of age and at 7 mo only male H offspring showed significantly increased responses compared with control animals. Moreover, modulation of these responses by nitric oxide and prostaglandins in each treatment group was qualitatively different. In females, the only detectable effect on vascular function in adult NR offspring was a reduction in myogenic responses at 4 mo of age compared with control animals. There were no changes in nitric oxide or prostaglandin modulation in this group, suggesting that there was overcompensation by another vasodilator such as an endothelium-derived hyperpolarizing factor (EDHF) (44). Female H offspring, on the other hand, showed significant changes in modulation of myogenic responses by nitric oxide and prostaglandins but no changes in overall myogenic responses compared with C or NR offspring. These results indicate that the altered vascular responses in adult offspring after exposure to prenatal hypoxia are independent of reduced nutrient supply.
It is interesting that myogenic responses in arteries from female H offspring at 4 mo of age were maintained at control levels even though nitric oxide and prostaglandin modulation of these responses were reduced compared with age-matched controls. These results suggest that compensation by other vasodilators such as EDHF may have occurred. By 7 mo of age, nitric oxide and prostaglandin modulation of myogenic responses in female H offspring had not only recovered but were in fact elevated compared with female C offspring. Interestingly, vessels from fetuses exposed to hypoxia in utero also show enhanced nitric oxide and prostaglandin synthesis that inhibits vasoconstriction (48).
Few studies have examined gender differences of myogenic responses in the mesenteric vasculature (12, 53), although it is clear that gender differences exist in a number of other vascular beds (11, 21, 26, 39). Elevated myogenic responses in males compared with females has been demonstrated in rat gracilis muscle (21) and mouse cerebral (11), rat coronary (26), and mouse mesenteric (53) arteries. The presence of estrogen in females may reduce myogenic responses in an endothelial nitric oxide synthase-dependent manner (11, 19, 45). In contrast, we found that mesenteric arteries from 4-mo-old female C offspring exhibited significantly greater myogenic responses than those from age-matched male C offspring, with the differences resolved by 7 mo of age. This difference could not be explained by differential nitric oxide or prostaglandin modulation of the response between genders.
The significant elevation of myogenic responses in male but not female H offspring compared with gender-matched C offspring along with the reduced (male) and elevated (female) nitric oxide modulation of those responses emphasizes the gender-specific differences after exposure to an adverse intrauterine environment. Although it is not surprising that each gender was affected differently by a particular in utero insult simply based on hormonal differences (19, 39), it is particularly interesting that the vascular effects for each gender differed depending on the insult. These gender-specific changes could be directly due to differences in sensitivity and adaptation to the specific insult while still in utero, or females may have greater vascular compensatory mechanisms after birth. These gender-specific differences are in contrast with a study of impaired endothelium-dependent relaxation in a maternal lard-fed model, which found no differences between genders (25). However, results from the present study are consistent with other models of maternal undernutrition showing either greater adverse vascular effects in male compared with female offspring (6, 40) or gender-specific impairment of adult cardiovascular and metabolic function (35, 38). These differing effects in male and female offspring may involve gender-specific differences in vasodilatory modulation of vascular responses and compensatory mechanisms when one or more of the vasodilation pathways are absent or deficient (44, 56).
In this study, male but not female offspring from both treatment groups showed an age-dependent increase in myogenic responses that was not seen in controls. In contrast, in normal aging, either myogenic responses were reduced (37) or the pressure at which a myogenic response occurred was increased (22). Interestingly, our results are similar to those found in young spontaneously hypertensive rats, in which myogenic responses were increased in skeletal (20) and mesenteric (23) arteries. Myogenic responses were also increased in rats with chronic heart failure (13) and in murine models of Type 2 diabetes (29) and oxidative stress (53). Our results in male offspring are therefore consistent with those found in other animal models of vascular dysfunction. In addition, we recently demonstrated (16, 52) elevated myogenic responses in uterine arteries from pregnant and nonpregnant female offspring of nutrient-restricted dams. In other studies, the aging vasculature in adult offspring from nutrient-restricted dams had decreased endothelium-dependent relaxation (2) and increased sensitivity to vasoconstrictors (40).
The reduced modulation of myogenic responses in 7-mo-male H compared with C offspring by nitric oxide, prostaglandins, or a combination of the two suggests a mechanism for the enhanced myogenic responses observed in this group compared with controls. Reduced nitric oxide modulation of vascular responses has also been found in fetal sheep exposed to chronic hypoxia at high altitude (33) and in embryonic and adult chickens after chronic exposure to hypoxia in ovo (42, 43). Moreover, we recently demonstrated (55) decreased nitric oxide modulation of endothelium-dependent relaxation in 7-mo-old male offspring from dams exposed to hypoxia during pregnancy. Similar effects have also been observed in various nutrient restriction (2, 6, 31) and glucocorticoid overexposure (36) models. Interestingly, offspring from nutrient-restricted dams with impaired endothelium-dependent vasodilation showed increased levels of superoxide anion, suggesting a mechanism for the reduced bioavailable nitric oxide observed in these models (7).
Our data demonstrating decreased myogenic responses in the presence of a PGHS inhibitor in male H compared with C offspring at 7 mo of age suggest that, in addition to reduced nitric oxide modulation, there is a role for prostaglandins in the increased myogenic tone observed in this treatment group. The results are consistent with either an increase in PGHS-mediated vasoconstrictors or a decrease in PGHS-mediated vasodilators. A role for PGHS vasodilators in modulation of myogenic responses in arteries from young normal rats has been shown (30). However, PGHS-mediated constrictors have been shown to modulate myogenic responses of arteries from normal rats (47) and have been implicated in the increased myogenic responses observed both in an insulin-resistant mouse model (29) and in spontaneously hypertensive rats (20). This suggests that adult male offspring from adverse pregnancies may also experience an enhanced PGHS-dependent release of vasoconstrictors resulting in increased myogenic responses. It is interesting that the pattern of nitric oxide and prostaglandin involvement in the vascular response of 7-mo-old male offspring observed in this study has also been observed in 12- to 14-mo-old aged rats (17, 34, 46), suggesting that fetal adaptation to an adverse in utero environment may lead to premature aging of the vasculature in male offspring and increased cardiovascular complications.
Understanding how fetal adaptations to an adverse intrauterine environment permanently affect vascular function, particularly before the onset of detectable cardiovascular complications, is essential for development of early intervention and treatment strategies. Our results suggest that although vascular changes are evident in both genders by 7 mo of age, only males show overt functional changes that could contribute to increased peripheral vascular resistance and cardiovascular disease. The other important finding of this study is that the vascular changes observed in adult offspring from complicated pregnancies differ in a gender-specific way depending on the specific nature of adverse maternal treatment. These results not only suggest the importance of monitoring vascular function parameters early in adult life, particularly in males from suspected adverse pregnancies, but also the importance of investigating the potential cause of the original pregnancy complication.
| ACKNOWLEDGMENTS |
|---|
| FOOTNOTES |
|---|
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
| REFERENCES |
|---|
|
|
|---|
This article has been cited by other articles:
![]() |
N. B. Ojeda, D. Grigore, E. B. Robertson, and B. T. Alexander Estrogen Protects Against Increased Blood Pressure in Postpubertal Female Growth Restricted Offspring Hypertension, October 1, 2007; 50(4): 679 - 685. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. B. Ojeda, D. Grigore, L. L. Yanes, R. Iliescu, E. B. Robertson, H. Zhang, and B. T. Alexander Testosterone contributes to marked elevations in mean arterial pressure in adult male intrauterine growth restricted offspring Am J Physiol Regulatory Integrative Comp Physiol, February 1, 2007; 292(2): R758 - R763. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. Xu, S. J. Williams, D. O'Brien, and S. T. Davidge Hypoxia or nutrient restriction during pregnancy in rats leads to progressive cardiac remodeling and impairs postischemic recovery in adult male offspring FASEB J, June 1, 2006; 20(8): 1251 - 1253. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. T. Alexander Fetal programming of hypertension Am J Physiol Regulatory Integrative Comp Physiol, January 1, 2006; 290(1): R1 - R10. [Abstract] [Full Text] [PDF] |
||||
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS |