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1 Center for Perinatal Biology, Department of Physiology and Pharmacology, Loma Linda University School of Medicine, Loma Linda, CA, USA
2 Department of Microbiology/Molecular Genetics, Loma Linda University School of Medicine, Loma Linda, CA, USA
* To whom correspondence should be addressed. E-mail: lzhang{at}som.llu.edu.
Chronic hypoxia during pregnancy is one of the most common insults to fetal development. We tested the hypothesis that maternal hypoxia induced apoptosis in the hearts of
near-term fetal rats. Pregnant rats were divided into two groups, normoxic control and continuous hypoxic exposure (10.5% O2) from day 15 to 21 of gestation. Hearts were isolated from fetal rats of 21- day gestational age. Maternal hypoxia increased hypoxia-inducible factor
1
protein in fetal hearts. Chronic hypoxia significantly increased the percentage and size of binucleated myocytes, and increased apoptotic cells from 1.4 ± 0.14% to 2.7 ± 0.3% in fetal heart. In addition, the active, cleaved-form of caspase 3 was significantly increased in the hypoxic heart, which was associated with an increase in caspase 3 activity. There was a significant increase in Fas protein levels in the hypoxic heart. Chronic hypoxia did not change Bax protein levels, but significantly decreased Bcl-2 proteins. In addition, chronic hypoxia significantly suppressed expression of HSP70. However, chronic hypoxia significantly increased expression of the anti-apoptotic protein 14-3-3
, among other 14-3-3 isoforms. Chronic hypoxia differentially regulated
AR subtypes with an increase in
1AR levels, but no changes in
2AR. The results demonstrate that maternal hypoxia increases apoptosis in fetal rat heart, which may be mediated by an increase in Fas and a decrease in Bcl-2 proteins. Chronic hypoxic-mediated increase in
1AR and decrease in heat shock proteins may also play an important role in apoptosis in the fetal heart.
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