Many forms of intrauterine growth retardation (IUGR) are likely to be the
end result of a fetal metabolic adaptation to an imbalance between supply
and demand of metabolic substrates. Recent studies in our ovine heat-
stress model of placental insufficiency induced fetal growth retardation
(PI-IUGR model) confirm our hypothesis that the marked IUGR characteristic
to this model is associated with a placental transport limitation of
multiple substrates, a metabolic adaptation which is different from that
observed in other IUGR models. Our current hypotheses are that placental
insufficiency occurs early in gestation in the PI-IUGR model and that the
resulting placental amino acid transport limitation can be compensated for
by long-term continuous maternal amino acid supplementation. The studies
utilize our recently developed techniques of transabdominal ovine fetal
ultrasonography to measure fetal growth in utero and our recently
developed leucine two-tracer study design to compare the metabolism of
this essential amino acid in the PI-IUGR fetus and placenta with the
normal fetus by infusing L-[1-/14C]leucine into the fetus and L-[1-
/13C]leucine is into the ewe. Specific aim 1 tests the hypothesis that
decreased food intake does not contribute to IUGR of the PI-IUGR fetus.
Specific aim 2 tests the hypothesis that placental insufficiency in the
PI-IUGR model is irreversible by 0.6 term. Specific aims 3 and 4 test the
hypothesis that leucine accretion by the PI-IUGR fetus and placenta will
not increase after a 4-hour maternal amino acid infusion but will increase
after a 30 day maternal amino acid infusion. Such studies provide an
understanding of adaptative metabolic strategies in the IUGR fetus.
Eunice Kennedy Shriver National Institute of Child Health and Human Development
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