Many cases of intrauterine growth retardation (IUGR) result from placental
insufficiency, but the molecular signals accompanying this event are unknow
n. Insulin-like growth factor 1 (IGF-1) is a potent mitogen for fetal tissu
es and is lowered in the serum of human infants with IUGR. The rabbit provi
des an optimal model for the study of IUGR based on fetal position. To dete
rmine if IGF-1 expression is altered in the growth-retarded fetus, this nat
urally occurring rabbit model of IUGR was used. Four fetal rabbit pairs wer
e harvested on Days 21, 23, 25, 27, 29, and 31 of their normal 31-day gesta
tion; they were identified based on uterine position as normal or growth re
tarded. Fetal weight was recorded and the serum, amniotic fluid, liver, kid
ney, and small intestine (SI) were collected. The SI was divided into three
equal segments: proximal, middle, and distal. Reverse transcription polyme
rase chain reaction (RT-PCR) was used to measure IGF-1/beta-actin mRNA dens
itometric band ratios in all tissues. Radioimmunoassay (RIA) was used to me
asure IGF-1 protein levels in the serum and amniotic fluid. Statistical ana
lysis was performed using ANOVA and the paired Student's t test. Weights we
re decreased in fetuses with IUGR at all time points (P < 0.05), further va
lidating this rabbit model in the study of IUGR. Liver, proximal, and dista
l SI IGF-1 mRNA decreased during late gestation (P < 0.01). Kidney IGF-1 mR
NA increased throughout late gestation (P < 0.01). Compared with their norm
al counterparts, fetuses with IUGR had a trend toward decreased IGF-1 mRNA
in the kidney, liver, and SI at all time points, reaching significance in t
he liver on Day 27 (P = 0.002). Serum IGF-1 decreased throughout gestation
in all fetuses < 0.05). Compared with normal fetuses, fetuses with IUGR had
lower serum IGF-1 at all time points, reaching significance at Day 27 (P =
0.02). Amniotic fluid IGF-1 was lower in fetuses with IUGR than in normal
fetuses, though not quite reaching significance. Compared with normal fetus
es, growth-retarded fetal rabbits trend toward depressed liver, kidney, and
intestinal expression of IGF-1 mRNA and lower serum and amniotic fluid IGF
-1 protein. Serum IGF-1 levels correlate with fetal weight change. Further
studies and potential manipulation of fetal IGF-1 are warranted to investig
ate potential prenatal intervention in the treatment of IUGR. (C) 2000 Acad
emic Press.