Jr. Milley, OVINE FETAL METABOLISM DURING NOREPINEPHRINE INFUSION, American journal of physiology: endocrinology and metabolism, 36(2), 1997, pp. 336-347
Although stress in fetal life not only increases fetal catecholamine c
oncentration but also decreases fetal growth, there have been few stud
ies that define the specific role of catecholamines in mediating the f
etal response to stress. None, however, have investigated effects on f
etal amino acid or protein metabolism, processes that should be affect
ed during aberrant fetal growth. Therefore, hormone concentrations as
well as oxygen, glucose, lactate, and amino nitrogen, leucine? and pro
tein metabolism were measured with and without norepinephrine infusion
in fetuses of eight pregnant eu es (118-125 days of gestation). Trans
umbilical uptake of oxygen increased during norepinephrine infusion, w
hereas uptake of glucose remained constant and that of lactate and ami
no acids fell. The proportion of fetal oxidative metabolism that could
be supported by transplacental uptake of exogenous substrates was <1,
indicating that endogenous substrates were used to maintain fetal oxi
dative metabolism and therefore that fetal growth was diminished. Both
fetal leucine uptake and oxidation decreased during norepinephrine in
fusion, as did fetal protein synthesis and proteolysis. Fetal protein
synthesis fell more than proteolysis, however. Consequently, fetal pro
tein accretion! a variable closely related to fetal growth, also fell.
Thus the effects of norepinephrine infusion in fetuses suggest that f
etal catecholamines play an important role not only in altering fetal
metabolism but also in regulating fetal growth.