Paraoxonase-3, a putative circulating antioxidant, is systemically up-regulated in late gestation in the fetal rat,

Gusztav Belteki1, Sarah L Kempster, Alison J Forhead

  • 1Department of Obstetrics and Gynaecology, University of Cambridge, and Neonatal Intensive Care Unit, Addenbrooke's Hospital, Box 223, Cambridge CB2 0SW, United Kingdom.

Insights

Paraoxonase-3 (Pon3), a circulating antioxidant, is naturally increased in late-term fetuses. This finding suggests Pon3 may be a potential therapeutic for preterm infants facing oxidative stress.

Area of Science:

  • Biochemistry
  • Neonatal Physiology
  • Genomics

Background:

  • Preterm infants often experience oxidative stress due to insufficient endogenous antioxidant defenses.
  • Current surfactant therapy addresses lung immaturity but not oxidative stress.
  • There is a need for effective antioxidant therapies for premature neonates.

Purpose of the Study:

  • To identify endogenous antioxidants crucial for fetal maturation and preparation for birth.
  • To investigate the role of specific antioxidant molecules in late gestation.
  • To find potential therapeutic targets for preterm infant complications.

Main Methods:

  • Transcript profiling of fetal rat lung and intestine at different gestational ages.
  • Gene expression analysis in fetal sheep tissues under varying conditions (gestational age, dexamethasone, adrenalectomy).
  • Western blot analysis of protein levels in human umbilical cord serum.

Main Results:

  • Paraoxonase-3 (Pon3) mRNA showed significant upregulation (>20-fold) in fetal rat lung and intestine.
  • Pon3 mRNA levels increased with gestational age in fetal sheep and correlated with plasma cortisol.
  • Dexamethasone increased and adrenalectomy decreased fetal sheep Pon3 expression; term infants had higher cord serum Pon3 than preterm infants.

Conclusions:

  • Paraoxonase-3 (Pon3) is identified as a key circulating antioxidant upregulated during late fetal development across species.
  • Pon3 levels are influenced by factors related to birth preparation, including cortisol and corticosteroids.
  • Pon3 represents a promising candidate for therapeutic intervention in preterm infants to combat oxidative stress.
Abstract

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