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Published on: June 13, 2021
Transgenerational effects of prenatal synthetic glucocorticoids on hypothalamic-pituitary-adrenal function
Majid Iqbal1, Vasilis G Moisiadis, Alisa Kostaki
1Department of Physiology, Faculty of Medicine, University of Toronto, 1 King's College Circle, Toronto, Ontario, Canada M5S 1A8.
Insights
Prenatal synthetic glucocorticoid (sGC) exposure alters hypothalamic-pituitary-adrenal (HPA) axis function and behavior in second-generation offspring. These effects suggest long-term impacts on stress response and hormonal regulation across generations.
Area of Science:
- Endocrinology
- Developmental Biology
- Neuroscience
Background:
- Synthetic glucocorticoids (sGC) are used to promote fetal lung development in pregnancies at risk of preterm delivery.
- Prenatal sGC exposure has been shown to affect hypothalamic-pituitary-adrenal (HPA) axis function in first-generation (F(1)) offspring.
Purpose of the Study:
- To investigate whether prenatal sGC exposure impacts HPA function and behavior in the subsequent (F(2)) generation.
- To assess the long-term consequences of maternal sGC treatment on offspring HPA axis regulation and behavior.
Main Methods:
- Pregnant guinea pigs (F(0)) were administered betamethasone (BETA) or saline during gestation.
- F(1) females were mated to produce F(2) offspring, whose HPA function and behavior were assessed.
- HPA axis function was evaluated through stress responses and dexamethasone suppression tests.
- Gene expression analysis of HPA-related components was performed in adult F(2) offspring.
Main Results:
- F(2) offspring exposed prenatally to BETA exhibited reduced locomotor activity (males) and blunted cortisol responses to stress.
- Differential effects on negative feedback regulation were observed in F(2) males and females following dexamethasone challenge.
- F(2) BETA females showed reduced pituitary proopiomelanocortin and corticotropin-releasing hormone receptor expression.
- Altered hippocampal glucocorticoid receptor expression was noted in both F(2) BETA males and females.
Conclusions:
- Prenatal betamethasone treatment has lasting effects on HPA axis function and behavior in F(2) offspring.
- Pituitary function is primarily affected in F(2) females, while hippocampal feedback systems are altered in both sexes.
- These findings highlight potential transgenerational impacts of synthetic glucocorticoid therapy used in preterm labor management.
Abstract:
Approximately 10% of pregnant women are at risk of preterm delivery and receive synthetic glucocorticoids (sGC) to promote fetal lung development. Studies have indicated that prenatal sGC therapy modifies hypothalamic-pituitary-adrenal (HPA) function in first-generation (F(1)) offspring. The objective of this study was to determine whether differences in HPA function and behavior are evident in the subsequent (F(2)) generation. Pregnant guinea pigs (F(0)) received betamethasone (BETA; 1 mg/kg) or saline on gestational d 40/41, 50/51, and 60/61. F(1) females were mated with control males to create F(2) offspring. HPA function was assessed in juvenile and adult F(2) offspring. Locomotor activity was assessed in juvenile offspring. Analysis of HPA-related gene expression was undertaken in adult hippocampi, hypothalami, and pituitaries. Locomotor activity was reduced in F(2) BETA males (P < 0.05). F(2) BETA offspring displayed blunted cortisol response to swim stress (P < 0.05). After dexamethasone challenge, F(2) BETA males and females displayed increased and decreased negative feedback, respectively. F(2) BETA females had reduced pituitary levels of proopiomelanocortin (and adrenocorticotropic hormone), and corticotropin-releasing hormone receptor mRNA and protein (P < 0.05). F(2) BETA males displayed increased hippocampal glucocorticoid receptor (P < 0.001), whereas in BETA females, hippocampal glucocorticoid receptor and mineralocorticoid receptor mRNA were decreased (P < 0.05). In conclusion, prenatal BETA treatment affects HPA function and behavior in F(2) offspring. In F(2) BETA females, pituitary function appears to be primarily affected, whereas hippocampal glucocorticoid feedback systems appear altered in both F(2) BETA males and females. These data have clinical implication given the widespread use of repeat course glucocorticoid therapy in the management of preterm labour.
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