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A Translational Model of Incomplete Catch-Up Growth: Early-Life Hypoxia and the Effect of Physical Activity
Shlomit Radom-Aizik1, Frank P Zaldivar1, Dwight M Nance1
1Pediatric Exercise and Genomics Research Center (PERC), Departments of Pediatrics, University of California, Irvine, California, USA.
Insights
Neonatal hypoxia in rats shows that recovery depends on severity. Mild hypoxia (HY12) allowed full catch-up growth, while severe hypoxia (HY10) did not, highlighting factors preventing complete recovery.
Area of Science:
- Physiology
- Developmental Biology
- Neonatal Research
Background:
- Therapeutic advances have improved survival rates for high-risk children, including premature infants and those with congenital heart disease.
- While catch-up growth is observed, many children do not achieve their full adult phenotype.
- A translational animal model is needed to study catch-up growth mechanisms in specific tissues over time.
Purpose of the Study:
- To investigate the impact of postnatal hypoxia on growth in a rat model.
- To determine if varying levels of hypoxia affect catch-up growth.
- To identify factors critical for successful catch-up growth following neonatal insults.
Main Methods:
- Rats were exposed to different levels of postnatal hypoxia (12% O2 [HY12] or 10% O2 [HY10]) or room air.
- Subgroups experienced access to running wheels post-hypoxia.
- Growth parameters were monitored to assess recovery and compensation.
Main Results:
- Growth was fully compensated in adult rats exposed to mild hypoxia (HY12).
- Severe hypoxia (HY10) did not result in full growth compensation in adult rats.
- Neonatal hypoxia serves as a model to study mechanisms of catch-up growth.
Conclusions:
- Neonatal hypoxia can be a valuable model for understanding catch-up growth.
- The severity of neonatal hypoxia is a critical factor determining the success of catch-up growth.
- Identifying factors that prevent successful catch-up growth is crucial for clinical applications.
Abstract:
Advances in therapies have led to prolonged survival from many previously lethal health threats in children, notably among prematurely born babies and those with congenital heart disease. Evidence for catch-up growth is common in these children, but in many cases the adult phenotype is never achieved. A translational animal model is required in which specific tissues can be studied over a reasonable time interval. We investigated the impact of postnatal hypoxia (HY) (12%O2 (HY12) or 10% O2 (HY10)) on growth in rats relative to animals raised in room air. Subgroups had access to running wheels following the HY period. Growth was fully compensated in adult HY12 rats but not HY10 rats. The results of this study indicate that neonatal hypoxia can be a useful model for the elucidation of mechanisms that mediate successful catch-up growth following neonatal insults and identify the critical factors that prevent successful catch-up growth.
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