Uteroplacental insufficiency decreases leptin expression and impairs lung development in growth-restricted newborn

Merryl Esther Yuliana1, Hsiu-Chu Chou2, Emily Chia-Yu Su3,4

  • 1International PhD Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.

Pediatric Research
|December 4, 2023
PubMed

Insights

Uteroplacental insufficiency (UPI) in rats caused intrauterine growth restriction (IUGR), leading to reduced leptin and impaired lung development. Leptin supplementation may aid lung development in IUGR neonates.

Area of Science:

  • Reproductive Biology
  • Neonatal Physiology
  • Developmental Biology

Background:

  • Uteroplacental insufficiency (UPI) is a primary cause of intrauterine growth restriction (IUGR) in neonates.
  • Leptin plays a crucial role in fetal development and lung maturation.
  • The impact of UPI-induced IUGR on leptin expression and lung development requires further investigation.

Purpose of the Study:

  • To investigate the effects of UPI-induced IUGR on leptin expression and lung development in neonatal rats.
  • To determine the relationship between leptin levels and lung development parameters in IUGR offspring.

Main Methods:

  • Time-dated Sprague-Dawley rats underwent either UPI surgery (IUGR group) or sham surgery (control group).
  • Offspring were assessed on postnatal days 0 and 7 for serum leptin, lung leptin, and leptin receptor levels.
  • Lung tissue underwent immunohistochemistry, PCNA, western blot, and metabolomic analyses to evaluate development.

Main Results:

  • UPI-induced IUGR significantly decreased serum leptin, lung leptin, and leptin receptor levels.
  • IUGR offspring exhibited impaired lung development, characterized by reduced surface area, volume, and alveolarization.
  • Significant correlations were observed between serum leptin, lung development markers, and specific metabolites in the IUGR group.

Conclusions:

  • Leptin expression is reduced in neonatal rats with UPI-induced IUGR, correlating with impaired lung development.
  • Leptin may play a critical role in promoting lung development during the postnatal period in IUGR neonates.
  • Leptin supplementation presents a potential therapeutic strategy for improving lung development in IUGR infants.
Abstract

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