Early postnatal moderate catch‑up growth in rats with nutritional intrauterine growth restriction preserves pulmonary

Lixia Ye1, Yajie Huang1, Kewei Chen1

  • 1Department of Neonatology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310052, P.R. China.

Insights

Moderate postnatal catch-up growth following intrauterine growth restriction (IUGR) improves cognitive function and cardiovascular health. Rapid catch-up growth in IUGR rats led to pulmonary vascular dysfunction, while delayed growth caused brain deficits.

Area of Science:

  • Developmental Biology
  • Cardiovascular Physiology
  • Neuroscience

Background:

  • Intrauterine growth restriction (IUGR) impacts long-term health, with different postnatal growth patterns leading to distinct outcomes.
  • Rapid catch-up growth is linked to adult pulmonary vascular dysfunction, while delayed growth causes cognitive deficits.

Purpose of the Study:

  • To investigate the effects of moderate, rapid, and delayed postnatal catch-up growth on cognitive function and pulmonary vascular health in an IUGR rat model.
  • To determine if moderate catch-up growth can mitigate adverse outcomes associated with IUGR.

Main Methods:

  • An IUGR rat model was created via maternal nutritional restriction.
  • Postnatal growth trajectories were manipulated by adjusting litter size.
  • Cognitive function was assessed using the Y-maze test.
  • Hemodynamic measurements evaluated mean pulmonary arterial pressure (mPAP).
  • Pulmonary artery smooth muscle cells (PASMCs) and pulmonary vascular endothelial cells (PVECs) were analyzed in vitro.

Main Results:

  • Delayed growth in IUGR rats resulted in memory deficits linked to reduced hippocampal neural stem cell proliferation.
  • Moderate catch-up growth improved memory function and maintained normal mPAP.
  • Rapid catch-up growth in IUGR rats led to improved memory but elevated mPAP and pulmonary vascular remodeling.
  • Excessive PASMC proliferation, migration, and anti-apoptotic activity, along with increased PVEC proliferation, were observed in the rapid catch-up group.

Conclusions:

  • Moderate catch-up growth represents an optimal strategy for achieving better cognitive and cardiovascular health in adulthood after IUGR.
  • Rapid catch-up growth exacerbates pulmonary vascular dysfunction, whereas delayed growth impairs cognitive function.

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