Disturbances in Maternal Steroidogenesis and Appearance of Intrauterine Growth Retardation at High-Altitude Environments Are Established from Early Pregnancy. Effects of Treatment with Antioxidant Vitamins

PLoS One. 2015 Nov 11;10(11):e0140902. doi: 10.1371/journal.pone.0140902. eCollection 2015.

Abstract

Pregnancies at high-altitudes are influenced by hypoxia and oxidative stress and frequently affected by IUGR. However, a common thought is that early pregnant women visiting altitude have no major complications for gestation development, since IUGR is developed during the second half of pregnancy. Thus, using a well-characterized sheep-model, we aimed to determine whether long- and/or short-term exposure to high-altitude may affect maternal steroidogenesis and therefore embryo-fetal growth from conception. The second aim was to differentiate the relative role of hypoxia and oxidative stress by assessing the effects of supplementation with antioxidant agents during this early-pregnancy stage, which were previously found to be useful to prevent IUGR. The results indicate that both long- and short-term exposure to high-altitude causes disturbances in maternal ovarian steroidogenesis and negatively affects embryo-fetal growth already during the very early stages of gestation, with the consequences being even worsened in newcomers to high-altitude. The supply of antioxidant during this period only showed discrete effects for preventing IUGR. In conclusion, the present study gives a warning for clinicians about the risks for early-pregnant women when visiting high-altitude regions and suggests the need for further studies on the effects of the length of exposure and on the interaction of the exposure with the pregnancy stage.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Altitude*
  • Animals
  • Antioxidants / administration & dosage*
  • Disease Models, Animal*
  • Estradiol / biosynthesis*
  • Estradiol / blood
  • Female
  • Fetal Growth Retardation / etiology*
  • Fetal Growth Retardation / prevention & control
  • Hypoxia
  • Oxidative Stress
  • Pregnancy
  • Pregnancy Trimester, First
  • Progesterone / biosynthesis*
  • Progesterone / blood
  • Sheep
  • Vitamins / administration & dosage*

Substances

  • Antioxidants
  • Vitamins
  • Progesterone
  • Estradiol

Grants and funding

The experimental work was supported by grant FONDECYT 1100189 from CONICYT, Chile and the Spanish Agency for International Cooperation and Development (AECID; Technical Cooperation Projects A/023494/09 and A/030536/10). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.