Evidence for microvascular dysfunction after prenatal dexamethasone at 0.7, 0.75, and 0.8 gestation in sheep

Am J Physiol Regul Integr Comp Physiol. 2002 Sep;283(3):R561-7. doi: 10.1152/ajpregu.00031.2002.

Abstract

Dexamethasone (DM) was administered to pregnant ewes as three weekly courses of four injections of 2 mg at 12-h intervals. DM (n = 7) or saline (n = 7) was given starting at 103 days of gestation (dGA; term approximately 149 days). Fetal femoral arteries (approximately 300-microm internal diameter) were evaluated using wire myography at 119 dGA. DM-exposed fetuses were significantly smaller than saline-exposed fetuses. DM exposure increased maximal contraction to 125 mM KCl, and maximum tension developed along with sensitivity to endothelin-1 and relaxation to bradykinin. Preincubation with the nitric oxide synthase inhibitor N(G)-nitro-L-arginine methyl ester shifted the dose-response curves to endothelin-1 and acetylcholine to the right in controls but not in the DM-exposed group. Relaxation to acetylcholine and to the nitric oxide donor sodium nitroprusside was similar in both groups. The combination of enhanced endothelin-induced vasoconstriction, abnormal endothelium-dependent relaxation, and normal endothelium-independent relaxation indicates microvessel dysfunction following antenatal DM administration. Because such dysfunction is associated with several forms of adult hypertension, our results indicate the potential for consequences of antenatal glucocorticoid exposure on adult cardiovascular health.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acetylcholine / pharmacology
  • Animals
  • Anti-Inflammatory Agents / pharmacology*
  • Body Weight / drug effects
  • Bradykinin / pharmacology
  • Dexamethasone / pharmacology*
  • Endothelium, Vascular / drug effects
  • Enzyme Inhibitors / pharmacology
  • Female
  • Femoral Artery / drug effects
  • Femoral Artery / embryology
  • Microcirculation / drug effects*
  • Microcirculation / embryology
  • Muscle, Skeletal / blood supply*
  • NG-Nitroarginine Methyl Ester / pharmacology
  • Nitroprusside / pharmacology
  • Pregnancy
  • Prenatal Exposure Delayed Effects*
  • Sheep
  • Vascular Resistance / drug effects
  • Vasoconstriction / drug effects
  • Vasodilation / drug effects
  • Vasodilator Agents / pharmacology

Substances

  • Anti-Inflammatory Agents
  • Enzyme Inhibitors
  • Vasodilator Agents
  • Nitroprusside
  • Dexamethasone
  • Acetylcholine
  • Bradykinin
  • NG-Nitroarginine Methyl Ester