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J Physiol Volume 585, Number 3, 911-917, December 15, 2007 DOI: 10.1113/jphysiol.2007.141572
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INTEGRATIVE

The role of oxygen in prenatal growth: studies in the chick embryo

Dino A. Giussani1, Carlos E. Salinas2, Mercedes Villena2 and Carlos E. Blanco3

1 Department of Physiology Development and Neuroscience, University of Cambridge, Downing Street, Cambridge CB2 3EG, UK
2 Instituto Boliviano de Biología de Altura, Facultad de Medicina, Universidad Mayor de San Andrés, La Paz, Bolivia
3 Department of Pediatrics, Maastricht University, Maastricht, the Netherlands

The compelling evidence linking small size at birth with later cardiovascular disease has renewed and amplified scientific and clinical interests into the determinants of fetal growth. It is accepted that genes and nutrition control fetal growth; however, prior to this study, it had been impossible to isolate the effect of increases and decreases in fetal oxygenation on the regulation of prenatal growth. We investigated the role of oxygen in the control of fetal growth in the chicken because in contrast to mammals, the effects on the fetus of changes in oxygenation could be isolated, by assessing them directly without alteration to the maternal or placental physiology or maternal nutrition during development. The data show that incubation at high altitude of fertilized eggs laid by sea level hens markedly restricted fetal growth. Incubation at high altitude of fertilized eggs laid by high altitude hens also restricted fetal growth, but to a lesser extent compared to eggs laid by sea level hens. By contrast, incubation at sea level of fertilized eggs laid by high altitude hens not only restored, but enhanced, fetal growth relative to sea level controls. Incubation at high altitude of sea level eggs with oxygen supplementation completely prevented the high altitude-induced fetal growth restriction. Thus, fetal oxygenation, independent of maternal nutrition during development, has a predominant role in the control of fetal growth. Further, prolonged high altitude residence confers protection against the deleterious effects of hypoxia on fetal growth.

(Received 26 July 2007; accepted after revision 17 October 2007; first published online 25 October 2007)
Corresponding author D. A Giussani: Department of Physiology, Development and Neuroscience, University of Cambridge, Cambridge CB2 3EG, UK. Email: dag26{at}cam.ac.uk


This study is dedicated to the memory of Professor Dr Lieselotte Bauer de Barragán, previous Director of the Hospital San Gabriel, who dedicated most of her life to the welfare of the mother and newborn at high altitude. The study received The Pfizer Award at the 52nd Annual meeting of the Society for Gynecologic Investigation.




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A. R. Mehta and P. R. Mehta
The hypoxia of high altitude causes restricted fetal growth in chick embryos with the extent of this effect depending on maternal altitudinal status
J. Physiol., March 15, 2008; 586(6): 1469 - 1471.
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