Influence of antenatal glucocorticoid on preterm lamb diaphragm

BackgroundPregnant women at a high risk of preterm delivery receive glucocorticoids to accelerate fetal lung maturation and surfactant synthesis. However, the effect of antenatal steroids on the developing diaphragm remains unclear. We hypothesized that maternal betamethasone impairs the fetal diaph...

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Main Authors: Mahzabin, T., Pillow, J., Pinniger, G., Bakker, A., Noble, P., White, R., Karisnan, K., Song, Yong
Format: Journal Article
Published: Wolters Kluwer Health 2017
Online Access:http://hdl.handle.net/20.500.11937/72847
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author Mahzabin, T.
Pillow, J.
Pinniger, G.
Bakker, A.
Noble, P.
White, R.
Karisnan, K.
Song, Yong
author_facet Mahzabin, T.
Pillow, J.
Pinniger, G.
Bakker, A.
Noble, P.
White, R.
Karisnan, K.
Song, Yong
author_sort Mahzabin, T.
building Curtin Institutional Repository
collection Online Access
description BackgroundPregnant women at a high risk of preterm delivery receive glucocorticoids to accelerate fetal lung maturation and surfactant synthesis. However, the effect of antenatal steroids on the developing diaphragm remains unclear. We hypothesized that maternal betamethasone impairs the fetal diaphragm, and the magnitude of the detrimental effect increases with longer duration of exposure. We aimed to determine how different durations of fetal exposure to maternal betamethasone treatment influence the fetal diaphragm at the functional and molecular levels.MethodsDate-mated merino ewes received intramuscular injections of saline (control) or two doses of betamethasone (5.7 mg) at an interval of 24 h commencing either 2 or 14 days before delivery. Preterm lambs were killed after cesarean delivery at 121-day gestational age. In vitro contractile measurements were performed on the right hemidiaphragm, whereas molecular/cellular analyses used the left costal diaphragm.ResultsDifferent durations of fetal exposure to maternal betamethasone had no consistent effect on the protein metabolic pathway, expression of glucocorticoid receptor and its target genes, cellular oxidative status, or contractile properties of the fetal lamb diaphragm.ConclusionThese data suggest that the potential benefits of betamethasone exposure on preterm respiratory function are not compromised by impaired diaphragm function after low-dose maternal intramuscular glucocorticoid exposure.
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spelling curtin-20.500.11937-728472018-12-13T09:35:13Z Influence of antenatal glucocorticoid on preterm lamb diaphragm Mahzabin, T. Pillow, J. Pinniger, G. Bakker, A. Noble, P. White, R. Karisnan, K. Song, Yong BackgroundPregnant women at a high risk of preterm delivery receive glucocorticoids to accelerate fetal lung maturation and surfactant synthesis. However, the effect of antenatal steroids on the developing diaphragm remains unclear. We hypothesized that maternal betamethasone impairs the fetal diaphragm, and the magnitude of the detrimental effect increases with longer duration of exposure. We aimed to determine how different durations of fetal exposure to maternal betamethasone treatment influence the fetal diaphragm at the functional and molecular levels.MethodsDate-mated merino ewes received intramuscular injections of saline (control) or two doses of betamethasone (5.7 mg) at an interval of 24 h commencing either 2 or 14 days before delivery. Preterm lambs were killed after cesarean delivery at 121-day gestational age. In vitro contractile measurements were performed on the right hemidiaphragm, whereas molecular/cellular analyses used the left costal diaphragm.ResultsDifferent durations of fetal exposure to maternal betamethasone had no consistent effect on the protein metabolic pathway, expression of glucocorticoid receptor and its target genes, cellular oxidative status, or contractile properties of the fetal lamb diaphragm.ConclusionThese data suggest that the potential benefits of betamethasone exposure on preterm respiratory function are not compromised by impaired diaphragm function after low-dose maternal intramuscular glucocorticoid exposure. 2017 Journal Article http://hdl.handle.net/20.500.11937/72847 10.1038/pr.2017.99 Wolters Kluwer Health restricted
spellingShingle Mahzabin, T.
Pillow, J.
Pinniger, G.
Bakker, A.
Noble, P.
White, R.
Karisnan, K.
Song, Yong
Influence of antenatal glucocorticoid on preterm lamb diaphragm
title Influence of antenatal glucocorticoid on preterm lamb diaphragm
title_full Influence of antenatal glucocorticoid on preterm lamb diaphragm
title_fullStr Influence of antenatal glucocorticoid on preterm lamb diaphragm
title_full_unstemmed Influence of antenatal glucocorticoid on preterm lamb diaphragm
title_short Influence of antenatal glucocorticoid on preterm lamb diaphragm
title_sort influence of antenatal glucocorticoid on preterm lamb diaphragm
url http://hdl.handle.net/20.500.11937/72847