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The development and regeneration of the adrenal glands were examined by stereological and morphological methods in 20-day-old fetal, as well as 3-day- and 14-day-old neonatal male rats born to dams treated with dexamethasone (Dx) on day 16 of gestation. In the fetuses and 3-day-old rats, zona fasciculata (ZF) and zona reticularis (ZR) were analyzed as one inner zone (IZ), while in 14-day-old animals they were analyzed separately. Single Dx treatment (1.5 mg/kg b.w.) of the dams led to atrophic changes in the adrenal cortex of the fetuses. These changes were visible to a certain degree up to the 14th neonatal day. Administration of Dx to pregnant rats induced a significant decrease of both adrenal weight and volume, as well as the volume of zona glomerulosa + capsule (ZG + C) and IZ, both in fetuses and 3-day-old rats. This was due to a decrease in the number but not the volume of cortical cells. Also, necrotic cortical cells, infiltrations and resorption zones accompanied by the presence of macrophages, giant cells and lymphocytes were observed. In 14-day-old animals, the degree of atrophic changes in the adrenal cortex was reduced. Changes were observed only in ZR which was decreased in volume resulting from both a significant decrease of the volume and number of cortical cells. Then number of macrophages was somewhat increased, while giant cells were not present. However, the total number of parenchyma cells in ZG was increased, pointing to the possibility of renewal of cortical cells within this zone. The results of the present study demonstrate that even a single Dx dose given to pregnant rat during the period critical for the development of the hypothalamo-pituitary-adrenal system in the fetuses leads to marked changes in the structure and function of the fetal adrenal glands which are partially maintained up to the 14th day of postnatal life.

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The aim of these examinations was to determine the influence of dexamethasone (Dx)-treatment of gravid females, on day 16 of gestation on the development of medullary chromaffin tissue of their fetuses and neonatal offspring. In conducting these investigations we used stereological as well as spectrofluorimetric measurements, in 20-day-old fetuses and 1-, 3-, 5-, 7-, 9-, 11-, 13- and 14-day-old neonatal rats. Single Dx-treatment (1.5 mg/kg bw) of the dams led to a significant decrease in body and adrenal weight of their fetuses and neonatal offspring, and also reduction of the medullary volume and the number of chromaffin cells during the entire period examined as a result of decreased cell proliferation in the fetal and early neonatal period (till the 5th day of age). The proliferative activity of the chromaffin cells was evaluated through the mitotic index after applying the cytostatic vincristine-sulphate. During the second neonatal week the mitotic index showed significantly higher values in comparison with the corresponding controls, which indicates that there is regeneration and recovery of the adrenal gland medulla. Adrenaline content in the adrenal gland tissue of offspring of Dx-treated dams was significantly reduced only on the 1st neonatal day. Thus, the change in blood glucocorticoid level of pregnant females after a single Dx injection during the period critical for development of the hypothalamo-pituitary-adrenal system in fetuses affects the development and kinetics of medullar chromaffin cell division.

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