2009
DOI: 10.1152/ajpregu.00175.2009
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Sex-specific alterations in placental 11β-hydroxysteroid dehydrogenase 2 activity and early postnatal clinical course following antenatal betamethasone

Abstract: Stark MJ, Wright IMR, Clifton VL. Sex-specific alterations in placental 11␤-hydroxysteroid dehydrogenase 2 activity and early postnatal clinical course following antenatal betamethasone.

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Cited by 144 publications
(106 citation statements)
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“…This hypocortisolic fetal milieu seems crucial for fetal HPA axis maturation and regulation of steroidogenesis (43). Placental 11β-HSD2 is more active in females (44) and is sensitive to maternal stress, which causes a greater transfer of glucocorticoids from mother to fetus. A reduction in placental levels of 11β-HSD2 occurs during late gestation, allowing an increased transfer of maternal glucocorticoids to the fetus and exacerbation of the effects of maternal stress on the fetus (45,46).…”
Section: Discussionmentioning
confidence: 99%
“…This hypocortisolic fetal milieu seems crucial for fetal HPA axis maturation and regulation of steroidogenesis (43). Placental 11β-HSD2 is more active in females (44) and is sensitive to maternal stress, which causes a greater transfer of glucocorticoids from mother to fetus. A reduction in placental levels of 11β-HSD2 occurs during late gestation, allowing an increased transfer of maternal glucocorticoids to the fetus and exacerbation of the effects of maternal stress on the fetus (45,46).…”
Section: Discussionmentioning
confidence: 99%
“…These differences might be due to a higher placental transfer of maternal glucocorticoids in males, as observed in rodents (Montano et al, 1991). In pigs (Klemcke and Christenson, 1996), sheep (Braun et al, 2009) and humans (Stark et al, 2009), female placentae seem to have a greater ability to increase their 11b-HSD2 activity or expression in response to physiological stressors than male placentae.…”
Section: Effect Of Maternal Stress During Gestation On the Biology Ofmentioning
confidence: 98%
“…In preterm babies, whose mothers received antenatal betamethasone, the activity of placental 11 HSD2 (predominant component of the glucocorticoid barrier) was reduced in placentas of male fetuses only [104]. This reduction in 11 HSD2 activity would be expected to compound the already increased exposure of the male fetus to cortisol brought about by the decreased term 11 HSD2 activity within male placentas during a normal pregnancy [76].…”
Section: Sex-specific Effects Of Excess Glucocorticoids On the Placenmentioning
confidence: 99%
“…This may further compound the reduced immune function in male fetuses, thus increasing their susceptibility to disease. Further, glucocorticoids are important for fetal adrenal development [104]. Male preterm babies exposed to excess glucocorticoids in utero, have less adrenal activity than female preterm babies exposed to similar levels of glucocorticoids [104], which may explain the increased risk of morbidity and mortality of preterm male babies.…”
Section: Sex-specific Effects Of Excess Glucocorticoids On the Placenmentioning
confidence: 99%
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