2019
DOI: 10.1515/hmbci-2019-0016
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The brain development of infants with intrauterine growth restriction: role of glucocorticoids

Abstract: Brain injury is a serious complication of intrauterine growth restriction (IUGR), but the exact mechanism remains unclear. While glucocorticoids (GCs) play an important role in intrauterine growth and development, GCs also have a damaging effect on microvascular endothelial cells. Moreover, intrauterine adverse environments lead to fetal growth restriction and the hypothalamus-pituitary-adrenal (HPA) axis resetting. In addition, chronic stress can cause a decrease in the number and volume of astrocytes in the … Show more

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Cited by 6 publications
(3 citation statements)
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“…Several explanations are possible. First, while gestational is considered as the primary independent variable for organ maturation of newborn infants, other variables, such as maternal, nutritional, and genetic factors, are also crucial [ 32 , 33 ]. These variables might also influence citrulline metabolism.…”
Section: Discussionmentioning
confidence: 99%
“…Several explanations are possible. First, while gestational is considered as the primary independent variable for organ maturation of newborn infants, other variables, such as maternal, nutritional, and genetic factors, are also crucial [ 32 , 33 ]. These variables might also influence citrulline metabolism.…”
Section: Discussionmentioning
confidence: 99%
“…Low birth weight and prenatal malnutrition are associated with neurodevelopmental disorders [19,20]; however, the exact mechanism is yet to be clarified. A previous study speculated that the adverse intrauterine environment leads to the hypothalamus-pituitaryadrenal axis resetting, and long-term stimulation of glucocorticoids damages the microvascular endothelial cells, resulting in nerve injury in infants with IUGR [21]. The scarcity of uterine resources restricts intrauterine growth, which has a detrimental effect on cognitive development in childhood.…”
Section: Discussionmentioning
confidence: 99%
“…The pituitary gland plays a significant role in the endocrine system by secreting hormones that regulate normal physiological functions of the body. Transcriptome profiling studies have implicated intrauterine adverse environments and the disruption of the hypothalamus–pituitary–adrenal (HPA) axis in the development of IUGR [ 14 ]. However, the underlying mechanisms associated with pituitary disfunction in IUGR piglet remain poorly understood.…”
Section: Introductionmentioning
confidence: 99%