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Publication : A genetically small fetus impairs placental adaptations near term.

First Author  Sandovici I Year  2024
Journal  Dis Model Mech Volume  17
Issue  8 PubMed ID  39207227
Mgi Jnum  J:354207 Mgi Id  MGI:7731065
Doi  10.1242/dmm.050719 Citation  Sandovici I, et al. (2024) A genetically small fetus impairs placental adaptations near term. Dis Model Mech 17(8)
abstractText  The placenta is a gatekeeper between the mother and fetus, adapting its structure and functions to support optimal fetal growth. Studies exploring adaptations of placentae that support the development of genetically small fetuses are lacking. Here, using a mouse model of impaired fetal growth, achieved by deleting insulin-like growth factor 2 (Igf2) in the epiblast, we assessed placental nutrient transfer and umbilical artery (UA) blood flow during late gestation. At embryonic day (E) 15.5, we observed a decline in the trans-placental flux of glucose and system A amino acids (by using 3H-MeG and 14C-MeAIB), proportionate to the diminished fetal size, whereas UA blood flow was normal. However, at E18.5, the trans-placental flux of both tracers was disproportionately decreased and accompanied by blunted UA blood flow. Feto-placental growth and nutrient transfer were more impaired in female conceptuses. Thus, reducing the fetal genetic demand for growth impairs the adaptations in placental blood flow and nutrient transport that normally support the fast fetal growth during late gestation. These findings have important implications for our understanding of the pathophysiology of pregnancies afflicted by fetal growth restriction.
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