Evidence map›Paper›PMID 19342452›Full record

ArticleEndocrinology2009

Intrauterine growth restriction increases fetal hepatic gluconeogenic capacity and reduces messenger ribonucleic acid translation initiation and nutrient sensing in fetal liver and skeletal muscle.

Stephanie R Thorn, Timothy R H Regnault, Laura D Brown, Paul J Rozance, Jane Keng, Michael Roper, Randall B Wilkening, William W Hay, Jacob E Friedman

Open access · bronzeAbstract read
In one paragraph

Article in Endocrinology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed
5.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

105 citing papers in PubMed, 157 citations in OpenAlex.

  1. Article
  2. Article
  3. Fetal nutrient flux and oxidative metabolism during hypoxia: adaptive responses to defend fetal growth.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Article
  4. Article
  5. Review
  6. Review
  7. PlacentaAmerican journal of physiology. Endocrinology and metabolism · 2025
    Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

45 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Stephanie R ThornDepartment of Pediatrics, University of Colorado Denver, Aurora, Colorado 80045, USA.
Timothy R H Regnault
Laura D Brown
Paul J Rozance
Jane Keng
Michael Roper
Randall B Wilkening
William W Hay
Jacob E Friedman
University of Colorado Denver · US

Funding

Fetoplacental amino acid metabolism in IUGR pregnanciesR01HD041505 · NICHD · UNIVERSITY OF COLORADO DENVER · PI WILKENING, RANDALL B · 2002 to 2006
$1.9M
FETAL GLUCOSE AND AMINO ACID DEPRIVATIONR01DK052138 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI HAY, WILLIAM W · 1997 to 2005
$1.9M
NICHD NIH HHS R01 HD041505NIDDK NIH HHS R01 DK052138
6 · The paper itself

Abstract

Expression of key metabolic genes and proteins involved in mRNA translation, energy sensing, and glucose metabolism in liver and skeletal muscle were investigated in a late-gestation fetal sheep model of placental insufficiency intrauterine growth restriction (PI-IUGR). PI-IUGR fetuses weighed 55% less; had reduced oxygen, glucose, isoleucine, insulin, and IGF-I levels; and had 40% reduction in net branched chain amino acid uptake. In PI-IUGR skeletal muscle, levels of insulin receptor were increased 80%, whereas phosphoinositide-3 kinase (p85) and protein kinase B (AKT2) were reduced by 40%. Expression of eukaryotic initiation factor-4e was reduced 45% in liver, suggesting a unique mechanism limiting translation initiation in PI-IUGR liver. There was either no change (AMP activated kinase, mammalian target of rapamycin) or a paradoxical decrease (protein phosphatase 2A, eukaryotic initiation factor-2 alpha) in activation of major energy and cell stress sensors in PI-IUGR liver and skeletal muscle. A 13- to 20-fold increase in phosphoenolpyruvate carboxykinase and glucose 6 phosphatase mRNA expression in the PI-IUGR liver was-associated with a 3-fold increase in peroxisome proliferator-activated receptor-gamma coactivator-1 alpha mRNA and increased phosphorylation of cAMP response element binding protein. Thus PI-IUGR is-associated with reduced branched chain amino acid uptake and growth factors, yet up-regulation of proximal insulin signaling and a marked increase in the gluconeogenic pathway. Lack of activation of several energy and stress sensors in fetal liver and skeletal muscle, despite hypoxia and low energy status, suggests a novel strategy for survival in the PI-IUGR fetus but with potential maladaptive consequences for reduced nutrient sensing and insulin sensitivity in postnatal life.

Indexed as

Adenylate KinaseAmino Acids, Branched-ChainAnimalsFemaleFetal Growth RetardationFetusGluconeogenesisGlucoseInsulinLiverMuscle, SkeletalPeptide Chain Initiation, TranslationalPhosphoenolpyruvate Carboxykinase (GTP)Placental InsufficiencyPregnancyRNA, MessengerAdenylate KinaseAmino Acids, Branched-ChainGlucoseInsulinPhosphoenolpyruvate Carboxykinase (GTP)RNA, Messenger

Identifiers

PMID19342452
PMCPMC2703533
OpenAlexW2011333882

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.