Evidence map›Paper›PMID 29077038›Full record

ArticleInternational journal of molecular sciences2017

Effects of Late Gestational Fetal Exposure to Dexamethasone Administration on the Postnatal Hypothalamus-Pituitary-Adrenal Axis Response to Hypoglycemia in Pigs.

René Schiffner, Guadalupe L Rodríguez-González, Florian Rakers, Marius Nistor, Peter W Nathanielsz, Teodora Daneva, Matthias Schwab, Thomas Lehmann, Martin Schmidt

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Role of the Hypothalamic-Pituitary-Adrenal Axis in Health and Disease.International journal of molecular sciences · 2018
    Article
  5. Article
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.

René SchiffnerDepartment of Neurology, Jena University Hospital-Friedrich Schiller University, 07747 Jena, Germany. rene.schiffner@med.uni-jena.de.
Guadalupe L Rodríguez-GonzálezReproductive Biology, National Institute of Medical Science and Nutrition, 14000 Mexico City, Mexico. letyrodgon@hotmail.com.
Florian RakersDepartment of Neurology, Jena University Hospital-Friedrich Schiller University, 07747 Jena, Germany. Florian.Rakers@med.uni-jena.de.
Marius NistorDepartment of Neurology, Jena University Hospital-Friedrich Schiller University, 07747 Jena, Germany. vorenus@web.de.ORCID 0000-0003-4733-8503
Peter W NathanielszDepartment of Animal Science, University of Wyoming, Laramie, 82071 WY, USA. Peter.Nathanielsz@uwyo.edu.
Teodora DanevaInstitute of Biology and Immunology of Reproduction, Bulgarian Academy of Sciences, 1113 Sofia, Bulgaria. danevadoki@abv.bg.ORCID 0000-0003-1701-6984
Matthias SchwabDepartment of Neurology, Jena University Hospital-Friedrich Schiller University, 07747 Jena, Germany. Matthias.Schwab@med.uni-jena.de.
Thomas LehmannInstitute of Medical Statistics, Computer Sciences and Documentation Science, Jena University Hospital-Friedrich Schiller University, 07743 Jena, Germany. Thomas.Lehmann@med.uni-jena.de.
Martin SchmidtInstitute for Biochemistry II, Jena University Hospital-Friedrich Schiller University, 07743 Jena, Germany. Martin.Schmidt@med.uni-jena.de.ORCID 0000-0003-3578-4338

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrenatal glucocorticoid administration alters the activity of the fetal hypothalamic-pituitary-adrenocortical axis (HPAA), and correspondingly the adenocorticotropic hormone (ACTH) and cortisol levels after birth. The dosages required for these effects are critically discussed. Activation of the HPAA is related to metabolic syndrome and diabetes mellitus. Hypoglycemia is the classic side effect of antidiabetic treatment. We hypothesized that a low dosage of dexamethasone in late pregnancy alters the HPAA response to hypoglycemia in pigs.

methods12 pregnant sows were randomly assigned to two groups which received either a low-dose intramuscular injection (99th and 100th day of gestation) of dexamethasone (0.06 μg/kg body weight) or vehicle. Three months after birth, 18 dexamethasone-treated anaesthetized offspring and 12 control offspring underwent a 75 min hypoglycemic clamp (blood glucose below 4 mmol/L) procedure. Heart rate (HR), blood pressure, ACTH and cortisol levels and body weight (at birth and after three months) were recorded.

resultsDexamethasone-treated animals exhibited significantly elevated ACTH (139.9 ± 12.7 pg/mL) and cortisol (483.1 ± 30.3 nmol/L) levels during hypoglycemia as compared to the control group (41.7 ± 6.5 pg/mL and 257.9 ± 26.7 nmol/L, respectively), as well as an elevated HR (205.5 ± 5.7 bpm) and blood pressure (systolic: 128.6 ± 1.5, diastolic: 85.7 ± 0.7 mmHg) response as compared to the control group (153.2 ± 4.5 bpm; systolic: 118.6 ± 1.6, diastolic: 79.5 ± 1.4 mmHg, respectively;

conclusionsLow-dose prenatal administration of dexamethasone not only exerts effects on the HPAA (ACTH and cortisol concentration) and vital parameters (HR and diastolic blood pressure) under baseline conditions, but also on ACTH, HR and systolic blood pressure during hypoglycemia.

Indexed as

Maternal ExposurePrenatal Exposure Delayed EffectsAnimalsBlood GlucoseDexamethasoneFemaleHydrocortisoneHypoglycemiaHypothalamo-Hypophyseal SystemPituitary-Adrenal SystemPregnancyStress, PhysiologicalSwineBlood GlucoseDexamethasoneHydrocortisoneACTHcortisolHPA axishypoglycemiastress response

Identifiers

PMID29077038
PMCPMC5713211

What OpenQuestion holds

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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.