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<title>Excess hydrocortisone hampers placental nutrient uptake disrupting cellular metabolism</title>
<creator>Mateos, Rosa María .</creator>
<creator>Jiménez, Gema .</creator>
<creator>Álvarez Gil, Carmen .</creator>
<creator>Visiedo, Francisco .</creator>
<creator>Rivera Rodríguez, Fátima .</creator>
<creator>Santos Rosendo, Celeste .</creator>
<creator>Rodríguez Pareja, Antonia .</creator>
<creator>Perdomo Hernández, Germán M.</creator>
<creator>Lechuga Sancho, Alfonso .</creator>
<description>Low birth weight increases neonatal morbidity and mortality, and surviving infants have increased risk of metabolic and&#xd;
cardiovascular disturbances later in life, as well as other neurological, psychiatric, and immune complications. A gestational&#xd;
excess of glucocorticoids (GCs) is a well-known cause for fetal growth retardation, but the biological basis for this association&#xd;
remains elusive. Placental growth is closely related to fetal growth. The placenta is the main regulator of nutrient transport to&#xd;
the fetus, resulting from the difference between placental nutrient uptake and the placenta’s own metabolism. The aim of this&#xd;
study was to analyze how excess hydrocortisone affects placental glucose and lipid metabolism. Human placenta explants from&#xd;
term physiological pregnancies were cultured for 18 hours under different hydrocortisone concentrations (2.75, 5.5, and 55mM;&#xd;
1, 2, and 20mg/ml). Placental glucose and lipid uptake and the metabolic partitioning of fatty acids were quantified by isotopic&#xd;
techniques, and expression of specific glucose transporterGLUT1was quantified bywestern blot.Cell viabilitywas assessed byMTT,&#xd;
immunohistochemistry and caspase activity. We found that excess hydrocortisone impairs glucose uptake and lipoprotein lipase&#xd;
(LPL) activity, coincident with a GC-dose dependent inhibition of fatty acid oxidation and esterification. None of the experimental&#xd;
conditions showed an increased cell death. In conclusion, our results show that GC overexposure exerts a dysfunctional effect on&#xd;
lipid transport and metabolism and glucose uptake in human placental explants. These findings could well be directly related to&#xd;
a reduced placental growth and possibly to a reduced supply of nutrients to the fetus and the consequent fetal growth retardation&#xd;
and metabolic programming.</description>
<date>2018-10-22</date>
<date>2018-10-22</date>
<date>2018</date>
<type>info:eu-repo/semantics/article</type>
<identifier>2314-6133</identifier>
<identifier>http://hdl.handle.net/10259/4974</identifier>
<identifier>10.1155/2018/5106174</identifier>
<language>eng</language>
<relation>BioMed research international. 2018, V. 2018, Article ID 5106174, 11 pages</relation>
<relation>https://doi.org/10.1155/2018/5106174</relation>
<rights>http://creativecommons.org/licenses/by/4.0/</rights>
<rights>info:eu-repo/semantics/openAccess</rights>
<rights>Attribution 4.0 International</rights>
<publisher>Hindawi Publishing Corporation</publisher>
</thesis></metadata></record></GetRecord></OAI-PMH>