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<mods:namePart>Mateos, Rosa María .</mods:namePart>
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<mods:namePart>Jiménez, Gema .</mods:namePart>
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<mods:namePart>Álvarez Gil, Carmen .</mods:namePart>
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<mods:namePart>Visiedo, Francisco .</mods:namePart>
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<mods:namePart>Rivera Rodríguez, Fátima .</mods:namePart>
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<mods:namePart>Santos Rosendo, Celeste .</mods:namePart>
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<mods:namePart>Rodríguez Pareja, Antonia .</mods:namePart>
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<mods:namePart>Perdomo Hernández, Germán M.</mods:namePart>
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<mods:namePart>Lechuga Sancho, Alfonso .</mods:namePart>
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<mods:dateAccessioned encoding="iso8601">2018-10-22T11:35:32Z</mods:dateAccessioned>
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<mods:dateAvailable encoding="iso8601">2018-10-22T11:35:32Z</mods:dateAvailable>
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<mods:dateIssued encoding="iso8601">2018</mods:dateIssued>
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<mods:identifier type="issn">2314-6133</mods:identifier>
<mods:identifier type="uri">http://hdl.handle.net/10259/4974</mods:identifier>
<mods:identifier type="doi">10.1155/2018/5106174</mods:identifier>
<mods:abstract>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.</mods:abstract>
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<mods:title>Excess hydrocortisone hampers placental nutrient uptake disrupting cellular metabolism</mods:title>
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