Abstract

Fetal/perinatal hypoxia is one of the most common causes of perinatal morbidity and mortality and is frequently accompannied by vascular dysfunction. However, the mechanisms involved have not been fully delineated. We hypothesized that exposure to acute hypoxia‐reoxygenation induces alterations in vascular O2 sensing/signaling as well as in endothelial function in the chicken embryo pulmonary artery (PA), mesenteric artery (MA), femoral artery (FA), and ductus arteriosus (DA). Noninternally pipped 19‐day embryos were exposed to 10% O2 for 30 min followed by reoxygenation with 21% O2 or 80% O2. Another group was constantly maintained at 21% O2 or at 21% O2 for 30 min and then exposed to 80% O2. Following treatment, responses of isolated blood vessels to hypoxia as well as endothelium‐dependent (acetylcholine) and ‐independent (sodium nitroprusside and forskolin) relaxation were investigated in a wire myograph. Hypoxia increased venous blood lactate from 2.03 ± 0.18 to 15.98 ± 0.73 mmol/L (P < 0.001) and reduced hatchability to 0%. However, ex vivo hypoxic contraction of PA and MA, hypoxic relaxation of FA, and normoxic contraction of DA were not significantly different in any of the experimental groups. Relaxations induced by acetylcholine, sodium nitroprusside, and forskolin in PA, MA, FA, and DA rings were also similar in the four groups. In conclusion, exposure to acute hypoxia‐reoxygenation did not affect vascular oxygen sensing or reactivity in the chicken embryo. This suggests that direct effects of acute hypoxia‐reoxygenation on vascular function does not play a role in the pathophysiology of hypoxic cardiovascular injury in the perinatal period.

Highlights

  • Prenatal development takes place in an environment, that is, relatively hypoxic compared with the postnatal environment (Maltepe and Saugstad 2009)

  • In the 19-day chicken embryo, exposure to 10% O2 for 30 min induced a 7.5-fold increase in venous blood lactate and reduced further hatchability to 0%, indicating the presence of an acute, lethal insult

  • The fetal circulation is characterized by high pulmonary vascular resistance (PVR), low systemic vascular resistance, the presence of an additional low resistance vascular system, and right-to-left shunting via the foramen ovale and ductus arteriosus (DA) (Weir et al 2005; Gao and Raj 2010; Dzialowski et al 2011)

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Summary

Introduction

Prenatal development takes place in an environment, that is, relatively hypoxic compared with the postnatal environment (Maltepe and Saugstad 2009). Besides this physiological hypoxia, the fetus can be exposed to acute, intermittent, or chronic hypoxic challenges, which if severe can lead to injury or death Reoxygenation following exposure to hypoxia may exacerbate the hypoxic damage (Maltepe and Saugstad 2009; Vento et al 2012).

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