Ontogeny and regulation of corticosteroid binding globulin capacity in plasma of fetal and newborn lambs.

Abstract

The developmental pattern for plasma corticosteroid binding globulin (CBG) and unbound corticoids was studied in fetal and newborn sheep. CBG capacity in the fetus increased progressively from a value of 1.6 micrograms cortisol bound/dl plasma at 75 days gestation to 7.1 micrograms/dl at 141 days (n = 249), with a greater rate of increase after 120 days. By contrast total plasma proteins increased by about 50% during the third trimester. There was an accelerated increase in the concentration of both CBG and total proteins with labor, apparently reflecting hemoconcentration. The rate of increase in total plasma corticoids was similar to that for CBG capacity; however, corticoids began their major rise later in gestation (approximately 130 days). The concentration of unbound corticoids was 0.09 micrograms/dl at 115 days and did not increase until after 135 days, reaching a maximal level of 1.87 micrograms/dl on the day before spontaneous term delivery. After birth, CBG capacity decreased from a prepartum value of 11.4 micrograms/dl to 0.6 micrograms/dl at 14 days of age, whereas total plasma proteins were constant. Total and free corticoid levels also decreased postnatally, but at a slower rate than for CBG. The expected rise in fetal CBG capacity during the third trimester did not occur in hydranencephalic, stalk-sectioned, and hypophysectomized fetuses with loss of pituitary function. Under the conditions used, there was no precocious increase in CBG concentrations with infusion of hydrocortisone, PRL, or 17 beta-estradiol to intact fetuses, and infusion of ACTH to a hypophysectomized fetus did not affect the level of CBG. Thus, there is a marked increase in CBG capacity prenatally and a rapid decrease after birth. These changes in CBG may be responsible, at least in part, for the similar changes in total corticoid concentrations. We conclude that pituitary hormone(s) regulate CBG in the sheep fetus and speculate that this effect involves the placenta.