Neonatal hypoxia is a serious condition that leads to spontaneous hypothermia and an increase in plasma corticosteroids. We hypothesized that maintenance of isothermia during acute hypoxia augments the adrenocortical and metabolic stress response. Hypoxia (8% O2) was induced for 3 h in postnatal day (PD) 2 and PD8 rats; either spontaneous severe hypothermia was allowed or isothermia was maintained with external heat. Hypothermic hypoxia caused an increase in plasma corticosterone in PD2 and PD8 pups; this response was augmented by isothermia. In PD2 rats, the corticosterone response was ACTH-independent. In PD8 rats, plasma ACTH increased in response to hypoxia and was augmented with isothermia. Plasma glucose was not changed in PD2 rats; in PD8 rats, hypothermic hypoxia induced an increase in plasma glucose and insulin, whereas isothermic hypoxia induced a decrease in plasma glucose and insulin. Adrenal and metabolic responses to hypoxia change with neonatal age and body temperature. Maintenance of isothermia augments the adrenocortical response to hypoxia and leads to low blood glucose in PD8 rats. It may be prudent to allow hypothermia during episodes of acute hypoxia in the neonate.
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