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1 Center for Perinatal Biology, Department of Physiology and Pharmacology, Loma Linda University School of Medicine, Loma Linda, CA, USA
* To whom correspondence should be addressed. E-mail: lzhang{at}som.llu.edu.
Fetal programming has profound effects on cardiovascular function in later adult life. We tested the hypothesis that chronic hypoxic exposure during fetal development down-regulates endogenous cardioprotective mechanisms in adult rats. Time-dated pregnant rats were divided between normoxic and hypoxic (10.5% O2 from day 15 to 21 of gestation) groups. The male progeny were studied at 2 months of age. Rats were subjected to heat stress (42 °C for 15 min). After 24 h, hearts were excised and subjected to 30 min of global ischemia and 1 h of reperfusion. Prenatal hypoxia did not change adult rat body weight and heart weight, but significantly increased cross-section area of left ventricular (LV) myocyte. Heat stress
significantly improved postischemic recovery of LV function in normoxic control rats, but not in prenatally hypoxic rats. The infarct size in left ventricle resulting from ischemia-reperfusion was reduced by the heat stress pretreatment in control rats, but not in prenatally hypoxic rats. In accordance, heat stress significantly increased LV myocardial content of heat shock protein 70 (HSP70) only in normoxic control rats. In addition, there was a significant decrease in LV myocardial content of protein kina se C
isoform in prenatally hypoxic rats, compared with control rats. We conclude that prenatal hypoxia causes in utero programming of hsp70 gene in left ventricle, leading to an inhibition of its response to heat stress and a loss of cardioprotection in later adult life.
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