1999
DOI: 10.1677/joe.0.1620227
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Enteral IGF-I enhances fetal growth and gastrointestinal development in oesophageal ligated fetal sheep

Abstract: Infants with upper gut atresia often have impaired intrauterine growth and gut function. IGF-I is important in fetal growth and is contained in amniotic fluid. We therefore wanted to test the hypothesis that IGF-I infused into fetal gut would reverse the effects of an upper gut obstruction on gut structure and growth in fetal sheep.At 90 days gestation fetuses (n=6 per group) underwent oesophageal ligation, followed by continuous infusion of IGF-I (1-8 µg/day) or saline into the gut beyond the ligation until 1… Show more

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Cited by 52 publications
(37 citation statements)
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“…As a primary regulator of fetal IGF-I, the fall in fetal insulin levels may explain the reduction in plasma IGF-I in undernourished fetuses on day 135 (Fowden 1995). IGF-I is also critical to fetal growth and anabolism, influencing gut (Kimble et al 1999), renal (Hammerman & Miller 1993) and pancreatic cell development (Hugl et al 1998) as well as cardiac growth and function (Isgaard et al 1999). The decline of fetal glucose, insulin and IGF-I may thus contribute to nutritionally mediated changes in fetal growth.…”
Section: Discussionmentioning
confidence: 99%
“…As a primary regulator of fetal IGF-I, the fall in fetal insulin levels may explain the reduction in plasma IGF-I in undernourished fetuses on day 135 (Fowden 1995). IGF-I is also critical to fetal growth and anabolism, influencing gut (Kimble et al 1999), renal (Hammerman & Miller 1993) and pancreatic cell development (Hugl et al 1998) as well as cardiac growth and function (Isgaard et al 1999). The decline of fetal glucose, insulin and IGF-I may thus contribute to nutritionally mediated changes in fetal growth.…”
Section: Discussionmentioning
confidence: 99%
“…When infused into the esophagus of fetal sheep, IGF-I improves somatic growth, spleen weight, and bowel wall thickness compared to control. 22 A single injection of labeled IGF-I into ovine AF demonstrated sustained delivery of IGF-I from the AF to the fetal gut and then into the systemic circulation over a 7-day period. 23 IGF-I and IGF-II receptors, as well as insulin receptors, are found throughout the human neonatal gut.…”
Section: Nutritive Functions Of Afmentioning
confidence: 95%
“…However, significant differences of B max were not seen at all intestinal sites, indicating that the regulation was site-specific. The fact that for IGF-IR the only significant differences in B max between pre-term and full-term newborn calves were seen in the colon was surprising because IGF-I is a ubiquitous growth factor, as shown in calves (Cordano et al 1998) and has widespread effects (Kimble et al 1999).…”
Section: Igf-ir Igf-iir and Ir Concentrations At The Mrna And Proteimentioning
confidence: 97%