Pediat. (1978)
SummaryPups delivered by rats fed during pregnancy a choline-deficient (CD) diet containing 1% N,N-dimethylaminoethanol (DME) die within 36 hr of birth. The concentrations of sphingomyelins, phosphatidyl cholines, and disaturated phosphatidyl cholines in the lungs of these pups are lower than those in the lungs of pups delivered by dams fed a choline-supplemented diet (CS). The amount of surfactant isolated from the lung of the pups was also reduced. These changes were accompanied by alterations in the activity of enzymcs (choline kinase, EC 2.7.1.32; choline phosphotransferase, EC 2.7.8.2) involved in the synthesis of lung lecithins. These results strongly suggest that pups delivered by dams fed a CD diet containing 1% DME die of respiratory distress syndrome due to altered metabolism of lung surfactant.
SpeculationThe results presented in this paper show that synthesis of fetal lung phospholipids is influenced by the presence or absence of choline or its precursors in the diet of pregnant rats. This influence extends to the synthesis of lung surfactant. These observations indicate that a new experimental model of respiratory distress syndrome in the newborn may have been found, and raise the question of whether synthesis of lung surfactant in human fetuses may be also vulnerable to dietary conditions.