Maternal diabetes in rats. II. Effects on fetal growth and protein turnover.

The developmental growth of the rat fetus was studied between days 14 and 21 of pregnancy in normal control, established-diabetic, gestational-diabetic, and insulin-maintained-diabetic mothers. Measurements of fetal body weights and protein mass revealed a suppression of growth in the diabetic pregnancies, probably arising from reduced hyperplasia. Growth of the liver and skin appeared to be suppressed in proportion to the whole fetus, whereas the lung, brain, and particularly the heart were relatively well protected from growth retardation. Fetal growth during development, and its retardation in association with the hyperglycemic state, was explained by measuring the rates of fetal protein turnover in vivo. Both the protein synthetic and degradative rates gradually declined during normal development. However, in the diabetic pregnancies, fetal protein synthesis was consistently lower than control rates, whereas protein degradation increased sharply toward the end of gestation. These changes in protein synthesis and breakdown probably combine to yield a smaller fetus in the absence of normoglycemia.

Maternal diabetes in rats. I. Effects on placental growth and protein turnover.

The developmental growth of the rat placenta was investigated between days 14 and 21 of gestation in normal control, gestational-diabetic, established-diabetic, and insulin-maintained-diabetic mothers. While established-diabetic mothers were hyperglycemic for 2 wk before and throughout the pregnancy, gestational-diabetic mothers were only hyperglycemic for the second half of pregnancy. Daily insulin replacements successfully restored normoglycemia. The wet weight and protein content of control placentas increased linearly between days 14 and 21. Although placentas from diabetic animals were initially smaller, placentomegaly was found at full term. Placental glycogen concentrations were also markedly increased in all diabetic animals. These changes were largely prevented by insulin replacement. The changes in placental size during normal development and in association with the diabetic state were explained by measuring placental rates of protein turnover (in vivo). In normal placentas, protein synthetic and degradative rates progressively declined over the last week of gestation. Because synthesis rates were unchanged in placentas of diabetic mothers, it appears that the differences in placental size primarily arise from alterations in protein degradation.

Effects of aging and long term dietary intervention on protein turnover and growth of ventricular muscle in the rat heart.

The developmental growth of the combined right and left ventricles was followed from weaning to senility in rats receiving an unrestricted diet (controls) or pair fed to one half of this food intake. The normal developmental increases in the ventricular weight, protein mass, and nucleic acid contents were retarded by this long term dietary regimen. Although the same maximum values for each variable were ultimately reached in the ventricles of the calorie restricted animals, these were achieved approximately one year later (that is, well into the extended lifespan afforded by such underfeeding). This nutritional slowing of cardiac growth was explained by a retarding of the normal developmental decline in the fractional rates of protein synthesis and protein breakdown (measured in vivo). In the control animals a net loss of ventricular protein occurred over the second year, and this might possibly be associated with a decrease in the mechanical efficiency of the aging heart. Although a similar aging atrophy was found in the ventricles of the diet restricted rats, it was delayed by a year and may be an important factor contributing to the increased longevity. This dietary intervention appears to slow the normal age related changes in cardiac protein turnover.

The influence of thyroid hormones on the growth of the lungs in perinatal rats.

The growth and rates of protein turnover in the perinatal lung have been studied in the rat during normal development between late gestation and weaning, and after altering their thyroid status. The aim was to establish what influence thyroid hormones have on the early stages of growth in the lungs. Perinatal hypothyroidism was induced by administering propylthiouracil (PTU) via the mothers' drinking water from late gestation and throughout lactation. A precocious and elevated surge of thyroid hormones was induced by daily injections of T4 from day 3 postpartum onwards. Hypothyroidism in the neonate, but not the fetus, significantly retarded the growth of the animal and its lungs. This was attributable to a decrease in both the pulmonary rates of protein synthesis and protein degradation; the effect on the former rate exceeding that on the latter. Neonatal hyperthyroidism did not significantly alter protein turnover or the growth of the lungs, compared with euthyroid control tissues. This contrasts with the accelerated growth of some other body tissues in the presence of excess thyroid hormones.

Changes in protein turnover and growth of the rat lung in response to ageing and long-term dietary restriction.

The wet weight, protein, RNA and DNA contents of the lung were studied during normal ageing and chronic dietary restriction. The rate of normal lung growth gradually decreased between weaning and old age (105 weeks). However, unlike many other body tissues, there was little or no post-natal decline in the fractional rates of protein synthesis and breakdown. Dietary intervention severely retarded lung growth, particularly at the earliest stage (i.e. 4 weeks), studied. Here the suppression of protein synthesis was due to the combined effects of piece-meal feeding and the long-term effects of the reduced food supply.

The effects of ageing and chronic dietary restriction on in vivo hepatic protein synthesis in the rat.

Hepatic growth and protein synthesis in vivo was studied with age in ad libitum-fed and dietary restricted rats in which the mean and maximum lifespan was significantly extended. Livers from underfed rats showed significantly lower DNA, RNA and protein contents, and total protein synthesis. The fractional rate of synthesis although initially depressed by restricted feeding, showed no consistent trend with age when compared with control values. The lower fractional rate of synthesis observed in livers from dietary restricted rats at 7 weeks of age is attributable to a significant decrease in ribosomal capacity, with no effect on ribosomal activity being evident. Liver tissue from rats fed ad libitum demonstrated a progressive loss of translational efficiency with age which was delayed by chronic dietary restriction.

The influence of thyroid hormones on the growth of the atria and ventricles of the heart in immature rats.

The normal plasma concentrations of tri-iodothyronine (T3) and thyroxine (T4) increase approximately six- and fourfold respectively between the end of gestation and weaning in the rat. This early postnatal surge of thyroid hormones was experimentally modified to produce either a state of hypo- or hyperthyroidism. The growth and rates of protein turnover in the atria and ventricles of the heart were studied, 12 and 20 days postpartum, both as a function of age and of changing thyroid status. Neonatal hypothyroidism was induced by adding propylthiouracil to the mothers' drinking water late in gestation and throughout lactation. Hyperthyroidism was achieved by giving the suckling pups daily injections of T4 from day 3 postpartum onwards. Between 12 and 20 days the weight and protein mass of the combined ventricles of the euthyroid animals approximately doubled, along with substantial increases (50%) in the RNA and DNA contents. Over this same 8 days, growth in the combined atria was much slower. During the same period, hypothyroidism significantly retarded the growth of these immature rats and their atria and ventricles. Both the rates of protein synthesis and protein degradation were decreased in the atria and ventricles. In contrast, hyperthyroidism significantly increased growth in both types of cardiac tissue, this being more pronounced in the atria than in the ventricles between 12 and 20 days. The rates of protein synthesis were increased accordingly, principally by increases in the ribosomal activities. In conclusion, thyroid hormones clearly influence the early postnatal growth of the atria and ventricles of the heart in the rat.

The influence of age and chronic restricted feeding on protein synthesis in the small intestine of the rat.

Rates of protein synthesis (measured in vivo) and growth of the small intestine were studied as a function of age in ad libitum fed (control) and chronic dietary-restricted rats. At weaning, the fractional rates of synthesis in the mucosal and muscularis externa and serosal layers of the small intestine of control animals were similarly high (90-100% per day). Although these rates subsequently declined with age in the muscularis externa and serosa, they remained constant in the mucosa. Restricted feeding (50% reduced intake), when imposed from weaning onwards, significantly extends the maximum life span of rodents. However, the change in nutritional status slows the accumulation of protein, RNA, and DNA in both layers of the small intestine. Although underfeeding did not prevent the age-related fall in muscularis externa and serosal protein synthesis, significantly higher rates (both fractional and per ribosome) were found when compared age for age with controls. Mucosal fractional synthetic rates were similarly increased by the reduced food intake. These changes in protein turnover in the small intestine are consistent with the higher rates of whole body turnover previously observed in chronically underfed rats.

The influence of chronic dietary intervention on protein turnover and growth of the diaphragm and extensor digitorum longus muscles of the rat.

Changes in weight, protein, RNA and DNA contents of the E.D.L. and diaphragm muscles were studied in conjunction with aging and chronic dietary restriction. Between weaning and senescence both muscles exhibited progressive decreases in their fractional rates of growth, protein synthesis and protein breakdown; these rates being age for age higher in the diaphragm. Dietary restriction (50% of ad libitum food intake) from weaning onwards retarded muscle growth, particularly at the early stages (i.e. 4 weeks) after its implementation. Here the suppression of protein synthesis was due to the combined effects of piece meal feeding and long term reductions in food intake. Later, muscle sizes and total, but not fractional, synthetic rates were consistently decreased by chronic dietary intervention. The onset of the ageing atrophy may also be delayed by underfeeding. The changes in these 2 muscles have been compared to those in the whole animal and other striated muscles, as previously reported by the authors.

The effects of aging and chronic dietary restriction on whole body growth and protein turnover in the rat.

Changes in whole body growth, nucleic acids, and protein turnover have been studied in conjunction with ageing and chronic dietary restriction. Normal developmental changes between weaning and senescence included progressive decreases in the fractional rates of growth, protein synthesis, and protein breakdown; the decline in the synthetic rate correlating with decreases in the ribosomal capacity. Dietary intervention was imposed at weaning and involved pair feeding to 50% of the ad libitum food intake. Although this regime slowed whole body growth by retarding the developmental decline in protein turnover, growth was extended into the second and third years of life. The dietary-induced increase in longevity resulting from a retardation of the ageing process(es) appears therefore to be associated with an enhanced turnover of proteins during the major portion of the life span of dietary restricted rats.

Effect of inactivity and passive stretch on protein turnover in phasic and postural rat muscles.

A state of hypokinesia and hypodynamia has been induced in the hindlimb muscles of the rat (100 g) using a suspension model. The ensuing muscle atrophy was assessed by reference to muscles in fully mobile control animals, which were either fed ad libitum or fed the same lower food intake of the suspended animals. Over a total of 7 days of suspension the slow-twitch postural soleus muscle underwent a much greater atrophy than the fast-twitch phasic extensor digitorum longus. Changes with respect to the position of the suspended foot, and hence muscle length, necessitate caution in comparing the extent of the atrophy between different muscle types. After 3 days of inactivity the atrophy of the soleus muscle was explained by a 21% decrease in the fractional rate of synthesis (measured in vivo) and a 100% increase in the rate of protein breakdown. The reduction in the synthetic rate was associated with a net loss (23%) of RNA and hence muscle ribosomes. In contrast when this inactive soleus muscle was permanently stretched the RNA content (44%) and protein synthetic rate increased (59%) markedly above control values. Although protein breakdown remained elevated in this stretched muscle, the extent of the atrophy in response to hypokinesia and hypodynamia was greatly reduced.

Mechanical properties of rabbit latissimus dorsi muscle after stretch and/or electrical stimulation.

The work loop technique was used to measure the mechanical performance in situ of the latissimus dorsi (LD) muscles of rabbits maintained under fentanyl anesthesia. After 3 wk of incrementally applied stretch the LD muscles were 36% heavier, but absolute power output (195 mW/muscle) was not significantly changed relative to that of external control muscle (206 mW). In contrast, continuous 10-Hz electrical stimulation reduced power output per kilogram of muscle >75% after 3 or 6 wk and muscle mass by 32% after 6 wk. When combined, stretch and 10-Hz electrical stimulation preserved or increased the mass of the treated muscles but failed to prevent an 80% loss in maximum muscle power. However, this combined treatment increased fatigue resistance to a greater degree than electrical stimulation alone. These stretched/stimulated muscles, therefore, are more suitable for cardiomyoplasty. Nonetheless, further work will be necessary to find an ideal training program for this surgical procedure.

From CONSENSUS to CHARM--how do ACEI and ARB produce clinical benefits in CHF?

Two decades of research from CONSENSUS to CHARM using modulators of the renin-angiotensin-aldosterone system (RAAS) in chronic heart failure (CHF) patients have shown convincing clinical benefits, but the majority of clinicians prescribing these drugs are still unclear about what mechanisms are responsible for the observed benefits. Of the candidate mechanisms hitherto proposed, there emerges a theme that best fits the spectrum of known factors from pathophysiology of heart failure to how the drugs enhance longevity of patients. This concept can be summarised as follows: after the onset of heart failure, neurohormones are activated resulting in raised levels of angiotensin, aldosterone and catecholamines, which are all known cardiotoxic agents. Cumulatively over time, they are responsible for accelerated cardiomyocyte attrition, manifesting as a faster reduction of cardiac pumping reserve, leading to worsening heart failure, more neurohormonal activation, thus propagating a vicious cycle spiralling towards an earlier fatality. The vicious cycle can be interrupted by dampening the excessive neurohormonal activities, thereby minimising cardiomyocyte losses and preserving cardiac functional reserve for longer. This culminates in maintenance of a reasonable quality of life and enhanced longevity. Such a mechanistic understanding would enable clinicians to have a better perspective on how to apply data from various clinical trials involving these drugs into clinical practice, to optimise and tailor therapy to the individual patient so that each patient can gain maximal benefits.

Effects of hypokinesia and hypodynamia upon protein turnover in hindlimb muscles of the rat.

Hypokinesia/hypodynamia was induced in the hindlimb muscles of the rat using a suspension technique. This caused differing degrees of atrophy in different muscles, however, this atrophy was reduced in muscles held in a lengthened position. The greatest degree of wasting was observed in the unstretched soleus, a slow postural muscle, where both Type 1 and Type 2a fibers atrophied to the same degree. However, wasting of the gastrocnemius muscle was associated with a reduction in the size of the Type 2b fibers. In both slow postural and fast phasic hindlimb muscles, atrophy was brought about by a reduction in the rate of protein synthesis in conjunction with an elevation in the rate of protein degradation. When inactive muscles were passively stretched, both protein synthesis and degradation were dramatically elevated. Even periods of stretch of as little as 0.5 h.d-1 were found to significantly decrease atrophy in inactive muscles.

The influence of body size on measurements of overall cardiac function.

The purpose of this study was to determine the best scaling method to account for the effects of body size on measurements of overall cardiac function and subsequently the interpretation of data based on cardiac power output (CPO). CPO was measured at rest (CPO(rest)) and at maximal exercise (CPO(max)) on 88 and 103 healthy but untrained men and women, respectively, over the age range of 20-70 yr. Cardiac reserve (CR) was calculated as CPO(max) - CPO(rest). CPO(rest), CPO(max), and CR were all significantly related to body mass (BM), body surface area (BSA), and lean body mass (LBM). The linear regression model failed to completely normalize these measurements. In contrast, the allometric model produced size-independent values of CPO. Furthermore, all the assumptions associated with the allometric model were achieved. For CPO(rest), mean body size exponents were BM(0.33), BSA(0.60), and LBM(0.47). For CPO(max), the exponents were BM(0.41), BSA(0.81), and LBM(0.71). For CR, mean body size exponents were BM(0.44), BSA(0.87), and LBM(0.79). LBM was identified (from the root-mean-squares errors of the separate regression models) as the best physiological variable (based on its high metabolic activity) to be scaled in the allometric model. Scaling of CPO to LBM(b) (where b is the scaling exponent) dramatically reduced the between-gender differences with only a 7% difference in CPO(rest) and CPO(max) values. In addition, the gender difference in CR was completely removed. To avoid erroneous interpretations and conclusions being made when comparing data between men and women of different ages, the allometric scaling of CPO to LBM(b) would seem crucial.

Pre- and post-natal growth and protein turnover in the lung of the rat.

The growth of the rat lung was studied at six ages, from 18 days of fetal life to old age (i.e. 105 weeks). Most of the increase in lung size appeared to involve cellular hyperplasia rather than hypertrophy, the DNA content of the lung increasing 96-fold from one extreme of life to the other. Pulmonary rates of protein turnover were high and were, age for age, consistently greater than the rates in the whole body. The age-related decline in the rate of lung growth corresponded to a marked decrease in the fractional rate of protein synthesis, i.e. from 93 to 33% per day during fetal and neonatal life. This in turn correlated with a 58% fall in the ribosomal capacity. From weaning onwards, synthesis rates remained between 30 and 40% per day. In contrast, the degradation of lung proteins was unchanged, at 28-38% per day throughout both fetal and post-natal life.

Protein turnover and growth of the rat brain from the foetus to old age.

Growth of the rat brain was studied between 16 days of foetal life and old age (105 weeks). Developmental changes in cerebral RNA, DNA, and protein contents are described. The age-related decline in brain growth rates correlates with progressive decreases in the fractional rates of protein synthesis (from 58 to 6.8% per day) and breakdown (from 36.4 to 4.1% per day).

The effects of food deprivation on protein turnover and nucleic acid concentrations of active and immobilized extensor digitorum longus muscles of the rat.

Deprivation of food caused significant changes in the weight, protein content, protein turnover and RNA concentrations of the extensor digitorum longus muscle. Simultaneous immobilization to render the muscle inactive did not make the tissue any more susceptible to the effects of starvation. In contrast, immobilization in a stretched state resulted in less muscle wasting after deprivation of food.