03.09 IGF-1 intraplacental gene transfer restores serum bioavailability of IGF-1 in growth restricted mice

S. M. Deeney1, K. N. Powers1, B. Dodson1, K. W. Liechty1, A. Marwan1, T. M. Crombleholme1 1Laboratory For Fetal And Regenerative Biology,Department Of Surgery, School Of Medicine, University Of Colorado Denver – Anschutz Medical Campus; Division Of Pediatric General Thoracic And Fetal Surgery, Colorado Children’s Hospital,Aurora, CO, USA

Introduction:

Intrauterine growth restriction (IUGR) is characterized by decreased serum bioavailability of IGF-1 both clinically and across a wide range of animal models. Our laboratory recently described a novel surgical mouse model of intrauterine growth restriction (IUGR) and rescued the IUGR phenotype using intraplacental adenovirus mediated gene transfer of human insulin-like growth factor-1 (Ad-IGF-1). Mouse birthweight, growth trajectory, glucose tolerance and blood pressure correct to control levels. The mechanism by which fetal reprogramming occurs has yet to be fully elucidated. We hypothesize that Ad-IGF-1 intraplacental gene transfer restores the bioavailability of serum levels of IGF-1 in IUGR pups.

Methods:
In time-mated e18 C57/BL6J dams, one of two naturally occurring mesenteric uterine artery branches were ligated in one pup (excluding the pups at the uterine ends), inducing IUGR (n=3). Control pups were those with dual arteries on the opposite uterine horn as well as sham-operated pups (n=5). A subset of IUGR pups (n=3) received 5 ul intraplacental injections of 1×10^8 pfu adenovirus expressing human IGF-1 after artery ligation. Serum samples were obtained by decapitation of the pups following delivery via hysterotomy at e20. Serum and placenta homogenate levels of mouse IGF-1 and IGFBP-3 were measured in duplicate by ELISA. Bioavailability of IGF-1 was defined as the molar ratio of IGF-1 to IGFBP-3. Statistical analysis was by Student’s T-test.

Results:
Serum levels of bioavailable IGF-1 were significantly reduced in IUGR pups compared to controls (P=0.01) and were restored with Ad-IGF-1 gene transfer (p>0.05). Placental levels of bioavailable IGF-1 were not different in all groups (p>0.05).

Conclusion:
Intraplacental Ad-IGF-1 gene transfer restores the serum levels of bioavailable IGF-1, while not changing these levels in the placenta itself. This is the first demonstration of how Ad-IGF-1 gene transfer restores pup serum bioavailable IGF-1 levels in IUGR mice, suggesting a possible mechanism by which IGF-1 induces fetal reprogramming of IUGR mice.