PMID- 24810329 OWN - NLM STAT- MEDLINE DCOM- 20160222 LR - 20211021 IS - 1438-2199 (Electronic) IS - 0939-4451 (Print) IS - 0939-4451 (Linking) VI - 46 IP - 8 DP - 2014 Aug TI - Effects of L-glutamine supplementation on maternal and fetal hemodynamics in gestating ewes exposed to alcohol. PG - 1981-96 LID - 10.1007/s00726-014-1751-x [doi] AB - Not much is known about effects of gestational alcohol exposure on maternal and fetal cardiovascular adaptations. This study determined whether maternal binge alcohol exposure and L-glutamine supplementation could affect maternal-fetal hemodynamics and fetal regional brain blood flow during the brain growth spurt period. Pregnant sheep were randomly assigned to one of four groups: saline control, alcohol (1.75-2.5 g/kg body weight), glutamine (100 mg/kg body weight) or alcohol + glutamine. A chronic weekend binge drinking paradigm between gestational days (GD) 99 and 115 was utilized. Fetuses were surgically instrumented on GD 117 +/- 1 and studied on GD 120 +/- 1. Binge alcohol exposure caused maternal acidemia, hypercapnea, and hypoxemia. Fetuses were acidemic and hypercapnic, but not hypoxemic. Alcohol exposure increased fetal mean arterial pressure, whereas fetal heart rate was unaltered. Alcohol exposure resulted in ~40 % reduction in maternal uterine artery blood flow. Labeled microsphere analyses showed that alcohol induced >2-fold increases in fetal whole brain blood flow. The elevation in fetal brain blood flow was region-specific, particularly affecting the developing cerebellum, brain stem, and olfactory bulb. Maternal L-glutamine supplementation attenuated alcohol-induced maternal hypercapnea, fetal acidemia and increases in fetal brain blood flow. L-Glutamine supplementation did not affect uterine blood flow. Collectively, alcohol exposure alters maternal and fetal acid-base balance, decreases uterine blood flow, and alters fetal regional brain blood flow. Importantly, L-glutamine supplementation mitigates alcohol-induced acid-base imbalances and alterations in fetal regional brain blood flow. Further studies are warranted to elucidate mechanisms responsible for alcohol-induced programming of maternal uterine artery and fetal circulation adaptations in pregnancy. FAU - Sawant, Onkar B AU - Sawant OB AD - Department of Veterinary Physiology and Pharmacology and Michael E. DeBakey Institute, College of Veterinary Medicine and Biomedical Sciences, 4466 Texas A&M University, College Station, TX, 77843-4466, USA. FAU - Ramadoss, Jayanth AU - Ramadoss J FAU - Hankins, Gary D AU - Hankins GD FAU - Wu, Guoyao AU - Wu G FAU - Washburn, Shannon E AU - Washburn SE LA - eng GR - R00 AA019446/AA/NIAAA NIH HHS/United States GR - R01 AA010940/AA/NIAAA NIH HHS/United States GR - K99 AA019446/AA/NIAAA NIH HHS/United States GR - K08 AA018166/AA/NIAAA NIH HHS/United States GR - AA18166-2/AA/NIAAA NIH HHS/United States GR - AA19446/AA/NIAAA NIH HHS/United States GR - AA010940/AA/NIAAA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20140509 PL - Austria TA - Amino Acids JT - Amino acids JID - 9200312 RN - 0RH81L854J (Glutamine) RN - 3K9958V90M (Ethanol) SB - IM MH - Alcohol Drinking/*adverse effects MH - Alcoholic Beverages/adverse effects MH - Animals MH - Binge Drinking MH - Blood Pressure/drug effects MH - Brain/blood supply MH - Dietary Supplements MH - Ethanol/blood MH - Female MH - Fetal Blood/drug effects MH - Fetus/drug effects MH - Glutamine/*pharmacology MH - Heart Rate/drug effects MH - Hemodynamics/*drug effects MH - Hypercapnia/blood MH - Hypoxia/blood MH - Pregnancy MH - Regional Blood Flow/*drug effects MH - Sheep/*blood MH - Uterus/blood supply PMC - PMC4201369 MID - NIHMS633014 COIS- Conflict of interest The authors have no conflicts of interest to disclose. EDAT- 2014/05/09 06:00 MHDA- 2016/02/24 06:00 PMCR- 2014/10/17 CRDT- 2014/05/10 06:00 PHST- 2014/01/30 00:00 [received] PHST- 2014/04/16 00:00 [accepted] PHST- 2014/05/10 06:00 [entrez] PHST- 2014/05/09 06:00 [pubmed] PHST- 2016/02/24 06:00 [medline] PHST- 2014/10/17 00:00 [pmc-release] AID - 10.1007/s00726-014-1751-x [doi] PST - ppublish SO - Amino Acids. 2014 Aug;46(8):1981-96. doi: 10.1007/s00726-014-1751-x. Epub 2014 May 9.