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Elevated Blood Pressure in Rat Offspring with Induced Intrauterine Growth Restriction: A Systematic Review Patridina, Geneung; Prasetyorini, Nugrahanti
Asian Journal of Health Research Vol. 4 No. 2 (2025): Volume 4 No 2 (August) 2025
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v4i2.244

Abstract

Introduction: Intrauterine growth restriction (IUGR), often caused by placental insufficiency, is a significant obstetric issue associated with adverse long-term health outcomes, including hypertension. This systematic review investigates the association between induced IUGR and elevated blood pressure in rat offspring.    Material and Methods: A systematic search of PubMed, SpringerLink, and the Cochrane Library was conducted on February 10, 2023, following PRISMA guidelines. Studies were included if they involved rat models of placental insufficiency-induced IUGR with documented birth weight reduction and blood pressure measurements compared to a control group. Data were extracted for meta-analysis using Review Manager 5.    Results: Eight studies met the inclusion criteria. Meta-analysis revealed a significant increase in both mean arterial pressure (MAP) (Mean Difference: 9.84, 95% CI: 2.69–16.99, p = 0.007) and systolic blood pressure (SBP) (Mean Difference: 13.09, 95% CI: 7.87–18.32, p < 0.00001) in IUGR offspring compared to controls. The increase in SBP was more pronounced in male offspring than in females.    Conclusion: Induced IUGR in rats leads to significantly elevated blood pressure, with a greater effect observed in males. Rat models provide valuable insights into the developmental origins of hypertension, though they may overestimate the effect and not fully replicate the human condition. The endothelin system and sex hormones are implicated in this sexually dimorphic response.
Effectiveness of Lipopolysaccharide (LPS) Induction in Wistar Rats as a Low Birth Weight (LBW) Model Patridina, Geneung; Prasetyorini , Nugrahanti
Asian Journal of Health Research Vol. 4 No. 3 (2025): Volume 4 No 3 (December) 2025
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v4i3.278

Abstract

Introduction: Low birth weight (LBW) is linked to stunting, neurodevelopmental delays, and neonatal mortality of up to 80%, with risk factors including maternal infection, poor nutrition, gestational age, obstetric history, and socioeconomic conditions. This study assessed the effectiveness of lipopolysaccharide (LPS) induction in Wistar rats as an LBW model, given LPS’s ability to mimic maternal infection and induce a controlled inflammatory response, while addressing the lack of updated data on inflammatory mediators such as VEGF, TNF-α, and IL-6 in LPS-induced LBW. Material and Methods: Four groups of Wistar rats were used in an in vivo true experimental post-test only design.  LPS injection as the independent variable, and the dependent variables include TNF-α and IL-6 levels in the mother's serum and amniotic fluid as determined by ELISA, fetal weight, mortality, crown-rump length, and tail length. Distribution-appropriate statistical tests were used to assess the data, and a p-value of less than 0.05 was considered significant. Results: Administration of LPS (50–100 µg/kg) significantly reduced fetal weight (p=0.04) and increased mortality. The fetal weight decreased by 57.4% in LPS100, and 32 deaths occurred compared to the control group. Crown-rump length (CRL) also significantly decreased at doses of 75 and 100 µg/kg (p<0.05), while tail length showed no significant difference (p>0.01). Additionally, LPS increased IL-6 and TNF-α levels compared to the control (p<0.05), with significant increases in the LPS75 and LPS100 groups compared to LPS50 (p<0.001). Conclusion: LPS induction in Wistar rats decreases birth weight, CRL, and increases fetal mortality, IL-6, and TNF-α, but does not affect fetal tail length.