Project I will study the role of adenosine in coordinating fetal coronary vascular growth and myocyte function during conditions of hypoxemia in the heart, as well as the long-term consequences of altered adenosine signaling in fetal life upon cardiac function in the adult. Studies using a model of fetal anemia to study fetal hypoxemia have shown that fetal adaptations for survival include a 30% increase in heart to body weight ratio, a 50% increase in stroke volume and cardiac output, a 6-fold increase in coronary blood flow and a doubling of coronary conductance with preservation of coronary reserve. This occurs in the face of a fall in fetal systemic arterial blood pressure and vascular resistance. Changes include an increase in myocardial HIF-1a and VEGF, and an increase in cardiac capillary volume density in both ventricles. Ventricular remodeling occurs with both myocyte hyperplasia and hypertrophy as eccentric hypertrophy normalizes wall tension. The vascular remodeling changes found in the fetus persist in the adult, and lead to greater myocardial damage following ischemia/reperfusion. A critical link between fetal environment and adult disease that is missing is the step that coordinates fetal myocyte and vascular growth and function.
Aim 1 will test the hypothesis that intracellular adenosine signaling regulates fetal coronary vascular growth and cardiomyocyte function in fetal hypoxemia.
In Aim 2, we will study the in vivo and in vitro role of intracellular MAP kinase (also called extracellular signal-regulated kinase, or ERK) signaling on adenosine-stimulated fetal coronary growth and myocardial function.
In Aim 3 we will determine the long-term consequences of either reduced or increased fetal adenosine receptor signaling upon coronary conductance and myocardial function in adulthood with the use of adenosine receptor specific agonists/antagonists.

Public Health Relevance

Decreases in oxygen delivery during fetal life alter coronary vascular growth as well as myocyte differentiation for life. The Aims of this project are designed to improve our understanding of the mechanisms that coordinate vascular and myocyte function during fetal life and the subsequent effects upon adult cardiac function. Completion of this project will provide new knowledge for the optimal management of hypoxemic pregnancies.

National Institute of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Research Program Projects (P01)
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Special Emphasis Panel (ZHD1-DSR-Z)
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Oregon Health and Science University
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Midgett, Madeline; Thornburg, Kent; Rugonyi, Sandra (2017) Blood flow patterns underlie developmental heart defects. Am J Physiol Heart Circ Physiol 312:H632-H642
Kolahi, Kevin S; Valent, Amy M; Thornburg, Kent L (2017) Cytotrophoblast, Not Syncytiotrophoblast, Dominates Glycolysis and Oxidative Phosphorylation in Human Term Placenta. Sci Rep 7:42941
Wallace, Alexandra H; Dalziel, Stuart R; Cowan, Brett R et al. (2017) Long-term cardiovascular outcome following fetal anaemia and intrauterine transfusion: a cohort study. Arch Dis Child 102:40-45
Barry, James S; Rozance, Paul J; Brown, Laura D et al. (2016) Increased fetal myocardial sensitivity to insulin-stimulated glucose metabolism during ovine fetal growth restriction. Exp Biol Med (Maywood) 241:839-47
Burton, Graham J; Fowden, Abigail L; Thornburg, Kent L (2016) Placental Origins of Chronic Disease. Physiol Rev 96:1509-65
Chadderdon, Scott M; Belcik, J Todd; Bader, Lindsay et al. (2016) Temporal Changes in Skeletal Muscle Capillary Responses and Endothelial-Derived Vasodilators in Obesity-Related Insulin Resistance. Diabetes 65:2249-57
Kolahi, Kevin; Louey, Samantha; Varlamov, Oleg et al. (2016) Real-Time Tracking of BODIPY-C12 Long-Chain Fatty Acid in Human Term Placenta Reveals Unique Lipid Dynamics in Cytotrophoblast Cells. PLoS One 11:e0153522
Jonker, Sonnet S; Davis, Lowell; Soman, Divya et al. (2016) Functional adaptations of the coronary microcirculation to anaemia in fetal sheep. J Physiol 594:6165-6174
Thornburg, Kent L; Kolahi, Kevin; Pierce, Melinda et al. (2016) Biological features of placental programming. Placenta 48 Suppl 1:S47-S53
Jonker, S S; Louey, S (2016) Endocrine and other physiologic modulators of perinatal cardiomyocyte endowment. J Endocrinol 228:R1-18

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