Bruder, E D, et al., Dexamethasone Treatment in the Newborn Rat: Fatty Acid Profiling of Lung, Brain, and Serum Lipids. J Appl Physiol, 2005. 98(3): 981-90.
Bruder, Eric D., Ping C. Lee, and Hershel Raff. Dexamethasone treatment in the newborn rat: fatty acid proﬁling of lung, brain, and serum lipids. J Appl Physiol 98: 981–990, 2005. First published November 12, 2004; doi:10.1152/japplphysiol.01029.2004.—Dexa- methasone is used as treatment for a variety of neonatal syndromes, including respiratory distress. The present study utilized the power of comprehensive lipid proﬁling to characterize changes in lipid metab- olism in the neonatal lung and brain associated with dexamethasone treatment and also determined the interaction of dexamethasone with hypoxia. A 4-day tapering-dose regimen of dexamethasone was ad- ministered at 0800 on postnatal days 3 (0.5 mg/kg), 4 (0.25 mg/kg), 5 (0.125 mg/kg), and 6 (0.05 mg/kg). A subgroup of rats was exposed to hypoxia from birth to 7 days of age. Dexamethasone treatment elicited numerous speciﬁc changes in the lipid proﬁle of the normoxic lung, such as increased concentrations of saturated fatty acids in the phosphatidylcholine and cholesterol ester classes. These increases were more profound in the lungs of hypoxic pups. Additional in- creases in cardiolipin concentrations were also measured in lungs of hypoxic pups treated with dexamethasone. We measured widespread increases in serum lipids after dexamethasone treatment, but the effects were not equivalent between normoxic and hypoxic pups. Dexamethasone treatment in hypoxic pups increased 20:4n6 and 22:6n3 concentrations in the free fatty acid class of the brain. Our results suggest that dexamethasone treatment in neonates elicits spe- ciﬁc changes in lung lipid metabolism associated with surfactant production, independent of changes in serum lipids. These ﬁndings illustrate the beneﬁts of dexamethasone on lung function but also raise the potential for negative effects due to hyperlipidemia and subtle changes in brain lipid metabolism.
hypoxia; glucocorticoid therapy; neonate