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K A Chan Departments of Biochemistry and Biomedical Sciences, Pediatrics, Obstetrics and Gynecology, McMaster University, 1280 Main Street West HSC 4H30A, Hamilton, Ontario, Canada L8S 4K1

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M W Tsoulis Departments of Biochemistry and Biomedical Sciences, Pediatrics, Obstetrics and Gynecology, McMaster University, 1280 Main Street West HSC 4H30A, Hamilton, Ontario, Canada L8S 4K1

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D M Sloboda Departments of Biochemistry and Biomedical Sciences, Pediatrics, Obstetrics and Gynecology, McMaster University, 1280 Main Street West HSC 4H30A, Hamilton, Ontario, Canada L8S 4K1
Departments of Biochemistry and Biomedical Sciences, Pediatrics, Obstetrics and Gynecology, McMaster University, 1280 Main Street West HSC 4H30A, Hamilton, Ontario, Canada L8S 4K1
Departments of Biochemistry and Biomedical Sciences, Pediatrics, Obstetrics and Gynecology, McMaster University, 1280 Main Street West HSC 4H30A, Hamilton, Ontario, Canada L8S 4K1

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restriction (IUGR) and/or small-for-gestational age (SGA), showed significant associations between intrauterine growth, BW, and postnatal reproductive function ( Cooper et al . 1996 , van Weissenbruch & Delemarre-van de Waal 2006 , Sloboda et al . 2007

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Karine Bibeau Research Centre, Department of Obstetrics and Gynecology, Service of Endocrinology, CHU Sainte-Justine, 3175 Côte Ste-Catherine, Montréal, Québec, Canada H3T 1C5
Research Centre, Department of Obstetrics and Gynecology, Service of Endocrinology, CHU Sainte-Justine, 3175 Côte Ste-Catherine, Montréal, Québec, Canada H3T 1C5

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Mélissa Otis Research Centre, Department of Obstetrics and Gynecology, Service of Endocrinology, CHU Sainte-Justine, 3175 Côte Ste-Catherine, Montréal, Québec, Canada H3T 1C5

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Jean St-Louis Research Centre, Department of Obstetrics and Gynecology, Service of Endocrinology, CHU Sainte-Justine, 3175 Côte Ste-Catherine, Montréal, Québec, Canada H3T 1C5
Research Centre, Department of Obstetrics and Gynecology, Service of Endocrinology, CHU Sainte-Justine, 3175 Côte Ste-Catherine, Montréal, Québec, Canada H3T 1C5

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Nicole Gallo-Payet Research Centre, Department of Obstetrics and Gynecology, Service of Endocrinology, CHU Sainte-Justine, 3175 Côte Ste-Catherine, Montréal, Québec, Canada H3T 1C5

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Michèle Brochu Research Centre, Department of Obstetrics and Gynecology, Service of Endocrinology, CHU Sainte-Justine, 3175 Côte Ste-Catherine, Montréal, Québec, Canada H3T 1C5
Research Centre, Department of Obstetrics and Gynecology, Service of Endocrinology, CHU Sainte-Justine, 3175 Côte Ste-Catherine, Montréal, Québec, Canada H3T 1C5

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normal pregnant rats ( Bedard et al . 2005 ). We recently showed that AT 1 R and P450aldo mRNA expression was enhanced in intrauterine growth restriction (IUGR) foetal adrenal glands and was associated with an increase in serum aldosterone levels

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Shiao Y Chan School of Clinical and Experimental Medicine, Department of Pathology, Fetal Medicine Centre, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK

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Laura A Hancox School of Clinical and Experimental Medicine, Department of Pathology, Fetal Medicine Centre, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK

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Azucena Martín-Santos School of Clinical and Experimental Medicine, Department of Pathology, Fetal Medicine Centre, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK

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Laurence S Loubière School of Clinical and Experimental Medicine, Department of Pathology, Fetal Medicine Centre, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK

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Merlin N M Walter School of Clinical and Experimental Medicine, Department of Pathology, Fetal Medicine Centre, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK

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Ana-Maria González School of Clinical and Experimental Medicine, Department of Pathology, Fetal Medicine Centre, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK

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Phillip M Cox School of Clinical and Experimental Medicine, Department of Pathology, Fetal Medicine Centre, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK

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Ann Logan School of Clinical and Experimental Medicine, Department of Pathology, Fetal Medicine Centre, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK

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Christopher J McCabe School of Clinical and Experimental Medicine, Department of Pathology, Fetal Medicine Centre, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK

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Jayne A Franklyn School of Clinical and Experimental Medicine, Department of Pathology, Fetal Medicine Centre, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK

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Mark D Kilby School of Clinical and Experimental Medicine, Department of Pathology, Fetal Medicine Centre, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
School of Clinical and Experimental Medicine, Department of Pathology, Fetal Medicine Centre, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK

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Introduction Intrauterine growth restriction (IUGR) describes the failure of a fetus to attain its genetically determined growth potential, with the most common underlying etiology being uteroplacental failure associated with abnormal placental

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Alice S Green
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Paul J Rozance Department of Animal Sciences, Department of Pediatrics, University of Arizona, 1650 East Limberlost Drive, Tucson, Arizona 85719, USA

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Sean W Limesand
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continues to mount showing that T2DM is more prevalent among subjects that were intrauterine growth restricted (IUGR) during fetal development, indicating that the defects in glucose homeostasis originate in utero ( Barker et al . 1993 , Ravelli et al

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Asghar Ali Colorado State University, Animal Reproduction and Biotechnology Lab, Fort Collins, Colorado, USA

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Callie M Swanepoel Colorado State University, Animal Reproduction and Biotechnology Lab, Fort Collins, Colorado, USA

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Quinton A Winger Colorado State University, Animal Reproduction and Biotechnology Lab, Fort Collins, Colorado, USA

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Paul J Rozance Perinatal Research Center, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA

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Russell V Anthony Colorado State University, Animal Reproduction and Biotechnology Lab, Fort Collins, Colorado, USA

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. Ovine CSH has long been thought to play an important role in fetal growth ( Hurley et al. 1977 , Min et al. 1996 ), and reduced CSH in maternal circulation has been associated with intrauterine growth restriction (IUGR) in both human and sheep

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S-Y Chan Department of Fetal Medicine, Division of Reproductive & Child Health, University of Birmingham, Edgbaston, Birmingham B15 2TG, UK
Division of Medical Sciences, Medical School, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
Department of Internal Medicine, Erasmus University Medical Centre, 3015 GE, Rotterdam, The Netherlands
School of Clinical and Laboratory Sciences, University of Newcastle upon Tyne, Newcastle upon Tyne NE1 4 LP, UK

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J A Franklyn Department of Fetal Medicine, Division of Reproductive & Child Health, University of Birmingham, Edgbaston, Birmingham B15 2TG, UK
Division of Medical Sciences, Medical School, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
Department of Internal Medicine, Erasmus University Medical Centre, 3015 GE, Rotterdam, The Netherlands
School of Clinical and Laboratory Sciences, University of Newcastle upon Tyne, Newcastle upon Tyne NE1 4 LP, UK

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H N Pemberton Department of Fetal Medicine, Division of Reproductive & Child Health, University of Birmingham, Edgbaston, Birmingham B15 2TG, UK
Division of Medical Sciences, Medical School, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
Department of Internal Medicine, Erasmus University Medical Centre, 3015 GE, Rotterdam, The Netherlands
School of Clinical and Laboratory Sciences, University of Newcastle upon Tyne, Newcastle upon Tyne NE1 4 LP, UK

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J N Bulmer Department of Fetal Medicine, Division of Reproductive & Child Health, University of Birmingham, Edgbaston, Birmingham B15 2TG, UK
Division of Medical Sciences, Medical School, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
Department of Internal Medicine, Erasmus University Medical Centre, 3015 GE, Rotterdam, The Netherlands
School of Clinical and Laboratory Sciences, University of Newcastle upon Tyne, Newcastle upon Tyne NE1 4 LP, UK

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T J Visser Department of Fetal Medicine, Division of Reproductive & Child Health, University of Birmingham, Edgbaston, Birmingham B15 2TG, UK
Division of Medical Sciences, Medical School, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
Department of Internal Medicine, Erasmus University Medical Centre, 3015 GE, Rotterdam, The Netherlands
School of Clinical and Laboratory Sciences, University of Newcastle upon Tyne, Newcastle upon Tyne NE1 4 LP, UK

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C J McCabe Department of Fetal Medicine, Division of Reproductive & Child Health, University of Birmingham, Edgbaston, Birmingham B15 2TG, UK
Division of Medical Sciences, Medical School, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
Department of Internal Medicine, Erasmus University Medical Centre, 3015 GE, Rotterdam, The Netherlands
School of Clinical and Laboratory Sciences, University of Newcastle upon Tyne, Newcastle upon Tyne NE1 4 LP, UK

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M D Kilby Department of Fetal Medicine, Division of Reproductive & Child Health, University of Birmingham, Edgbaston, Birmingham B15 2TG, UK
Division of Medical Sciences, Medical School, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
Department of Internal Medicine, Erasmus University Medical Centre, 3015 GE, Rotterdam, The Netherlands
School of Clinical and Laboratory Sciences, University of Newcastle upon Tyne, Newcastle upon Tyne NE1 4 LP, UK

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thyroxine (T4) and 3,3′,5-tri-iodothyronine (T3) in neonates with congenital hypothyroidism and absent endogenous thyroid function ( Vulsma et al. 1989 ). Babies born with intrauterine growth restriction (IUGR) are major contributors to perinatal

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Meredith A Kelleher
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Hannah K Palliser
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David W Walker Mothers and Babies Research Centre, Department of Physiology, John Hunter Hospital and School of Biomedical Sciences, University of Newcastle, Newcastle, New South Wales 2310, Australia

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Jonathan J Hirst
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Introduction Foetuses that are born small for gestational age due to intrauterine growth restriction (IUGR) are at higher risk for perinatal morbidity, mortality and long-term disability ( Larroque et al . 2001 ). Abnormal foetal growth is

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A M Carter
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M J Kingston
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K K Han
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D M Mazzuca
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K Nygard
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V K M Han
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) (IGFBP-1–6) ( Clemmons 1997 ). In general, IGFBPs inhibit the actions of IGFs, by competing with the IGF receptors for the peptide. Slowing of fetal growth, as in intrauterine growth restriction (IUGR), probably involves decreased expression of IGFs and

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Rupasri Ain Institute of Maternal-Fetal Biology and Division of Cancer and Developmental Biology, Departments of Pathology and Laboratory of Medicine, Molecular and Integrative Physiology, and Obstetrics and Gynecology, University of Kansas Medical Center, Kansas City, Kansas 66160, USA

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Lindsey N Canham Institute of Maternal-Fetal Biology and Division of Cancer and Developmental Biology, Departments of Pathology and Laboratory of Medicine, Molecular and Integrative Physiology, and Obstetrics and Gynecology, University of Kansas Medical Center, Kansas City, Kansas 66160, USA

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Michael J Soares Institute of Maternal-Fetal Biology and Division of Cancer and Developmental Biology, Departments of Pathology and Laboratory of Medicine, Molecular and Integrative Physiology, and Obstetrics and Gynecology, University of Kansas Medical Center, Kansas City, Kansas 66160, USA

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pregnancy. Disruptions in trophoblast development can lead to early pregnancy loss or intrauterine growth restriction (IUGR). These represent serious health problems whose etiologies are not sufficiently understood. Differentiation of trophoblast cells can

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S Shaikh Liggins Institute, University of Auckland, Private Bag 92019, Auckland, New Zealand

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F H Bloomfield Liggins Institute, University of Auckland, Private Bag 92019, Auckland, New Zealand

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M K Bauer Liggins Institute, University of Auckland, Private Bag 92019, Auckland, New Zealand

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H H Phua Liggins Institute, University of Auckland, Private Bag 92019, Auckland, New Zealand

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R S Gilmour Liggins Institute, University of Auckland, Private Bag 92019, Auckland, New Zealand

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J E Harding Liggins Institute, University of Auckland, Private Bag 92019, Auckland, New Zealand

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Introduction Intra-uterine growth restriction (IUGR) remains a major cause of perinatal morbidity and mortality ( Resnik 2002 ). In addition, recent epidemiological and experimental data suggest that being born small carries an

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