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Paul J Rozance

TitleProfessor
InstitutionUniversity of Colorado Denver - Anschutz Medical Campus
DepartmentSOM-PEDS
Phone303/724-1149

    Collapse Biography 
    Collapse education and training
    University of California, Berkeley, Berkeley, CaliforniaBA05/1994Molecular and Cellular Biology
    Georgetown University Medical School, Washington, DCMD06/1998Medicine
    Stanford University, Palo Alto, CA06/2001Pediatrics
    University of Colorado, SOM, Aurora, CO06/2004Neonatology
    Collapse awards and honors
    2008Rising Investigator, Perinatal Research Society
    2011Young Investigator Research Award, Western Society for Pediatric Research
    2015Hypoglycemia Awareness Award, Congenital Hyperinsulinism International
    2007President's Award for Working Together, University of Colorado Hospital
    2022Bedside Manner Award, University of Colorado Hospital
    2014 - 2019Secretary Treasurer, Perinatal Research Society
    2024 - 2025President, Perinatal Research Society
    2015President, Western Society for Pediatric Research
    2020 - 2023Secretary Treasurer, Society for Reproductive Investigation

    Collapse Overview 
    Collapse overview
    Dr. Rozance is the Scientific Director of the Perinatal Research Center and the PI/PD of the NICHD funded T32 Training Program in Perinatal Biology and Medicine. His laboratory has been continuously funded from the NIH since 2009 when the focus was on nutrient sensing by the pancreatic islet, insulin secretion, and beta-cell – endothelial cell cross talk. While continuing this area of research, he has broadened the scope of his work in several ways. First, he is engaged in research to demonstrate the role of “fetal-derived” signals, like glucagon, in regulating placental function and maternal metabolism, thus challenging the current dogma of the fetus as a passive participant in the regulation of its own growth. Second, he uses novel genetic approaches in sheep to investigate the role of specific gene products, like placental lactogen (chorionic sommatomamotropin) and glucose transporters, on placental function and liver and pancreatic islet development. Third, he investigates the response of the pancreatic islet to a variety of perinatal insults including genetic manipulations using both sheep and mouse models. Finally, he utilizes mouse models to determine the long-term impact of perinatal insults on the developmental origins of diabetes and metabolic disease. His basic physiological studies have led to his work focused on perinatal glucose metabolism, neonatal hypoglycemia and neonatal hyperglycemia.

    Collapse Research 
    Collapse research activities and funding
    1R01HD111557     (Rozance)Apr 13, 2023 - Jan 31, 2028
    NIH/NICHD
    Fetal glucagon links fetal metabolism with uterine blood flow and placental nutrient transfer by inhibiting placental lactogen secretion
    Role Description: The goal of this study is to determine the novel roles by which fetal glucagon and maternal placental lactogen regulate placental function and fetal growth.

    R01HD111557     (ROZANCE, PAUL JOSEPH)Apr 13, 2023 - Jan 31, 2028
    NIH
    Fetal glucagon links fetal metabolism with uterine blood flow and placental nutrient transfer by inhibiting placental lactogen secretion
    Role: Principal Investigator

    R01HD093701     (ANTHONY, RUSSELL V;ROZANCE, PAUL JOSEPH)Jul 13, 2018 - Apr 30, 2024
    NIH
    Physiological Ramifications of Chorionic Somatomammotropin Deficiency
    Role: Principal Investigator

    R01DK088139     (ROZANCE, PAUL JOSEPH)Sep 15, 2011 - Jun 30, 2021
    NIH
    Nutrient coordination of pancreatic vasculature and B-cells
    Role: Principal Investigator

    R13HD036244     (ROZANCE, PAUL JOSEPH)Apr 1, 1998 - Jan 31, 2026
    NIH
    Perinatal Research Society Annual Meeting
    Role: Principal Investigator

    T32HD007186     (ROZANCE, PAUL JOSEPH)Jul 1, 1979 - Apr 30, 2026
    NIH
    Training in Perinatal Medicine
    Role: Principal Investigator

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
    List All   |   Timeline
    1. Gilley SP, Zarate MA, Zheng L, Jambal P, Yazza DN, Chintapalli SV, MacLean PS, Wright CJ, Rozance PJ, Shankar K. Metabolic and fecal microbial changes in adult fetal growth restricted mice. Pediatr Res. 2024 Feb; 95(3):647-659. PMID: 37935884.
      View in: PubMed
    2. Swenson KS, Wang D, Jones AK, Nash MJ, O'Rourke R, Takahashi DL, Kievit P, Hennebold JD, Aagaard KM, Friedman JE, Jones KL, Rozance PJ, Brown LD, Wesolowski SR. Metformin Disrupts Signaling and Metabolism in Fetal Hepatocytes. Diabetes. 2023 09 01; 72(9):1214-1227. PMID: 37347736.
      View in: PubMed
    3. Hord TK, Tanner AR, Kennedy VC, Lynch CS, Winger QA, Rozance PJ, Anthony RV. Impact of Chorionic Somatomammotropin In Vivo RNA Interference Phenotype on Uteroplacental Expression of the IGF Axis. Life (Basel). 2023 May 26; 13(6). PMID: 37374044.
      View in: PubMed
    4. White A, Stremming J, Brown LD, Rozance PJ. Attenuated glucose-stimulated insulin secretion during an acute IGF-1 LR3 infusion into fetal sheep does not persist in isolated islets. J Dev Orig Health Dis. 2023 06; 14(3):353-361. PMID: 37114757.
      View in: PubMed
    5. Kyllo HM, Wang D, Lorca RA, Julian CG, Moore LG, Wilkening RB, Rozance PJ, Brown LD, Wesolowski SR. Adaptive responses in uteroplacental metabolism and fetoplacental nutrient shuttling and sensing during placental insufficiency. Am J Physiol Endocrinol Metab. 2023 06 01; 324(6):E556-E568. PMID: 37126847.
      View in: PubMed
    6. Rozance PJ, Boehmer BH, Chang EI, Wesolowski SR, Brown LD. Chronic Fetal Leucine Infusion Increases Rate of Leucine Oxidation but Not of Protein Synthesis in Late Gestation Fetal Sheep. J Nutr. 2023 02; 153(2):493-504. PMID: 36894241.
      View in: PubMed
    7. Hernandez TL, Rozance PJ. Re-examination of the estimated average requirement for carbohydrate intake during pregnancy: Addition of placental glucose consumption. Am J Clin Nutr. 2023 02; 117(2):227-234. PMID: 36811561.
      View in: PubMed
    8. Lynch CS, Kennedy VC, Tanner AR, Ali A, Winger QA, Rozance PJ, Anthony RV. Impact of Placental SLC2A3 Deficiency during the First-Half of Gestation. Int J Mol Sci. 2022 Oct 19; 23(20). PMID: 36293384.
      View in: PubMed
    9. Stremming J, White A, Donthi A, Batt DG, Hetrick B, Chang EI, Wesolowski SR, Seefeldt MB, McCurdy CE, Rozance PJ, Brown LD. Sheep recombinant IGF-1 promotes organ-specific growth in fetal sheep. Front Physiol. 2022; 13:954948. PMID: 36091374.
      View in: PubMed
    10. Stenhouse C, Halloran KM, Tanner AR, Suva LJ, Rozance PJ, Anthony RV, Bazer FW. Uptake of Phosphate, Calcium, and Vitamin D by the Pregnant Uterus of Sheep in Late Gestation: Regulation by Chorionic Somatomammotropin Hormone. Int J Mol Sci. 2022 Jul 14; 23(14). PMID: 35887141.
      View in: PubMed
    11. Tanner AR, Kennedy VC, Lynch CS, Hord TK, Winger QA, Rozance PJ, Anthony RV. In vivo investigation of ruminant placenta function and physiology-a review. J Anim Sci. 2022 Jun 01; 100(6). PMID: 35648127.
      View in: PubMed
    12. Rozance PJ. Hypoglycemia in the Newborn and Neurodevelopmental Outcomes in Childhood. JAMA. 2022 03 22; 327(12):1135-1137. PMID: 35315906.
      View in: PubMed
    13. Joss-Moore LA, Lane RH, Rozance PJ, Bird I, Albertine KH. Perinatal Research Society's Young Investigator Workshop Prepares the Next Generation of Investigators. Reprod Sci. 2022 04; 29(4):1271-1277. PMID: 35020187.
      View in: PubMed
    14. Jones AK, Wang D, Goldstrohm DA, Brown LD, Rozance PJ, Limesand SW, Wesolowski SR. Tissue-specific responses that constrain glucose oxidation and increase lactate production with the severity of hypoxemia in fetal sheep. Am J Physiol Endocrinol Metab. 2022 02 01; 322(2):E181-E196. PMID: 34957858.
      View in: PubMed
    15. Chang EI, Hetrick B, Wesolowski SR, McCurdy CE, Rozance PJ, Brown LD. A Two-Week Insulin Infusion in Intrauterine Growth Restricted Fetal Sheep at 75% Gestation Increases Skeletal Myoblast Replication but Did Not Restore Muscle Mass or Increase Fiber Number. Front Endocrinol (Lausanne). 2021; 12:785242. PMID: 34917036.
      View in: PubMed
    16. Brown LD, Palmer C, Teynor L, Boehmer BH, Stremming J, Chang EI, White A, Jones AK, Cilvik SN, Wesolowski SR, Rozance PJ. Fetal Sex Does Not Impact Placental Blood Flow or Placental Amino Acid Transfer in Late Gestation Pregnant Sheep With or Without Placental Insufficiency. Reprod Sci. 2022 06; 29(6):1776-1789. PMID: 34611848.
      View in: PubMed
    17. Jones AK, Rozance PJ, Brown LD, Lorca RA, Julian CG, Moore LG, Limesand SW, Wesolowski SR. Uteroplacental nutrient flux and evidence for metabolic reprogramming during sustained hypoxemia. Physiol Rep. 2021 09; 9(18):e15033. PMID: 34558219.
      View in: PubMed
    18. Zarate MA, De Dios RK, Balasubramaniyan D, Zheng L, Sherlock LG, Rozance PJ, Wright CJ. The Acute Hepatic NF-?B-Mediated Proinflammatory Response to Endotoxemia Is Attenuated in Intrauterine Growth-Restricted Newborn Mice. Front Immunol. 2021; 12:706774. PMID: 34539638.
      View in: PubMed
    19. Tanner AR, Lynch CS, Kennedy VC, Ali A, Winger QA, Rozance PJ, Anthony RV. CSH RNA Interference Reduces Global Nutrient Uptake and Umbilical Blood Flow Resulting in Intrauterine Growth Restriction. Int J Mol Sci. 2021 Jul 29; 22(15). PMID: 34360913.
      View in: PubMed
    20. Rozance PJ, Wesolowski SR, Jonker SS, Brown LD. Anemic hypoxemia reduces myoblast proliferation and muscle growth in late-gestation fetal sheep. Am J Physiol Regul Integr Comp Physiol. 2021 09 01; 321(3):R352-R363. PMID: 34287074.
      View in: PubMed
    21. Dinu D, Rozance P. Real-time continuous glucose monitoring in preterm infants (react): An International, open-label, randomised, controlled trial. Acta Paediatr. 2021 09; 110(9):2656-2657. PMID: 34121224.
      View in: PubMed
    22. Cilvik SN, Wesolowski SR, Anthony RV, Brown LD, Rozance PJ. Late gestation fetal hyperglucagonaemia impairs placental function and results in diminished fetal protein accretion and decreased fetal growth. J Physiol. 2021 07; 599(13):3403-3427. PMID: 33878802.
      View in: PubMed
    23. Wright CJ, McKenna S, De Dios R, Boehmer BH, Nguyen L, Ghosh S, Sandoval J, Rozance PJ. Lower threshold to NF?B activity sensitizes murine ?-cells to streptozotocin. J Endocrinol. 2021 05 06; 249(3):163-175. PMID: 33764312.
      View in: PubMed
    24. White A, Stremming J, Boehmer BH, Chang EI, Jonker SS, Wesolowski SR, Brown LD, Rozance PJ. Reduced glucose-stimulated insulin secretion following a 1-wk IGF-1 infusion in late gestation fetal sheep is due to an intrinsic islet defect. Am J Physiol Endocrinol Metab. 2021 06 01; 320(6):E1138-E1147. PMID: 33938236.
      View in: PubMed
    25. Boehmer BH, Wesolowski SR, Brown LD, Rozance PJ. Chronic Fetal Leucine Infusion Does Not Potentiate Glucose-Stimulated Insulin Secretion or Affect Pancreatic Islet Development in Late-Gestation Growth-Restricted Fetal Sheep. J Nutr. 2021 02 01; 151(2):312-319. PMID: 33326574.
      View in: PubMed
    26. Stremming J, Heard S, White A, Chang EI, Shaw SC, Wesolowski SR, Jonker SS, Rozance PJ, Brown LD. IGF-1 infusion to fetal sheep increases organ growth but not by stimulating nutrient transfer to the fetus. Am J Physiol Endocrinol Metab. 2021 03 01; 320(3):E527-E538. PMID: 33427051.
      View in: PubMed
    27. Ali A, Swanepoel CM, Winger QA, Rozance PJ, Anthony RV. Chorionic somatomammotropin RNA interference alters fetal liver glucose utilization. J Endocrinol. 2020 12; 247(3):251-262. PMID: 33108344.
      View in: PubMed
    28. Tanner AR, Lynch CS, Ali A, Winger QA, Rozance PJ, Anthony RV. Impact of chorionic somatomammotropin RNA interference on uterine blood flow and placental glucose uptake in the absence of intrauterine growth restriction. Am J Physiol Regul Integr Comp Physiol. 2021 02 01; 320(2):R138-R148. PMID: 33146554.
      View in: PubMed
    29. Boehmer BH, Baker PR, Brown LD, Wesolowski SR, Rozance PJ. Leucine acutely potentiates glucose-stimulated insulin secretion in fetal sheep. J Endocrinol. 2020 10; 247(1):115-126. PMID: 32756000.
      View in: PubMed
    30. Rozance PJ, Jones AK, Bourque SL, D'Alessandro A, Hay WW, Brown LD, Wesolowski SR. Effects of chronic hyperinsulinemia on metabolic pathways and insulin signaling in the fetal liver. Am J Physiol Endocrinol Metab. 2020 10 01; 319(4):E721-E733. PMID: 32830555.
      View in: PubMed
    31. Boehmer BH, Brown LD, Wesolowski SR, Hay WW, Rozance PJ. A Chronic Fetal Leucine Infusion Potentiates Fetal Insulin Secretion and Increases Pancreatic Islet Size, Vascularity, and ? Cells in Late-Gestation Sheep. J Nutr. 2020 08 01; 150(8):2061-2069. PMID: 32470982.
      View in: PubMed
    32. Thornton PS, Rozance PJ, Sperling MA. The GLOW Study does not light up the true Pediatric Endocrine Society recommendations for management of hypoglycemia in newborns. J Pediatr. 2020 10; 225:279. PMID: 32603688.
      View in: PubMed
    33. Zarate MA, Wesolowski SR, Nguyen LM, De Dios RK, Wilkening RB, Rozance PJ, Wright CJ. In utero inflammatory challenge induces an early activation of the hepatic innate immune response in late gestation fetal sheep. Innate Immun. 2020 10; 26(7):549-564. PMID: 32538259.
      View in: PubMed
    34. Stremming J, Jansson T, Powell TL, Rozance PJ, Brown LD. Reduced Na+ K+ -ATPase activity may reduce amino acid uptake in intrauterine growth restricted fetal sheep muscle despite unchanged ex vivo amino acid transporter activity. J Physiol. 2020 04; 598(8):1625-1639. PMID: 31909825.
      View in: PubMed
    35. Chang EI, Rozance PJ, Wesolowski SR, Nguyen LM, Shaw SC, Sclafani RA, Bjorkman KK, Peter AK, Hay W, Brown LD. Rates of myogenesis and myofiber numbers are reduced in late gestation IUGR fetal sheep. J Endocrinol. 2019 12 19; 244(2):339-352. PMID: 31751294.
      View in: PubMed
    36. Chang EI, Wesolowski SR, Gilje EA, Baker PR, Reisz JA, D'Alessandro A, Hay WW, Rozance PJ, Brown LD. Skeletal muscle amino acid uptake is lower and alanine production is greater in late gestation intrauterine growth-restricted fetal sheep hindlimb. Am J Physiol Regul Integr Comp Physiol. 2019 11 01; 317(5):R615-R629. PMID: 31483682.
      View in: PubMed
    37. Qiao L, Wattez JS, Lim L, Rozance PJ, Hay WW, Shao J. Prolonged Prepregnant Maternal High-Fat Feeding Reduces Fetal and Neonatal Blood Glucose Concentrations by Enhancing Fetal ?-Cell Development in C57BL/6 Mice. Diabetes. 2019 08; 68(8):1604-1613. PMID: 31127056.
      View in: PubMed
    38. Jones AK, Rozance PJ, Brown LD, Goldstrohm DA, Hay WW, Limesand SW, Wesolowski SR. Sustained hypoxemia in late gestation potentiates hepatic gluconeogenic gene expression but does not activate glucose production in the ovine fetus. Am J Physiol Endocrinol Metab. 2019 07 01; 317(1):E1-E10. PMID: 30964701.
      View in: PubMed
    39. Jones AK, Brown LD, Rozance PJ, Serkova NJ, Hay WW, Friedman JE, Wesolowski SR. Differential effects of intrauterine growth restriction and a hypersinsulinemic-isoglycemic clamp on metabolic pathways and insulin action in the fetal liver. Am J Physiol Regul Integr Comp Physiol. 2019 05 01; 316(5):R427-R440. PMID: 30758974.
      View in: PubMed
    40. Rozance PJ, Wolfsdorf JI. Hypoglycemia in the Newborn. Pediatr Clin North Am. 2019 04; 66(2):333-342. PMID: 30819340.
      View in: PubMed
    41. Hay WW, Rozance PJ. Alert Newborn Infants Are Ready to Feed and Raise Their Glucose Concentration. Neonatology. 2019; 115(3):239-241. PMID: 30669150.
      View in: PubMed
    42. Hernandez TL, Hay WW, Rozance PJ. Continuous glucose monitoring in the neonatal intensive care unit: not quite ready for 'plug and play'. Arch Dis Child Fetal Neonatal Ed. 2019 Jul; 104(4):F344-F345. PMID: 30425111.
      View in: PubMed
    43. Wai SG, Rozance PJ, Wesolowski SR, Hay WW, Brown LD. Prolonged amino acid infusion into intrauterine growth-restricted fetal sheep increases leucine oxidation rates. Am J Physiol Endocrinol Metab. 2018 12 01; 315(6):E1143-E1153. PMID: 30205012.
      View in: PubMed
    44. White A, Louey S, Chang EI, Boehmer BH, Goldstrohm D, Jonker SS, Rozance PJ. A 1?week IGF-1 infusion decreases arterial insulin concentrations but increases pancreatic insulin content and islet vascularity in fetal sheep. Physiol Rep. 2018 09; 6(17):e13840. PMID: 30175552.
      View in: PubMed
    45. Boehmer BH, Brown LD, Wesolowski SR, Hay WW, Rozance PJ. Pulsatile hyperglycemia increases insulin secretion but not pancreatic ?-cell mass in intrauterine growth-restricted fetal sheep. J Dev Orig Health Dis. 2018 10; 9(5):492-499. PMID: 29973299.
      View in: PubMed
    46. Kaiser JR, Bai S, Rozance PJ. Reply to the Letter to the Editor "The Postnatal Glucose Concentration Nadir Is Not Abnormal and Does Not Need to Be Treated". Neonatology. 2018; 114(2):164. PMID: 29894996.
      View in: PubMed
    47. Hay WW, Rozance PJ. Neonatal Hyperglycemia-Causes, Treatments, and Cautions. J Pediatr. 2018 09; 200:6-8. PMID: 29753545.
      View in: PubMed
    48. Dodson RB, Powers KN, Gien J, Rozance PJ, Seedorf G, Astling D, Jones K, Crombleholme TM, Abman SH, Alvira CM. Intrauterine growth restriction decreases NF-?B signaling in fetal pulmonary artery endothelial cells of fetal sheep. Am J Physiol Lung Cell Mol Physiol. 2018 09 01; 315(3):L348-L359. PMID: 29722560.
      View in: PubMed
    49. Kaiser JR, Bai S, Rozance PJ. Newborn Plasma Glucose Concentration Nadirs by Gestational-Age Group. Neonatology. 2018; 113(4):353-359. PMID: 29510404.
      View in: PubMed
    50. Beune IM, Bloomfield FH, Ganzevoort W, Embleton ND, Rozance PJ, van Wassenaer-Leemhuis AG, Wynia K, Gordijn SJ. Consensus Based Definition of Growth Restriction in the Newborn. J Pediatr. 2018 05; 196:71-76.e1. PMID: 29499988.
      View in: PubMed
    51. Rozance PJ, Bai S, Kaiser JR. Searching for the Best Oral Treatment for Hypoglycemic Newborns. J Pediatr. 2017 11; 190:10-12. PMID: 29144237.
      View in: PubMed
    52. Rozance PJ, Zastoupil L, Wesolowski SR, Goldstrohm DA, Strahan B, Cree-Green M, Sheffield-Moore M, Meschia G, Hay WW, Wilkening RB, Brown LD. Skeletal muscle protein accretion rates and hindlimb growth are reduced in late gestation intrauterine growth-restricted fetal sheep. J Physiol. 2018 01 01; 596(1):67-82. PMID: 28940557.
      View in: PubMed
    53. Rozance PJ, Wright CJ. Preparing for the first breath: in the developing lung, maternal overnutrition takes centre stage. J Physiol. 2017 11 01; 595(21):6595-6596. PMID: 28925540.
      View in: PubMed
    54. Bourque SL, Rozance PJ, Hay WW. 50 Years Ago in The Journal of Pediatrics: Diazoxide Treatment for Idiopathic Hypoglycemia of Infancy. J Pediatr. 2017 10; 189:53. PMID: 28947056.
      View in: PubMed
    55. Boehmer BH, Limesand SW, Rozance PJ. The impact of IUGR on pancreatic islet development and ?-cell function. J Endocrinol. 2017 Nov; 235(2):R63-R76. PMID: 28808079.
      View in: PubMed
    56. Limesand SW, Rozance PJ. Fetal adaptations in insulin secretion result from high catecholamines during placental insufficiency. J Physiol. 2017 08 01; 595(15):5103-5113. PMID: 28194805.
      View in: PubMed
    57. Bourque SL, Rozance PJ. Does dextrose gel prevent treatment failure in infants with neonatal hypoglycaemia? Acta Paediatr. 2017 07; 106(7):1201. PMID: 28220533.
      View in: PubMed
    58. Brown LD, Kohn JR, Rozance PJ, Hay WW, Wesolowski SR. Exogenous amino acids suppress glucose oxidation and potentiate hepatic glucose production in late gestation fetal sheep. Am J Physiol Regul Integr Comp Physiol. 2017 05 01; 312(5):R654-R663. PMID: 28179229.
      View in: PubMed
    59. Benjamin JS, Culpepper CB, Brown LD, Wesolowski SR, Jonker SS, Davis MA, Limesand SW, Wilkening RB, Hay WW, Rozance PJ. Chronic anemic hypoxemia attenuates glucose-stimulated insulin secretion in fetal sheep. Am J Physiol Regul Integr Comp Physiol. 2017 04 01; 312(4):R492-R500. PMID: 28100476.
      View in: PubMed
    60. Soto SM, Blake AC, Wesolowski SR, Rozance PJ, Barthel KB, Gao B, Hetrick B, McCurdy CE, Garza NG, Hay WW, Leinwand LA, Friedman JE, Brown LD. Myoblast replication is reduced in the IUGR fetus despite maintained proliferative capacity in vitro. J Endocrinol. 2017 03; 232(3):475-491. PMID: 28053000.
      View in: PubMed
    61. Rozance PJ, Hay WW. Modern Management of Preterm Infants Prevents Adverse Developmental Outcomes From Hypoglycemia. Pediatrics. 2016 12; 138(6). PMID: 27940727.
      View in: PubMed
    62. Brown LD, Davis M, Wai S, Wesolowski SR, Hay WW, Limesand SW, Rozance PJ. Chronically Increased Amino Acids Improve Insulin Secretion, Pancreatic Vascularity, and Islet Size in Growth-Restricted Fetal Sheep. Endocrinology. 2016 Oct; 157(10):3788-3799. PMID: 27501184.
      View in: PubMed
    63. Kamath-Rayne BD, Rozance PJ, Goldenberg RL, Jobe AH. Antenatal corticosteroids beyond 34 weeks gestation: What?do?we?do?now? Am J Obstet Gynecol. 2016 10; 215(4):423-30. PMID: 27342043.
      View in: PubMed
    64. Culpepper C, Wesolowski SR, Benjamin J, Bruce JL, Brown LD, Jonker SS, Wilkening RB, Hay WW, Rozance PJ. Chronic anemic hypoxemia increases plasma glucagon and hepatic PCK1 mRNA in late-gestation fetal sheep. Am J Physiol Regul Integr Comp Physiol. 2016 07 01; 311(1):R200-8. PMID: 27170658.
      View in: PubMed
    65. Hay WW, Brown LD, Rozance PJ, Wesolowski SR, Limesand SW. Challenges in nourishing the intrauterine growth-restricted foetus - Lessons learned from studies in the intrauterine growth-restricted foetal sheep. Acta Paediatr. 2016 Aug; 105(8):881-9. PMID: 27028695.
      View in: PubMed
    66. Rozance PJ, Hay WW. New approaches to management of neonatal hypoglycemia. Matern Health Neonatol Perinatol. 2016; 2:3. PMID: 27168942.
      View in: PubMed
    67. Brown LD, Wesolowski SR, Kailey J, Bourque S, Wilson A, Andrews SE, Hay WW, Rozance PJ. Chronic Hyperinsulinemia Increases Myoblast Proliferation in Fetal Sheep Skeletal Muscle. Endocrinology. 2016 06; 157(6):2447-60. PMID: 27049667.
      View in: PubMed
    68. Rozance PJ. 50 Years Ago in The Journal of Pediatrics: Perinatal Stress and the Premature Neonate. II. Effect of Fluid and Calorie Deprivation on Blood Glucose. J Pediatr. 2016 Mar; 170:89. PMID: 26922762.
      View in: PubMed
    69. Barry JS, Rozance PJ, Brown LD, Anthony RV, Thornburg KL, Hay WW. Increased fetal myocardial sensitivity to insulin-stimulated glucose metabolism during ovine fetal growth restriction. Exp Biol Med (Maywood). 2016 04; 241(8):839-47. PMID: 26873920.
      View in: PubMed
    70. Rozance PJ, Hay WW. Pancreatic islet hepatocyte growth factor and vascular endothelial growth factor A signaling in growth restricted fetuses. Mol Cell Endocrinol. 2016 11 05; 435:78-84. PMID: 26820125.
      View in: PubMed
    71. Brown LD, Rozance PJ. A Sweet Addition for the Treatment of Neonatal Hypoglycemia. J Pediatr. 2016 Mar; 170:10-2. PMID: 26746122.
      View in: PubMed
    72. Brown LD, Rozance PJ, Bruce JL, Friedman JE, Hay WW, Wesolowski SR. Limited capacity for glucose oxidation in fetal sheep with intrauterine growth restriction. Am J Physiol Regul Integr Comp Physiol. 2015 Oct 15; 309(8):R920-8. PMID: 26224688.
      View in: PubMed
    73. Thornton PS, Stanley CA, De Leon DD, Harris D, Haymond MW, Hussain K, Levitsky LL, Murad MH, Rozance PJ, Simmons RA, Sperling MA, Weinstein DA, White NH, Wolfsdorf JI. Recommendations from the Pediatric Endocrine Society for Evaluation and Management of Persistent Hypoglycemia in Neonates, Infants, and Children. J Pediatr. 2015 Aug; 167(2):238-45. PMID: 25957977.
      View in: PubMed
    74. Stanley CA, Rozance PJ, Thornton PS, De Leon DD, Harris D, Haymond MW, Hussain K, Levitsky LL, Murad MH, Simmons RA, Sperling MA, Weinstein DA, White NH, Wolfsdorf JI. Re-evaluating "transitional neonatal hypoglycemia": mechanism and implications for management. J Pediatr. 2015 Jun; 166(6):1520-5.e1. PMID: 25819173.
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    75. Andrews SE, Brown LD, Thorn SR, Limesand SW, Davis M, Hay WW, Rozance PJ. Increased adrenergic signaling is responsible for decreased glucose-stimulated insulin secretion in the chronically hyperinsulinemic ovine fetus. Endocrinology. 2015 Jan; 156(1):367-76. PMID: 25343274.
      View in: PubMed
    76. Houin SS, Rozance PJ, Brown LD, Hay WW, Wilkening RB, Thorn SR. Coordinated changes in hepatic amino acid metabolism and endocrine signals support hepatic glucose production during fetal hypoglycemia. Am J Physiol Endocrinol Metab. 2015 Feb 15; 308(4):E306-14. PMID: 25516551.
      View in: PubMed
    77. Rozance PJ, Anderson M, Martinez M, Fahy A, Macko AR, Kailey J, Seedorf GJ, Abman SH, Hay WW, Limesand SW. Placental insufficiency decreases pancreatic vascularity and disrupts hepatocyte growth factor signaling in the pancreatic islet endothelial cell in fetal sheep. Diabetes. 2015 Feb; 64(2):555-64. PMID: 25249573.
      View in: PubMed
    78. Brown LD, Thorn SR, O'Meara MC, Lavezzi JR, Rozance PJ. A physiological increase in insulin suppresses muscle-specific ubiquitin ligase gene activation in fetal sheep with sustained hypoglycemia. Physiol Rep. 2014 Jun 18; 2(6). PMID: 24944291.
      View in: PubMed
    79. Houin S, Rozance PJ. 50 years ago in the Journal of pediatrics: The incidence of neonatal hypoglycemia in a nursery for premature infants. J Pediatr. 2014 Jun; 164(6):1485. PMID: 24855928.
      View in: PubMed
    80. Brown LD, Thorn SR, Cheung A, Lavezzi JR, Battaglia FC, Rozance PJ. Changes in fetal mannose and other carbohydrates induced by a maternal insulin infusion in pregnant sheep. J Anim Sci Biotechnol. 2014; 5(1):28. PMID: 24917928.
      View in: PubMed
    81. Rozance PJ. Update on neonatal hypoglycemia. Curr Opin Endocrinol Diabetes Obes. 2014 Feb; 21(1):45-50. PMID: 24275620.
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    82. Dodson RB, Rozance PJ, Petrash CC, Hunter KS, Ferguson VL. Thoracic and abdominal aortas stiffen through unique extracellular matrix changes in intrauterine growth restricted fetal sheep. Am J Physiol Heart Circ Physiol. 2014 Feb; 306(3):H429-37. PMID: 24322609.
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    83. Dodson RB, Rozance PJ, Reina-Romo E, Ferguson VL, Hunter KS. Hyperelastic remodeling in the intrauterine growth restricted (IUGR) carotid artery in the near-term fetus. J Biomech. 2013 Mar 15; 46(5):956-63. PMID: 23332229.
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    84. Limesand SW, Rozance PJ, Macko AR, Anderson MJ, Kelly AC, Hay WW. Reductions in insulin concentrations and ?-cell mass precede growth restriction in sheep fetuses with placental insufficiency. Am J Physiol Endocrinol Metab. 2013 Mar 01; 304(5):E516-23. PMID: 23277186.
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    85. Gadhia MM, Maliszewski AM, O'Meara MC, Thorn SR, Lavezzi JR, Limesand SW, Hay WW, Brown LD, Rozance PJ. Increased amino acid supply potentiates glucose-stimulated insulin secretion but does not increase ?-cell mass in fetal sheep. Am J Physiol Endocrinol Metab. 2013 Feb 15; 304(4):E352-62. PMID: 23211516.
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    86. Dodson RB, Rozance PJ, Fleenor BS, Petrash CC, Shoemaker LG, Hunter KS, Ferguson VL. Increased arterial stiffness and extracellular matrix reorganization in intrauterine growth-restricted fetal sheep. Pediatr Res. 2013 Feb; 73(2):147-54. PMID: 23154756.
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    87. Lavezzi JR, Thorn SR, O'Meara MC, LoTurco D, Brown LD, Hay WW, Rozance PJ. Increased fetal insulin concentrations for one week fail to improve insulin secretion or ?-cell mass in fetal sheep with chronically reduced glucose supply. Am J Physiol Regul Integr Comp Physiol. 2013 Jan 01; 304(1):R50-8. PMID: 23135788.
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    88. Frost MS, Zehri AH, Limesand SW, Hay WW, Rozance PJ. Differential effects of chronic pulsatile versus chronic constant maternal hyperglycemia on fetal pancreatic ?-cells. J Pregnancy. 2012; 2012:812094. PMID: 23133755.
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    89. Thorn SR, Sekar SM, Lavezzi JR, O'Meara MC, Brown LD, Hay WW, Rozance PJ. A physiological increase in insulin suppresses gluconeogenic gene activation in fetal sheep with sustained hypoglycemia. Am J Physiol Regul Integr Comp Physiol. 2012 Oct 15; 303(8):R861-9. PMID: 22933022.
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    90. Thorn SR, Brown LD, Rozance PJ, Hay WW, Friedman JE. Increased hepatic glucose production in fetal sheep with intrauterine growth restriction is not suppressed by insulin. Diabetes. 2013 Jan; 62(1):65-73. PMID: 22933111.
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    91. Rozance PJ, Hay WW. Neonatal hypoglycemia--answers, but more questions. J Pediatr. 2012 Nov; 161(5):775-6. PMID: 22809663.
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    92. Brown LD, Rozance PJ, Thorn SR, Friedman JE, Hay WW. Acute supplementation of amino acids increases net protein accretion in IUGR fetal sheep. Am J Physiol Endocrinol Metab. 2012 Aug 01; 303(3):E352-64. PMID: 22649066.
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    93. Chen X, Rozance PJ, Hay WW, Limesand SW. Insulin-like growth factor and fibroblast growth factor expression profiles in growth-restricted fetal sheep pancreas. Exp Biol Med (Maywood). 2012 May; 237(5):524-9. PMID: 22581814.
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    94. Delaney CA, Rozance PJ, Sandoval JA, Bealer JF, Kinsella JP. Late onset diaphragmatic hernia complicated by intestinal strangulation. Curr Opin Pediatr. 2012 Apr; 24(2):274-6. PMID: 22327952.
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    95. Maliszewski AM, Gadhia MM, O'Meara MC, Thorn SR, Rozance PJ, Brown LD. Prolonged infusion of amino acids increases leucine oxidation in fetal sheep. Am J Physiol Endocrinol Metab. 2012 Jun 15; 302(12):E1483-92. PMID: 22454287.
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    96. Rozance PJ, Seedorf GJ, Brown A, Roe G, O'Meara MC, Gien J, Tang JR, Abman SH. Intrauterine growth restriction decreases pulmonary alveolar and vessel growth and causes pulmonary artery endothelial cell dysfunction in vitro in fetal sheep. Am J Physiol Lung Cell Mol Physiol. 2011 Dec; 301(6):L860-71. PMID: 21873446.
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    97. Thorn SR, Rozance PJ, Brown LD, Hay WW. The intrauterine growth restriction phenotype: fetal adaptations and potential implications for later life insulin resistance and diabetes. Semin Reprod Med. 2011 May; 29(3):225-36. PMID: 21710398.
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    98. Rozance PJ. Glucose metabolism in the preterm infant. J Pediatr. 2011 Jun; 158(6):874-5. PMID: 21429504.
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    99. Green AS, Macko AR, Rozance PJ, Yates DT, Chen X, Hay WW, Limesand SW. Characterization of glucose-insulin responsiveness and impact of fetal number and sex difference on insulin response in the sheep fetus. Am J Physiol Endocrinol Metab. 2011 May; 300(5):E817-23. PMID: 21343544.
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    100. Brown LD, Green AS, Limesand SW, Rozance PJ. Maternal amino acid supplementation for intrauterine growth restriction. Front Biosci (Schol Ed). 2011 01 01; 3(2):428-44. PMID: 21196387.
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    101. Rozance PJ, Hay WW. Describing hypoglycemia--definition or operational threshold? Early Hum Dev. 2010 May; 86(5):275-80. PMID: 20554129.
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    102. Hay WW, Rozance PJ. Continuous glucose monitoring for diagnosis and treatment of neonatal hypoglycemia. J Pediatr. 2010 Aug; 157(2):180-2. PMID: 20472249.
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    103. Green AS, Rozance PJ, Limesand SW. Consequences of a compromised intrauterine environment on islet function. J Endocrinol. 2010 Jun; 205(3):211-24. PMID: 20223861.
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    104. Rozance PJ, Crispo MM, Barry JS, O'Meara MC, Frost MS, Hansen KC, Hay WW, Brown LD. Prolonged maternal amino acid infusion in late-gestation pregnant sheep increases fetal amino acid oxidation. Am J Physiol Endocrinol Metab. 2009 Sep; 297(3):E638-46. PMID: 19602583.
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    105. Thorn SR, Regnault TR, Brown LD, Rozance PJ, Keng J, Roper M, Wilkening RB, Hay WW, Friedman JE. Intrauterine growth restriction increases fetal hepatic gluconeogenic capacity and reduces messenger ribonucleic acid translation initiation and nutrient sensing in fetal liver and skeletal muscle. Endocrinology. 2009 Jul; 150(7):3021-30. PMID: 19342452.
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    106. Limesand SW, Rozance PJ, Brown LD, Hay WW. Effects of chronic hypoglycemia and euglycemic correction on lysine metabolism in fetal sheep. Am J Physiol Endocrinol Metab. 2009 Apr; 296(4):E879-87. PMID: 19190258.
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    107. Rozance PJ, Limesand SW, Barry JS, Brown LD, Hay WW. Glucose replacement to euglycemia causes hypoxia, acidosis, and decreased insulin secretion in fetal sheep with intrauterine growth restriction. Pediatr Res. 2009 Jan; 65(1):72-8. PMID: 18704001.
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    108. Brown LD, Rozance PJ, Barry JS, Friedman JE, Hay WW. Insulin is required for amino acid stimulation of dual pathways for translational control in skeletal muscle in the late-gestation ovine fetus. Am J Physiol Endocrinol Metab. 2009 Jan; 296(1):E56-63. PMID: 18940943.
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    109. Barry JS, Rozance PJ, Anthony RV. An animal model of placental insufficiency-induced intrauterine growth restriction. Semin Perinatol. 2008 Jun; 32(3):225-30. PMID: 18482626.
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    110. Rozance PJ, Limesand SW, Barry JS, Brown LD, Thorn SR, LoTurco D, Regnault TR, Friedman JE, Hay WW. Chronic late-gestation hypoglycemia upregulates hepatic PEPCK associated with increased PGC1alpha mRNA and phosphorylated CREB in fetal sheep. Am J Physiol Endocrinol Metab. 2008 Feb; 294(2):E365-70. PMID: 18056789.
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    111. Limesand SW, Rozance PJ, Smith D, Hay WW. Increased insulin sensitivity and maintenance of glucose utilization rates in fetal sheep with placental insufficiency and intrauterine growth restriction. Am J Physiol Endocrinol Metab. 2007 Dec; 293(6):E1716-25. PMID: 17895285.
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    112. Rozance PJ, Limesand SW, Zerbe GO, Hay WW. Chronic fetal hypoglycemia inhibits the later steps of stimulus-secretion coupling in pancreatic beta-cells. Am J Physiol Endocrinol Metab. 2007 May; 292(5):E1256-64. PMID: 17213478.
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    113. Rozance PJ, Limesand SW, Hay WW. Decreased nutrient-stimulated insulin secretion in chronically hypoglycemic late-gestation fetal sheep is due to an intrinsic islet defect. Am J Physiol Endocrinol Metab. 2006 Aug; 291(2):E404-11. PMID: 16569758.
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    114. Rozance PJ, Hay WW. Hypoglycemia in newborn infants: Features associated with adverse outcomes. Biol Neonate. 2006; 90(2):74-86. PMID: 16534190.
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    115. Limesand SW, Rozance PJ, Zerbe GO, Hutton JC, Hay WW. Attenuated insulin release and storage in fetal sheep pancreatic islets with intrauterine growth restriction. Endocrinology. 2006 Mar; 147(3):1488-97. PMID: 16339204.
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    116. Colby C, Rozance P, Goodwin TL, Fisher PG. Rapid deterioration of a newborn with congenital spinal cord astrocytoma. Med Pediatr Oncol. 2001 Apr; 36(4):500-2. PMID: 11260577.
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