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Cerebral energy metabolism in fetal guinea pigs during moderate maternal hypoxemia at 0.75 of gestation. 妊娠0.75时母体中度低氧血症时胎儿豚鼠的脑能代谢。
Pub Date : 1993-05-01
R Berger, A Jensen, J Krieglstein, J P Steigelmann

There is evidence from fetal sheep near term that cerebral oxygen delivery decreases during a moderate maternal hypoxemia, whereas cerebral oxygen consumption is maintained. However, since in immature fetuses circulatory centralization may be in part ineffective, cerebral concentrations of high-energy phosphates may fall during a moderate maternal hypoxemia due to an insufficient cerebral oxygen supply. On the other hand anaerobic glycolysis may accelerate to prevent the depletion of high-energy phosphates. To determine, whether or not there is an energy failure in the immature fetal brain in this situation, we studied the effects of 60 min moderate maternal hypoxemia on cerebral concentrations of high-energy phosphates and glycolytic intermediates in fetal guinea pigs at 0.75 gestation. Maternal hypoxemia resulted in no change in fetal mixed arterio-venous pH (7.41 +/- 0.05 vs. 7.38 +/- 0.05; n.s.) or PCO2 (39.0 +/- 4.2 vs. 36.4 +/- 5.6 mmHg; n.s.), but in a fall in fetal PO2 (17.3 +/- 2.2 vs. 11.2 +/- 1.9 mmHg; P < 0.01). There was an increase in fetal cerebral concentrations of lactate (1.50 +/- 0.24 vs. 2.82 +/- 0.91 mumol/g; P < 0.01), whereas those of high-energy phosphates remained unchanged. From these results we conclude that during moderate isocapnic hypoxemia cerebral energy metabolism of immature fetal guinea pigs is maintained by an acceleration of the anaerobic glycolytic rate.

有证据表明,在母体中度低氧血症期间,胎儿羊的脑氧输送减少,而脑氧消耗保持不变。然而,由于未成熟胎儿的循环中心化可能部分无效,因此在母体脑氧供应不足引起的中度低氧血症期间,高能磷酸盐的脑浓度可能下降。另一方面,厌氧糖酵解可以加速防止高能磷酸盐的消耗。为了确定在这种情况下未成熟的胎儿大脑是否存在能量衰竭,我们研究了母体中度低氧血症60分钟对妊娠0.75期胎儿豚鼠大脑高能磷酸盐和糖酵解中间体浓度的影响。母体低氧血症对胎儿动静脉混合pH值无影响(7.41 +/- 0.05 vs. 7.38 +/- 0.05;n。)或二氧化碳分压(39.0 + / - 4.2和36.4 + / - 5.6毫米汞柱;胎儿PO2下降(17.3 +/- 2.2 vs. 11.2 +/- 1.9 mmHg;P < 0.01)。胎儿脑乳酸浓度升高(1.50 +/- 0.24比2.82 +/- 0.91 μ mol/g);P < 0.01),而高能磷酸盐没有变化。从这些结果我们得出结论,在中度异氧低氧血症期间,未成熟胚胎豚鼠的脑能代谢是通过加速厌氧糖酵解速率来维持的。
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引用次数: 0
Number and affinity of transferrin-receptors at the placental microvillous plasma membrane of the guinea pig: influence of gestational age and degree of transferrin glycan chain complexity. 豚鼠胎盘微绒毛质膜上转铁蛋白受体的数量和亲和力:胎龄和转铁蛋白聚糖链复杂程度的影响
Pub Date : 1993-05-01
J P van Dijk, F G van der Zande, M J Kroos, J S Starreveld, H G van Eijk

Transferrin receptors (TfR's) on the syncytiotrophoblast mediate transferrin (Tf) dependent Fe uptake and transfer to the fetus. We studied TfR number and density at the microvillous membrane isolated from guinea pig placentas at day 40, 50 and 64 (near term), together with the K(a) values for the main serum isotransferrins being biantennary Tf(slow) and triantennary Tf(fast). The effect of desialylation of either the microvillous membranes or of Tf(slow) and Tf(fast) on the binding characteristics was also studied. The number of TfR's per mg placenta- or membrane protein increased significantly from day 40 to term (P < 0.01 resp. P < 0.025). The K(a) values for Tf(slow) and Tf(fast) did not change during pregnancy. K(a)Tf(slow) = 0.3 nM-1, K(a)Tf(fast) = 0.19 nM-1 (P < 0.01). It is suggested that the increase in F(e) transfer during pregnancy is directly related to number and density of the TfR's at the syncytial border, and that adaptive adjustment of K(a) values does not play a role in the maturation of the transfer process. The pregnancy dependent shift to iso-transferrins with a higher degree of glycosylation offers no explanation for the increase of F(e) transfer during pregnancy. Desialylation of the microvillous membranes did not effect the binding parameters of Tf(slow) and Tf(fast), unless desialylation surpassed the 50% level. Then Ka values decreased and TfR number increased (P < 0.05). Desialylation of Tf(slow) and Tf(fast) had no effect on K(a) nor on the number of TfR. The maternal fetal interface therefore lacks an asialo-glycoprotein receptor.

合细胞滋养细胞上的转铁蛋白受体(TfR)介导转铁蛋白(Tf)依赖性铁的摄取和向胎儿的转移。我们研究了从豚鼠胎盘中分离的微绒毛膜在第40、50和64天(近期)的TfR数量和密度,以及主要的血清异转铁蛋白双触角Tf(慢)和三触角Tf(快)的K(a)值。还研究了微绒毛膜的脱氮化或Tf(慢)和Tf(快)的脱氮化对结合特性的影响。从第40天至足月,每mg胎盘或膜蛋白中TfR的数量显著增加(P < 0.01)。P < 0.025)。Tf(慢)和Tf(快)的K(a)值在怀孕期间没有变化。K特遣部队(慢)= 0.3 (a) nM-1, K特遣部队(快)= 0.19 (a) nM-1 (P < 0.01)。提示妊娠期F(e)转移的增加与合胞边界TfR的数量和密度有直接关系,K(a)值的适应性调节在转移过程的成熟中不起作用。妊娠依赖性向糖基化程度较高的异转铁蛋白的转移并不能解释妊娠期间F(e)转移增加的原因。微绒毛膜的去氟化不影响Tf(慢)和Tf(快)的结合参数,除非去氟化超过50%的水平。Ka值降低,TfR数增加(P < 0.05)。Tf(慢)和Tf(快)的脱氮化对K(a)和TfR的数量没有影响。因此,母胎界面缺乏asialo糖蛋白受体。
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引用次数: 0
Growth hormone (GH) secretory pattern and GH response to GH-releasing factor (GRF) or thyrotropin-releasing hormone (TRH) in newborn foals. 新生马驹生长激素(GH)分泌模式及GH对GH释放因子(GRF)或促甲状腺素释放激素(TRH)的反应。
Pub Date : 1993-04-01
M J Davicco, V Coxam, Y Faulconnier, H Dubroeucq, W Martin-Rosset, J P Barlet

The present study was undertaken to assess GH secretory profiles in 12 light-breed foals and their dams during forty days after delivery, and the possible influence of GRF and TRH on plasma GH concentrations in these newborn foals. GH secretory pattern was pulsatile in one day- as well as in forty days-old foals. The number of secretory spikes (10 per 24 h) did not vary between days 1 and 40. In the same times, GH secretion did not show any circadian rhythm either in foals or in their dams. Mean daily plasma concentrations (measured through blood samples collected every 20 min for 24 h) were lower in mares (3.4 +/- 0.3 ng/ml) than in their foals (7.4 +/- 0.9 ng/ml; P < 0.05). This difference resulted from both a lower number of GH spikes per 24 h (5 +/- 2 vs 10 +/- 1; P < 0.01) and from a lower pulse amplitude average (8 +/- 5 vs 16 +/- 1; P < 0.05). In three days- and in six days-old foals, synthetic human GRF (0.3 microgram/kg body wt, i.v.) significantly increased plasma GH concentrations. TRH (3 micrograms/kg body wt, i.v.) did not significantly modify plasma GH.

本研究评估了12只轻种马驹及其母马在分娩后40天内的GH分泌情况,以及GRF和TRH对这些新生马驹血浆GH浓度的可能影响。生长激素的分泌模式在一天内是脉动的,在40天的马驹中也是如此。分泌尖峰的数量(每24 h 10个)在第1天和第40天之间没有变化。在同一时间,生长激素分泌没有显示任何昼夜节律,无论是在马驹或他们的坝。平均每日血浆浓度(通过每20分钟采集一次血液样本,持续24小时测量),母马(3.4 +/- 0.3 ng/ml)低于马驹(7.4 +/- 0.9 ng/ml;P < 0.05)。这种差异是由于每24小时生长激素尖峰数较低(5 +/- 2 vs 10 +/- 1;P < 0.01)和较低的脉冲振幅平均值(8 +/- 5 vs 16 +/- 1;P < 0.05)。在3天大和6天大的马驹中,合成人GRF(0.3微克/千克体重,静脉注射)显著提高血浆生长激素浓度。TRH(3微克/千克体重,静脉注射)没有显著改变血浆GH。
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引用次数: 0
Arterial blood pressure wave forms in radial and posterior tibial arteries in critically ill newborn infants. 危重新生儿桡动脉和胫后动脉血压波形。
Pub Date : 1993-04-01
M Gevers, W W Hack, E F Ree, H N Lafeber, N Westerhof

The aim of this study was to document arterial blood pressure wave forms at two sites along the arterial tree of the neonate: in the radial and posterior tibial arteries. Using a high-fidelity catheter tip-transducer system, peripheral arterial blood pressure wave forms in 26 critically newborn infants were studied. In 14 infants the radial artery and in 12 infants the posterior tibial artery was cannulated. Radial artery blood pressure waves resembled those of proximal aortic rather than those of the radial artery in adults. Quantitative analysis of the waves was performed to reassure this finding. Blood pressure waves obtained from posterior tibial artery resembled those of femoral artery rather than those of posterior tibial artery waves in adults. We conclude that radial and posterior tibial artery wave forms in neonates appear to have a central appearance. This phenomenon might be explained by the close proximity of the radial and posterior tibial artery to the central aorta and femoral artery respectively, due to the small and short limbs of the neonate. The finding allows an "easy central pressure look" at both ends of the neonatal aorta.

本研究的目的是记录沿新生儿动脉树的两个位置的动脉血压波形:桡动脉和胫后动脉。采用高保真导管尖端换能器系统对26例危重新生儿外周血动脉血压波形进行了研究。14例患儿桡动脉插管,12例患儿胫骨后动脉插管。成人桡动脉血压波与主动脉近端血压波相似,而与桡动脉血压波不同。对这些波进行了定量分析,以证实这一发现。成人胫骨后动脉测得的血压波与股动脉测得的血压波相似,而与胫骨后动脉测得的血压波不同。我们的结论是,新生儿的桡动脉和后胫动脉波形似乎有一个中心的外观。这种现象可能是由于新生儿四肢短小,桡动脉和胫后动脉分别靠近中央主动脉和股动脉所致。这一发现允许对新生儿主动脉两端进行“简单的中心压检查”。
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引用次数: 0
Lung vascular responses and VA/Q matching after chronic hypoxia in neonatal piglets. 新生儿仔猪慢性缺氧后肺血管反应和VA/Q匹配。
Pub Date : 1993-04-01
R L Gibson, C B Davis, T A Standaert, W E Truog, G J Redding

We hypothesized that exposure of neonatal swine to chronic alveolar hypoxia (CH) would cause increased PVR, blunt acute hypoxic vasoconstriction, and increase VA/Q mismatch. After exposure to either normobaric alveolar hypoxia (FIO2 = 0.10) or room air for 2 weeks, animals were anesthetized and ventilated first with room air and then with hypoxic gas (FIO2 = 0.12). PVR, and pressure-flow (P/Q) relations were measured between 15-100% of baseline cardiac output. VA/Q matching was measured by the multiple inert gas elimination technique. During room air breathing, the mean PVR and P/Q slope in the CH animals was significantly greater than in the control (C) animals. P/Q intercepts were similar and near the origin for both groups. The absolute PVR and P/Q slope were greater for CH compared to C animals during acute alveolar hypoxia. The fractional increase in PVR and P/Q slope in the response to acute hypoxia was similar for both groups. PaO2, intrapulmonary shunt, and SDQp (an index of VA/Q heterogeneity) were similar for both groups. We conclude that CH in neonatal swine causes pulmonary hypertension, but does not attenuate acute hypoxic pulmonary vasoconstriction, nor VA/Q matching.

我们假设新生儿猪暴露于慢性肺泡缺氧(CH)会导致PVR增加,钝性急性缺氧血管收缩,并增加VA/Q错配。动物暴露于常压肺泡缺氧(FIO2 = 0.10)或室内空气2周后,先用室内空气麻醉,再用低氧气体(FIO2 = 0.12)通气。在基线心输出量的15-100%之间测量PVR和压力-流量(P/Q)关系。采用多重惰性气体消除技术测量了VA/Q匹配度。在室内空气呼吸时,CH动物的平均PVR和P/Q斜率显著大于对照(C)动物。两组的P/Q截距相似且接近原点。急性肺泡缺氧时,CH动物的绝对PVR和P/Q斜率比C动物大。两组在急性缺氧反应中PVR和P/Q斜率的分数增加相似。两组的PaO2、肺内分流和SDQp (VA/Q异质性指标)相似。我们得出结论,新生儿猪的CH可引起肺动脉高压,但不会减轻急性缺氧性肺血管收缩,也不会减轻VA/Q匹配。
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引用次数: 0
Vibroacoustic stimulation in fetal sheep: effect on cerebral glucose utilization and behavioral state. 胎羊振动声刺激:对脑葡萄糖利用和行为状态的影响。
Pub Date : 1993-04-01
R M Abrams, A J Peters, K J Gerhardt, D J Burchfield

Behavioral state and cerebral glucose utilization were measured in six fetal sheep subjected to high intrauterine sound pressures created with a vibroacoustic stimulator pressed against the maternal abdomen. The signal consisted of a complex waveform that varied over time with a 50% duty cycle. An implanted hydrophone showed highest spectral levels between 3,000-16,000 Hz. The pulsed sound resulted in a significant loss of fetal rapid eye movement and non-rapid eye movement sleep. The stimulus also resulted in a disruption in the normally close relationship between these sleep states and cerebral glucose utilization rates in the brain as a whole and in its component parts.

研究人员用振动声刺激器对母腹施加高宫内声压的6只胎羊进行了行为状态和脑葡萄糖利用的测量。该信号由一个复杂的波形组成,波形随时间变化,占空比为50%。植入的水听器在3000 - 16000 Hz之间显示出最高的频谱水平。脉冲声导致胎儿快速眼动和非快速眼动睡眠的显著缺失。这种刺激还破坏了这些睡眠状态与整个大脑及其组成部分的大脑葡萄糖利用率之间通常密切的关系。
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引用次数: 0
Postnatal expression of high rates of 5 alpha-reductase in the female rat urogenital tract. 产后5 α还原酶在雌性大鼠泌尿生殖道的高表达率。
Pub Date : 1993-04-01
F W George

5 alpha-reductase activity was measured in the developing rat urogenital tract using [3H] testosterone as substrate. At fetal day 22, the activity in the vagina (67 pmol/h per mg protein) was as high as in the differentiated prostate (41 pmol/h per mg protein). Both tissues are derived from the urogenital sinus. Although the activity of 5 alpha-reductase remained high in the prostate, the enzyme activity in the vagina declined steadily such that by postnatal day 20, the levels were not different from those expressed in urinary bladder which had low, baseline levels (approximately 10 pmol/h per mg protein) throughout the period examined. The uterus, which is derived from the embryonic mullerian duct, also expressed high levels (50-70 pmol/h per mg protein) of 5 alpha-reductase activity initially (before postnatal day 10). In contrast, the "Wolffian-derived" epididymis had levels of activity that were indistinguishable from the relatively low levels seen in the urinary bladder. In the ovary, neither 5 alpha-reductase nor aromatase activities were appreciable at fetal day 22 and at postnatal day 2. By postnatal day 5 both activities increased dramatically in ovaries. After postnatal day 10, aromatase activity declined in ovaries but 5 alpha-reductase remained elevated. These observations suggest (1) that major remodeling of the tissues derived from the urogenital sinus takes place even after differentiation and (2) that 5 alpha-reductase may regulate ovarian estrogen levels at the time of primary folliculogenesis.

以[3H]睾酮为底物,测定发育中的大鼠泌尿生殖道中5 α -还原酶活性。在胎儿第22天,阴道内的活性(每毫克蛋白质67 pmol/h)与分化前列腺内的活性(每毫克蛋白质41 pmol/h)一样高。这两种组织都来源于泌尿生殖窦。尽管前列腺中5 - α还原酶的活性仍然很高,但阴道中的酶活性稳步下降,直到出生后第20天,在整个检查期间,其水平与膀胱中的水平没有什么不同,膀胱的基线水平较低(每毫克蛋白质约10 pmol/h)。来源于胚胎苗勒管的子宫最初(出生后第10天之前)也表达了高水平的5 - α还原酶活性(50-70 pmol/h / mg蛋白质)。相比之下,“wolffan衍生”的附睾的活动水平与膀胱中相对较低的水平难以区分。卵巢中5 - α还原酶和芳香化酶活性在胎儿第22天和出生后第2天均不明显。在出生后第5天,卵巢的这两种活动都显著增加。出生后第10天,卵巢芳香化酶活性下降,但5 α还原酶保持升高。这些观察结果表明:(1)来自泌尿生殖窦的组织的主要重塑即使在分化后也会发生;(2)5 α还原酶可能在原发性卵泡发生时调节卵巢雌激素水平。
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引用次数: 0
Influence of gastrointestinal (GI) hormones on suckling, gastric emptying and pancreatic trypsin content in the developing rat. 胃肠激素对发育大鼠哺乳、胃排空及胰蛋白酶含量的影响。
Pub Date : 1993-04-01
K Kisfalvi, F Hajnal, G Varga, M Papp

Unlabelled: Aim of this study was to investigate how gastrointestinal hormones such as exogenous s.c. caerulein (6 micrograms/kg body weight), secretin (100 U/kg body weight), bombesin (20 micrograms/kg body weight, s.c.), CCK-8 (10 micrograms/kg body weight, i.p.), the CCK-A receptor antagonist L 364,718 (100 micrograms/kg body weight, i.p.), camostate (400 mg/kg body weight per os) which releases endogenous CCK and the coadministration of camostate with atropin (250 micrograms/kg body weight, s.c) or L 364,718 (1 mg/kg) influence milk intake from nipples, gastric emptying, and discharge of pancreatic trypsin content in 10-day-old rat pups. Saline-treated pups served as controls. The non-fasting Wistar rat pups of both sexes were used in littermate order. The suckling lasted for 30 and 45 min, respectively. One pup was used only once. After suckling the pups were decapitated, their stomach and pancreas were removed and weighed. The gastric food content was regarded as intake of milk and expressed as difference between the filled minus empty stomach. Pancreatic trypsin and protein content, plasma CCK level were measured. The exogenous agents did not influence gastric content. The investigated peptides decreased, L 364,718, however, increased the pancreatic trypsin/protein ratio. Camostate increased gastric content by 60% and decreased pancreatic trypsin/protein ratio vs saline by 90%. The gastric and pancreatic effects of camostate were not reversed by atropine or L 364,718.

Conclusion: Exogenous and endogenous CCK seem not to influence milk intake while decrease pancreatic trypsin/protein ratio. However, endogenous CCK inhibit gastric emptying. The plasma CCK level was elevated due to the applied CCK-8 and camostate during the observed suckling period.

未标记的:本研究旨在探讨胃肠激素如外源性s.c.c erulein(6微克/公斤体重)、分泌素(100微克/公斤体重)、bombesin(20微克/公斤体重,s.c.c)、CCK-8(10微克/公斤体重,i.p)、CCK- a受体拮抗剂l364,718(100微克/公斤体重,i.p)、释放内源性CCK的camostate (400 mg/kg体重/ s)以及camostate与阿托品(250微克/公斤体重)共给药对胃肠激素的影响。s.c)或l364,718 (1 mg/kg)影响10日龄大鼠幼崽乳头摄乳量、胃排空和胰蛋白酶排出量。盐水处理的幼崽作为对照。非禁食的Wistar大鼠雌雄仔鼠按窝伴顺序使用。哺乳时间分别为30 min和45 min。一只小狗只被使用过一次。吃完奶后,幼崽被斩首,它们的胃和胰腺被切除并称重。胃中食物含量以牛奶的摄入量来表示,并以饱胃减去空胃之差来表示。测定胰蛋白酶、蛋白含量、血浆CCK水平。外源性药物对胃内容物没有影响。所研究的肽减少,l364,718,而胰蛋白酶/蛋白比增加。与生理盐水相比,卡莫酸使胃内容物增加60%,使胰蛋白酶/蛋白比降低90%。阿托品或l364,718不能逆转卡莫酸酯对胃和胰腺的影响。结论:外源性和内源性CCK似乎不影响牛奶摄入量,但降低胰蛋白酶/蛋白比。然而,内源性CCK抑制胃排空。在观察哺乳期间,CCK-8和甘油三酯的应用使血浆CCK水平升高。
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引用次数: 0
The effect of thyroidectomy on growth hormone regulation in the ovine fetus. 甲状腺切除术对绵羊胎儿生长激素调节的影响。
Pub Date : 1993-04-01
G E Richards, D A Morrow, J L Thominet, B L Silverman, P D Gluckman

To test the hypothesis that growth hormone gene messenger RNA abundance in the fetus is subject to the same effects of thyroid hormone previously demonstrated in other situations, we evaluated the effect of thyroidectomy on pituitary GH mRNA content at three gestational ages in the ovine fetus. One of each twin pair of fetal lambs underwent thyroidectomy at 90, 100 or 110 days gestation. Fetal pituitaries were collected 25-30 days later. Plasma GH and IGF-I were measured as well as pituitary GH mRNA content. Serum growth hormone in the thyroidectomy group was less than in the control twins (129.8 vs 187.6 micrograms/l, P = 0.0. GH mRNA was likewise decreased in pituitaries of thyroidectomy fetuses compared to controls (1.01 vs 1.80 units, P = 0.0006). Serum IGF-I and body weight were similar in the thyroidectomy and control twins. We conclude that the ovine fetus in the final trimester of gestation exhibits effects of thyroid hormone on serum GH and mRNA abundance similar to those seen in postnatal animals.

为了验证胎儿中生长激素基因信使RNA丰度受到甲状腺激素在其他情况下的相同影响的假设,我们评估了甲状腺切除术对绵羊胎儿三个胎龄时垂体GH mRNA含量的影响。每对双胞胎羊羔中的一只在妊娠90、100或110天接受甲状腺切除术。25-30天后采集胎儿垂体。测定血浆GH、IGF-I及垂体GH mRNA含量。甲状腺切除术组血清生长激素低于对照组(129.8 vs 187.6微克/升,P = 0.0)。与对照组相比,甲状腺切除术胎儿垂体GH mRNA同样减少(1.01比1.80单位,P = 0.0006)。甲状腺切除组和对照组的血清igf - 1和体重相似。我们得出的结论是,在妊娠最后三个月的绵羊胎儿表现出甲状腺激素对血清GH和mRNA丰度的影响,与出生后的动物相似。
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引用次数: 0
Star volume estimates of the intervillous clefts in the human placenta: how changes in umbilical arterial pressure might influence the maternal placental circulation. 人胎盘绒毛间间隙的星体积估计:脐动脉压的变化如何影响母体胎盘循环。
Pub Date : 1993-03-01
A L Karimu, G J Burton

The study estimated the mean volume of the clefts between adjacent villi in the normal term human placenta, and the effect on this of increasing the fetal perfusion pressure, using a new stereological tool called the 'star volume estimator'. This enables the measurement of irregular and complex structures, including both particles and cavities, in a mathematically defined and unbiased manner. To achieve this, a total of ten term placentae delivered by caesarean section were obtained. Four fetal arteries supplying opposite quadrants of the placental disc were perfusion-fixed under standard pressures of 40, 60, 80 and 100 mmHg respectively. Stereological estimates relating to the star volume of the clefts between the villi, and to the volume density of the intervillous space were obtained. There was a significant rise in the star volume of the intervillous clefts from 26.8 x 10(4) m3 at 40 mm Hg to 75.1 x 10(4) m3 at 100 mmHg (F = 75, df = 1.38, P < 0.05). The volume density of the intervillous space remained unchanged, thus obviating the possibility of fluid leakage into the intervillous space accounting for this change. It is concluded that the fetal vasculature provides hydraulic support to the villous tree, and that changes in the umbilical perfusion pressure can therefore alter the disposition of the villi within the intervillous space. As fetal blood pressure rises, for example during acute hypoxic episodes, the villi will move apart. The enlargement of the clefts between adjacent villi will have a secondary effect upon the maternal circulation, promoting more even perfusion of the intervillous space at higher overall flow rates.(ABSTRACT TRUNCATED AT 250 WORDS)

该研究使用一种名为“星体积估计器”的新型立体学工具,估计了正常足月人类胎盘相邻绒毛间隙的平均体积,以及增加胎儿灌注压对其的影响。这使得不规则和复杂结构的测量,包括粒子和空腔,在数学上定义和无偏的方式。为了达到这一目的,共获得了十个足月剖腹产胎盘。分别在标准压力40、60、80和100 mmHg下灌注固定供应胎盘盘相对象限的4条胎儿动脉。获得了与绒毛间隙的星形体积和绒毛间隙的体积密度有关的立体学估计。绒毛间裂的星体积从40 mmHg时的26.8 × 10(4) m3显著增加到100 mmHg时的75.1 × 10(4) m3 (F = 75, df = 1.38, P < 0.05)。绒毛间空间的体积密度保持不变,从而排除了液体渗漏到绒毛间空间的可能性。由此可见,胎儿脉管系统为绒毛树提供了水力支持,因此脐带灌注压力的变化可以改变绒毛在绒毛间隙内的分布。当胎儿血压升高时,例如在急性缺氧发作时,绒毛会分开。相邻绒毛间间隙的扩大将对母体循环产生二次影响,以更高的总流速促进绒毛间隙更均匀的灌注。(摘要删节250字)
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引用次数: 0
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Journal of developmental physiology
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