宫内生长受限大鼠肾功能的评价及母体糖皮质激素的影响

A. Yilmaz, Pembe Soylu Üstünkoyuncu, I. Dursun, Z. Gunduz
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摘要

本研究的目的是确定母亲糖皮质激素对实验性生长迟缓的影响,以及不同妊娠期母亲营养不良对肾脏功能的影响。这项研究分为两个部分。第一部分分为5组。在妊娠第1、2、3个月及整个妊娠期间给予10g/d日粮。对照组饲喂正常饮食。第二部分分为3组,妊娠期间各组大鼠均饲喂10 g/d日粮。为观察内源性糖皮质激素对妊娠的影响,第一组采用美替拉酮治疗,第二组采用美替拉酮+地塞米松治疗,安慰剂组采用生理盐水注射,直至妊娠14天。分别于0、3、20周龄测定子代体重和肾重。第20周龄检测肾摘除功能及尾部血压。在妊娠晚期限制饮食的大鼠尿排泄和肾小球滤过率较低。在整个怀孕期间饮食限制组的肾小球滤过率较低。研究发现,与对照组相比,怀孕期间饮食限制组的血压值更低。第一阶段各组肾脏重量相近。观察发现,接受美替拉酮治疗组患者的肾脏排泄功能得以保留,但两组间差异无统计学意义。低血压经美地拉酮治疗后恢复正常。在第20周时,美替拉酮组大鼠的肾脏体积明显小于生理盐水组。食物限制会破坏肾功能,但对成年期的高血压没有影响。妊娠期接触糖皮质激素可能会降低肾脏发育。
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Evaluation of The Renal Function in The Intrauterine Growth Restricted Rats and The Effect of Maternal Glucocorticoids
The purpose of the study was to determine the effect of maternal glucocorticoids on experimental growth retardedrats and the effect of maternal undernutrition in different gestation periods for function of the kidney. This studyhad two sections. In the first section, 5 groups were formed. 10g/d diet was given in the 1st, 2nd, and 3rd trimesterand throughout the pregnancy period. The control group was fed a normal diet. In the second section, 3 groupsformed and all the rats take 10 g/d diet throughout pregnancy period. To determine the effect of endogenousglucocorticoids first group was treated with metyrapone, second group metyrapone+dexamethasone and theplacebo injected saline until 14 days of pregnancy. The offsprings body and kidney weights were detected inthe 0, 3rd and 20th weeks of age. Renal extraction functions and blood pressures from tail detected in the 20thweek of age. Urinary excretion and glomerular filtration rate were low in rats that had dietary restriction in thelast trimester. The glomerular filtration rates were found to be low in the group that had diet restriction duringthe whole pregnancy. Blood pressure values were found to be lower in the group that had diet restriction duringtheir pregnancy compared to the control group. Kidney weights were similar in all groups in the first phase. Itwas observed that renal excretion functions were preserved in the group receiving metyrapone treatment, butthere was no statistically significant difference between the results. Low blood pressures were normalized withmetyrapone treatment. The kidney sizes at the 20th week of the rats which receiving metyrapone treatment werefound to be smaller than those receiving physiological saline solution. Food restriction destroys renal functionsbut no effects with high blood pressure in adulthood. Glucocortiod exposure in pregnancy may reduce renaldevelopment.
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