Douglas B H
Perspect Nephrol Hypertens. 1976;5:411-9.
Several methods were used in an attempt to produce preeclampsia in the pregnant rat. Desoxycorticosterone acetate plus increased NaCl intake produced hypertension, proteinuria, rapid weight gain, convulsions, decreased litter size, decreased offspring weight, increased fetal and maternal mortality, and renal lesions similar to those seen in human preeclampsia. Injection of placenta in Freund's adjuvant produced mild blood pressure elevation and proteinuria in the pregnant rat. Rabbit antirat placenta serum produced hypertension in the pregnant rat but not in the nonpregnant rat. Liver congestion and renal glomerular congestion were observed in both pregnant and non-pregnant rats. Pregnancy in the rat reduced hypertension produced by applying a Goldblatt clamp prior to breeding. Uterine ischemia produced by wrapping the uterus in cellophane produced mild blood pressure elevation and proteinuria. A vitamin-E-deficient diet that contained substantial amounts of partially perioxidized, polyunsaturated fatty acids produced morphological lesions in the pregnant rat similar to those seen in human preeclampsia, but hypertension, edema, and proteinuria were absent. None of the maneuvers was effective in producing a complete model of human preeclampsia, but they do provide material for study that could answer somebasic questions about preeclampsia.
人们尝试了几种方法来在妊娠大鼠中诱发先兆子痫。醋酸脱氧皮质酮加增加氯化钠摄入量会导致高血压、蛋白尿、体重快速增加、惊厥、产仔数减少、仔鼠体重减轻、胎儿和母体死亡率增加以及出现与人先兆子痫中所见相似的肾脏病变。在弗氏佐剂中注射胎盘会使妊娠大鼠出现轻度血压升高和蛋白尿。兔抗大鼠胎盘血清会使妊娠大鼠产生高血压,但不会使未妊娠大鼠产生高血压。在妊娠和未妊娠大鼠中均观察到肝脏充血和肾小球充血。在妊娠前应用戈德布拉特夹闭法产生的高血压,在大鼠妊娠后会减轻。用玻璃纸包裹子宫造成的子宫缺血会导致轻度血压升高和蛋白尿。一种富含大量部分过氧化的多不饱和脂肪酸的维生素E缺乏饮食会使妊娠大鼠出现与人先兆子痫中所见相似的形态学病变,但无高血压、水肿和蛋白尿。这些操作均无法有效构建出完整的人类先兆子痫模型,但它们确实为研究提供了材料,有助于回答一些关于先兆子痫的基本问题。