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孕期母亲被动吸烟与胎儿发育毒性。第2部分:组织学变化。

Maternal passive smoking during pregnancy and foetal developmental toxicity. Part 2: histological changes.

作者信息

Nelson E, Goubet-Wiemers C, Guo Y, Jodscheit K

机构信息

Toxicology Laboratory, Institute of Hygiene & Occupational Medicine, University Medical Center, Essen, Germany.

出版信息

Hum Exp Toxicol. 1999 Apr;18(4):257-64. doi: 10.1191/096032799678840011.

Abstract
  1. Evidence has been accumulating on the growth suppressing effects of maternal passive smoking on foetus. Reviewing all literature released during the last two decades and screening for all possible variables such as previous smoking history, maternal age and weight gain, parity and length of gestation, placental weight, and diet, we found no reason to doubt the role of passive smoking during pregnancy in the induction of growth retardation. However, no literature indicates whether these birthweight deficits might hint at other possible hidden abnormalities in tissues. To verify this question, we performed an experiment on rats. 2. We have already reported that pups born to rats with previous exposure to cigarette's sidestream smoke during pregnancy showed a significant and dose-dependent growth retardation. Those pregnant rats were exposed each in a 150 dm3 glass chamber to diluted sidestream smoke of either 1, 2, 3 or 4 commercial blond filter brand cigarettes during either first, second or third week of pregnancy. We have selected a part of each group of pups at random and examined for possible histological changes of lung, liver, stomach, kidney and intestinal tissues. 3. Compared to controls, lung tissues of newborns of smoke exposed mothers showed an enhanced incidence of apoptosis, mesenchymal changes, and hyperplasia of bronchial muscles. Pronounced abnormal changes in haematopoiesis and proliferation of bile duct cells were the most variations from norm observed in liver tissues of exposed pups. Immature glomeruli of kidney, epithelhypoplasia of stomach, and hypoplasia of intestinal villi were common among newborns of exposed mothers than among controls. 4. These results indicate that passive smoking upon pregnancy causes abnormal morphological changes in internal tissues of newborns. At present, we can draw no conclusion as to whether these histological changes will result in functional malformations or possibly late effects, although they should be expected.
摘要
  1. 越来越多的证据表明,母亲被动吸烟对胎儿具有生长抑制作用。回顾过去二十年发表的所有文献,并筛选所有可能的变量,如既往吸烟史、母亲年龄和体重增加、产次和妊娠期长度、胎盘重量以及饮食等,我们没有理由怀疑孕期被动吸烟在导致胎儿生长迟缓方面的作用。然而,没有文献表明这些出生体重不足是否可能暗示组织中其他潜在的隐藏异常。为了验证这个问题,我们在大鼠身上进行了一项实验。2. 我们已经报道过,孕期曾暴露于香烟侧流烟雾的大鼠所生的幼崽表现出显著的、剂量依赖性的生长迟缓。那些怀孕大鼠在妊娠的第一、第二或第三周,分别置于150立方分米的玻璃箱中,暴露于1支、2支、3支或4支商业金色滤嘴品牌香烟的稀释侧流烟雾中。我们从每组幼崽中随机选取一部分,检查肺、肝、胃、肾和肠道组织可能的组织学变化。3. 与对照组相比,暴露于烟雾的母亲所生新生儿的肺组织凋亡发生率增加、间质变化以及支气管肌肉增生。暴露幼崽肝脏组织中观察到的最常见的与正常情况的差异是造血明显异常变化和胆管细胞增殖。暴露母亲所生新生儿的肾脏未成熟肾小球、胃上皮发育不全和肠绒毛发育不全比对照组更为常见。4. 这些结果表明,孕期被动吸烟会导致新生儿内部组织出现异常形态变化。目前,尽管可以预期这些组织学变化会导致功能畸形或可能的远期影响,但我们还无法得出结论。

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