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微量元素从母亲到新生儿的转移——初乳、母体血清和脐带血清三联体的研究

Trace element transfer from the mother to the newborn--investigations on triplets of colostrum, maternal and umbilical cord sera.

作者信息

Krachler M, Rossipal E, Micetic-Turk D

机构信息

Institute for Analytical Chemistry, Karl-Franzens-Universität Graz, Austria.

出版信息

Eur J Clin Nutr. 1999 Jun;53(6):486-94. doi: 10.1038/sj.ejcn.1600781.

Abstract

OBJECTIVE

To investigate the trace element transfer from the mother to the newborn.

DESIGN

The concentrations of the eight essential elements calcium (Ca), cobalt (Co), copper (Cu), magnesium (Mg), manganese (Mn), molybdenum (Mo), tin (Sn), and zinc (Zn), and of the non-essential and toxic elements barium (Ba), beryllium (Be), bismuth (Bi), cadmium (Cd), cesium (Cs), lanthanum (La), lithium (Li), lead (Pb), rubidium (Rb), antimony (Sb), strontium (Sr), and thallium (Tl) were determined in umbilical cord (n = 29) and corresponding maternal sera (n = 29) as well as in colostrum (n = 27).

RESULTS

Umbilical cord serum concentrations of Ca, Mn, and Zn were 120%, 150%, and 148% of the maternal value, respectively. Maternal sera had twice the Cu concentrations found in healthy adults and five-times higher Cu than umbilical cord sera. Concentration ratios colostrum/maternal serum and colostrum/umbilical cord serum were approximately one for Co, 1.4 for Mg, two for Ca, Mn, and Sn, five for Cu (maternal serum), eight for Mo, and ten for Zn. Concentrations of the toxic elements Cd and Pb decreased in the order colostrum (Pb 2.6 microg/L; Cd 0.6 microg/L), maternal sera (0.8 microg/L; 0.3 microg/L), umbilical cord sera (0.4 microg/L; 0.2 microg/L). Maternal serum Ba and Rb was 182% and 66% of the umbilical cord value. For Sr and Li, an almost perfect correlation between umbilical cord and maternal sera was found. For Ba, Co, Cu, Mn, Zn none, and for Ca, Cs, Mn, Mo, Rb only weak positive correlations between these two compartments could be established.

CONCLUSIONS

The results of this study indicate that an active transport mechanism for the transport of Ca, Mn, Rb, and Zn from the mother to the newborn exists, whereas Cs, Li, and Sr follow concentration gradients. As regards Cu, the placenta showed to have a blocking effect on the transfer from the mother to the baby.

摘要

目的

研究微量元素从母体向新生儿的转移情况。

设计

测定了29份脐带血、29份相应母体血清以及27份初乳中8种必需元素钙(Ca)、钴(Co)、铜(Cu)、镁(Mg)、锰(Mn)、钼(Mo)、锡(Sn)和锌(Zn),以及非必需和有毒元素钡(Ba)、铍(Be)、铋(Bi)、镉(Cd)、铯(Cs)、镧(La)、锂(Li)、铅(Pb)、铷(Rb)、锑(Sb)、锶(Sr)和铊(Tl)的浓度。

结果

脐带血中Ca、Mn和Zn的血清浓度分别为母体浓度的120%、150%和148%。母体血清中Cu的浓度是健康成年人的两倍,且是脐带血血清中Cu浓度的五倍。初乳/母体血清和初乳/脐带血血清的浓度比,Co约为1,Mg为1.4,Ca、Mn和Sn为2,Cu(母体血清)为5,Mo为8,Zn为10。有毒元素Cd和Pb的浓度顺序为:初乳(Pb 2.6μg/L;Cd 0.6μg/L)、母体血清(0.8μg/L;0.3μg/L)、脐带血血清(0.4μg/L;0.2μg/L)。母体血清中Ba和Rb分别为脐带血值的182%和66%。对于Sr和Li,在脐带血和母体血清之间发现了几乎完美的相关性。对于Ba、Co、Cu、Mn、Zn,在这两个样本之间未发现相关性;对于Ca、Cs、Mn、Mo、Rb,仅发现了微弱的正相关。

结论

本研究结果表明,存在从母体向新生儿转运Ca、Mn、Rb和Zn的主动转运机制,而Cs、Li和Sr则遵循浓度梯度。关于Cu,胎盘对从母体向胎儿的转移具有阻断作用。

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