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催产素、前列腺素E2和乙酰水杨酸对离体灌注豚鼠胎盘血流分布以及丙氨酸、葡萄糖和水转运的影响。

The effect of oxytocin, prostaglandin E2 and acetylsalicylic acid on flow distribution and on the transfer of alanine, glucose and water in isolated perfused guinea pig placentae.

作者信息

Rybakowski C, Niemax K, Goepel E, Schröder H J

机构信息

Abteilung für experimentelle Medizin, Universitätsfrauenklinik Hamburg, Martinstr. 52, Hamburg, 20246, Germany.

出版信息

Placenta. 2000 Jan;21(1):126-31. doi: 10.1053/plac.1999.0459.

Abstract

The influence of oxytocin (OXY), sulproston (SUL) and acetylsalicylic acid (ASA) on L-alanine- (ALA), D-glucose- (GLU) or water- (H(2)O) uptake (maternal side) in the isolated perfused guinea pig placenta was investigated. Uptake was measured with a single injection, paired tracer dilution method. 'T50' values were derived from venous concentration curves (extracellular marker) as the distance (sec) between two concentration values at 50 per cent of peak concentration. T50 values were regarded to reflect the change of flow distribution on the maternal side. On average, there was a significant apparent inhibition of GLU uptake (by 27.2 per cent from control values) by OXY as well as of ALA uptake by OXY (26. 0 per cent), by ASA (56.6 per cent), and by SUL (56.7 per cent). The respective mean T50 values decreased significantly in the above groups by 15.9 per cent, 18.7 per cent (ns), 42.2 per cent and 56.7 per cent. However, it was not possible to generate dose-response curves whereas significant correlations of uptake values with T50 values were found. There was no dose-response relationship between T50 values and OXY or ASA concentrations but decreased mean T50 values were found. For SUL a weak correlation of T50 and SUL concentration was found. The r -value of GLU uptake and T50 was 0.57, for H(2)O uptake this value was 0.70, for ALA uptake the r -values were 0.51 (OXY), 0.35 (SUL) and 0.31 (ASA). Correlation of uptake and concentrations were not significant. We conclude that the 'inhibitory' effects of OXY, ASA and probably SUL on placental transfer are unspecific and the consequence of flow shifts from the placental exchange area to the uterine muscle.

摘要

研究了催产素(OXY)、硫前列酮(SUL)和乙酰水杨酸(ASA)对离体灌注豚鼠胎盘L-丙氨酸-(ALA)、D-葡萄糖-(GLU)或水-(H₂O)摄取(母体侧)的影响。采用单次注射、配对示踪剂稀释法测量摄取量。“T50”值从静脉浓度曲线(细胞外标记物)得出,即峰值浓度50%时两个浓度值之间的时间间隔(秒)。T50值被认为反映了母体侧血流分布的变化。平均而言,OXY对GLU摄取有显著的明显抑制作用(比对照值降低27.2%),对ALA摄取也有抑制作用(26.0%),ASA(56.6%)和SUL(56.7%)也有类似作用。上述组中各自的平均T50值显著降低,分别为15.9%、18.7%(无显著差异)、42.2%和56.7%。然而,无法生成剂量-反应曲线,不过发现摄取值与T50值之间存在显著相关性。T50值与OXY或ASA浓度之间不存在剂量-反应关系,但发现平均T50值降低。对于SUL,发现T50与SUL浓度之间存在弱相关性。GLU摄取与T50的r值为0.57,H₂O摄取的该值为0.70,ALA摄取的r值分别为0.51(OXY)、0.35(SUL)和0.31(ASA)。摄取与浓度之间的相关性不显著。我们得出结论,OXY、ASA以及可能的SUL对胎盘转运的“抑制”作用是非特异性的,是血流从胎盘交换区域转移到子宫肌层的结果。

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