Heasman L, Clarke L, Stephenson T, Symonds M E
Academic Division of Child Health, School of Human Development, University Hospital, Queen's Medical Centre, Nottingham, UK.
Can J Physiol Pharmacol. 2000 Jul;78(7):571-7. doi: 10.1139/y00-027.
We investigated the influence of restricted maternal nutrition between 28 and 77 days gestation on survival and thermoregulatory adaptation following Caesarean section delivery near to term. This study was designed to examine the hypothesis that adaptation after birth would be compromised in those lambs born to nutrient restricted ewes. We further hypothesised that this would be due in part to inadequate hypothalamic-pituitary-thyroidal function. Lambs born to nutrient restricted ewes were untreated (RU) or treated with thyrotrophin-releasing hormone (TRH; RT) immediately prior to umbilical cord clamping. Single bearing ewes consumed either 6.60 MJ x day(-1) (controls, n = 4) or 3.00 MJ x day(-1) (nutrient restricted, n = 15) from 28-77 days gestation, after which all ewes consumed 7.20 MJ x day(-1). All lambs born to control ewes commenced continuous breathing and began to shiver following Caesarean section delivery and survived to 6 h after birth. Only 4 out of 9 RU lambs established continuous breathing and survived to 6 h after birth compared with all RT lambs. Six hours after birth, RT lambs possessed perirenal brown adipose tissue with a higher thermogenic activity than 6 h old RU or control lambs. Lamb birth weight was similar in all groups. In conclusion, near-term lambs born to ewes nutrient restricted in early to mid gestation are at increased risk of death following Caesarean section delivery. Survival after birth can be significantly enhanced if TRH is administered to the lambs immediately before delivery.
我们研究了妊娠28至77天期间母体营养受限对接近足月剖宫产分娩后存活及体温调节适应的影响。本研究旨在检验以下假设:营养受限母羊所生羔羊出生后的适应能力会受到损害。我们进一步假设,这部分是由于下丘脑 - 垂体 - 甲状腺功能不足所致。营养受限母羊所生的羔羊在脐带夹闭前未接受治疗(RU组)或接受促甲状腺激素释放激素治疗(TRH组;RT组)。单胎母羊在妊娠28至77天期间分别消耗6.60兆焦耳/天(对照组,n = 4)或3.00兆焦耳/天(营养受限组,n = 15),之后所有母羊均消耗7.20兆焦耳/天。所有对照组母羊所生的羔羊在剖宫产分娩后开始持续呼吸并开始颤抖,且存活至出生后6小时。与所有RT组羔羊相比,9只RU组羔羊中只有4只建立了持续呼吸并存活至出生后6小时。出生后6小时,RT组羔羊的肾周棕色脂肪组织具有比6小时大的RU组或对照组羔羊更高的产热活性。所有组羔羊的出生体重相似。总之,妊娠早期至中期营养受限母羊所生的接近足月的羔羊在剖宫产分娩后死亡风险增加。如果在分娩前立即给羔羊注射TRH,出生后的存活率可显著提高。