Umezaki H, Hess D L, Valenzuela G J, Ducsay C A
Center for Perinatal Biology, Department of Physiology, School of Medicine, Loma Linda University, Loma Linda, California 92350, USA.
Biol Reprod. 2001 Nov;65(5):1616-21. doi: 10.1095/biolreprod65.5.1616.
The interplay between the fetus and mother may play a key role in the regulation of primate pregnancy and parturition. This study was designed to test the hypothesis that fetectomy alters maternal pituitary-adrenal function. Between 117 and 122 days of gestation (term = 167 days), six rhesus macaques underwent surgery for catheter implantation. At surgery the fetuses were removed while the membranes and placenta were left in situ. Six additional intact catheterized pregnant animals served as controls. Animals were maintained under a 12L:12D cycle with lights-on from 0700 to 1900 h. Beginning at least 1 wk after surgery, maternal arterial blood samples were collected at 3-h intervals for 24 h for hormone and catecholamine analysis. This sampling protocol was repeated at weekly intervals until cesarean delivery at 151-157 days of gestation. Following fetectomy, plasma ACTH, dehydroepiandrosterone sulfate (DHEAS), and cortisol levels were significantly lower (36%, 35%, and 44%, respectively) compared with control animals (P;lt 0.05). Despite a significant reduction in overall levels, the rhythm in maternal plasma cortisol was maintained following fetectomy. Plasma dopamine and norepinephrine were also depressed (P;lt 0.05), whereas epinephrine remained unaffected. Our data clearly demonstrate the role of the fetus in the regulation of the maternal pituitary-adrenal axis during gestation. This interaction plays a significant role in the regulation of maternal endocrine function that may influence the initiation of labor.
胎儿与母体之间的相互作用可能在灵长类动物妊娠和分娩的调节中起关键作用。本研究旨在验证胎儿切除术会改变母体垂体 - 肾上腺功能这一假说。在妊娠117至122天(足月为167天)期间,对6只恒河猴进行了导管植入手术。手术时将胎儿取出,而胎膜和胎盘留在原位。另外6只完整的带导管妊娠动物作为对照。动物饲养在12小时光照:12小时黑暗的周期中,0700至1900时开灯。从手术后至少1周开始,每隔3小时采集一次母体动脉血样本,持续24小时,用于激素和儿茶酚胺分析。这个采样方案每周重复一次,直到在妊娠151 - 157天进行剖宫产。胎儿切除术后,与对照动物相比,血浆促肾上腺皮质激素(ACTH)、硫酸脱氢表雄酮(DHEAS)和皮质醇水平显著降低(分别降低36%、35%和44%)(P < 0.05)。尽管总体水平显著降低,但胎儿切除术后母体血浆皮质醇的节律仍得以维持。血浆多巴胺和去甲肾上腺素也降低(P < 0.05),而肾上腺素不受影响。我们的数据清楚地证明了胎儿在妊娠期间对母体垂体 - 肾上腺轴调节中的作用。这种相互作用在母体内分泌功能调节中起重要作用,可能影响分娩发动。