Gardner D S, Ward J W, Giussani D A, Fowden A L
The Physiological Laboratory, University of Cambridge, Downing Street, Cambridge CB2 3EG, UK.
Placenta. 2002 Jul;23(6):459-66. doi: 10.1053/plac.2002.0830.
Adverse intrauterine conditions occurring during early to mid-gestation or throughout the whole of gestation influence placental weight and the distribution of placentome types in sheep. However, no study to date has investigated the effect of a reversible period of adverse intrauterine conditions during late gestation upon fetal and placental weight and placentome distribution in sheep. Twenty-two sheep fetuses were chronically instrumented with an inflatable cord occluder, amniotic and vascular catheters and with a Transonic flow probe around an umbilical artery. At 125 days (term isca.145 days) the occluder was inflated to reduce umbilical blood flow by ca.30 per cent for 3d in 12 fetuses (umbilical cord compressed, UCC). The occluder was then deflated and umbilical blood flow allowed to return to baseline. The remaining 10 fetuses acted as sham-operated controls in which the occluder remained deflated at all times. At 135-137dGA ewes were humanely killed and tissues collected, weighed and placentomes classified. A reduction in umbilical blood flow by approximately 30 per cent from baseline for 3 days in UCC fetuses led to mild fetal asphyxia throughout the period of cord-compression. After deflation of the occluder cuff, umbilical blood flow returned to a level that was significantly greater than that measured during baseline. Umbilical cord compression had no effect on fetal body weight but significantly increased fetal adrenal weight relative to body weight. While the total number of placentomes was not altered by cord-compression, total placentome weight and the total weight of C/D-type placentomes were both reduced in UCC relative to control placentae. In addition, the mean weight of placentomes, and of C/D-type placentomes specifically, was significantly lower in UCC relative to control placentae. When expressed as a percentage of the total number of placentomes in the placenta, there was a significantly lower percentage of C/D-type placentomes in UCC relative to control placentae. In addition, there was a significant relationship between the total number of placentomes and the percentage C/D-type placentomes in control, but not UCC, placentae. The data suggest that a temporary, reversible period of adverse intrauterine conditions occurring late in gestation in sheep has persisting effects upon the placenta, mean placentome weight and placentome distribution.
妊娠早期至中期或整个妊娠期出现的宫内不良状况会影响绵羊的胎盘重量和胎盘小叶类型的分布。然而,迄今为止尚无研究探讨妊娠晚期宫内不良状况的可逆期对绵羊胎儿及胎盘重量和胎盘小叶分布的影响。给22只绵羊胎儿长期植入可充气的脐带封堵器、羊膜和血管导管,并在一条脐动脉周围安装Transonic血流探头。在妊娠125天(足月约为145天)时,对12只胎儿(脐带受压,UCC)的封堵器进行充气,使脐血流量减少约30%,持续3天。然后将封堵器放气,使脐血流量恢复到基线水平。其余10只胎儿作为假手术对照,封堵器始终保持放气状态。在妊娠135 - 137天,对母羊实施安乐死并收集组织,称重并对胎盘小叶进行分类。UCC胎儿的脐血流量从基线水平减少约30%并持续3天,导致在整个脐带受压期间出现轻度胎儿窒息。封堵器袖带放气后,脐血流量恢复到显著高于基线测量值的水平。脐带受压对胎儿体重无影响,但相对于体重显著增加了胎儿肾上腺重量。虽然脐带受压未改变胎盘小叶的总数,但与对照胎盘相比,UCC组的胎盘小叶总重量和C/D型胎盘小叶的总重量均降低。此外,相对于对照胎盘,UCC组胎盘小叶以及特别是C/D型胎盘小叶的平均重量显著更低。当以胎盘小叶总数的百分比表示时,UCC组中C/D型胎盘小叶的百分比相对于对照胎盘显著更低。此外,对照胎盘而非UCC胎盘的胎盘小叶总数与C/D型胎盘小叶百分比之间存在显著关系。数据表明,绵羊妊娠晚期出现的短暂、可逆的宫内不良状况对胎盘、胎盘小叶平均重量和胎盘小叶分布具有持续影响。