Nishina Hidenori, Green Lucy R, McGarrigle Hugh H G, Noakes David E, Poston Lucilla, Hanson Mark A
Department of Obstetrics and Gynaecology, University College London, 86-96 Chenies Mews, London WC1 6HX, UK.
J Physiol. 2003 Dec 1;553(Pt 2):637-47. doi: 10.1113/jphysiol.2003.045278. Epub 2003 Aug 29.
Unbalanced maternal nutrition affects fetal endocrine and cardiovascular systems, sometimes accompanied by changes in growth, although this is usually in late gestation. We determined the effect of moderate restriction for the first half of gestation of maternal dietary protein, or of total calorific intake on isolated resistance artery function of mid-gestation fetal sheep. Welsh Mountain ewes were nutritionally restricted by 30 % of the recommended nutrient intake (globally restricted) or 30 % of the recommended protein intake (protein-restricted), compared to control ewes fed 100 % of recommended nutrient intake, for ~12 days prior to conception and for the subsequent 70 days of gestation. At mid-gestation, fetal and placental weights were similar in all dietary groups. In isolated femoral arteries, the response curve to noradrenaline was reduced in protein-restricted group fetuses (P < 0.05). Maximal relaxation (P < 0.01) and sensitivity (P < 0.05) to acetylcholine were markedly reduced in protein-restricted group fetuses, and to a smaller extent in globally restricted group fetuses (response curve, P < 0.05). The dilator response (P < 0.05) and sensitivity (P < 0.05) to the alpha2 agonist UK14304 was lower in protein-, but not in globally restricted group fetuses. The response (P < 0.05) and sensitivity (P < 0.05) to the nitric oxide donor sodium nitroprusside were reduced in protein-restricted group fetuses compared to controls. Our data show that dietary imbalance, in particular restricted protein, of the ewe can produce blunting of endothelial-dependent and -independent relaxation in systemic arteries from the mid-gestation fetus. These changes may precede perturbed late-gestation fetal and postnatal cardiovascular control.
母体营养失衡会影响胎儿的内分泌和心血管系统,有时会伴有生长变化,不过这种情况通常发生在妊娠后期。我们确定了妊娠前半期母体膳食蛋白质适度限制或总热量摄入对妊娠中期胎儿绵羊离体阻力动脉功能的影响。与摄入100%推荐营养量的对照母羊相比,威尔士山地母羊在受孕前约12天及随后的70天妊娠期内,营养摄入被限制在推荐营养摄入量的30%(整体限制)或推荐蛋白质摄入量的30%(蛋白质限制)。在妊娠中期,所有饮食组的胎儿和胎盘重量相似。在离体股动脉中,蛋白质限制组胎儿对去甲肾上腺素的反应曲线降低(P<0.05)。蛋白质限制组胎儿对乙酰胆碱的最大舒张反应(P<0.01)和敏感性(P<0.05)明显降低,整体限制组胎儿的降低程度较小(反应曲线,P<0.05)。蛋白质限制组胎儿对α2激动剂UK14304的舒张反应(P<0.05)和敏感性(P<0.05)较低,而整体限制组胎儿则不然。与对照组相比,蛋白质限制组胎儿对一氧化氮供体硝普钠的反应(P<0.05)和敏感性(P<0.05)降低。我们的数据表明,母羊的饮食失衡,特别是蛋白质限制,会导致妊娠中期胎儿全身动脉中内皮依赖性和非依赖性舒张功能减弱。这些变化可能先于妊娠后期胎儿和产后心血管控制的紊乱。