Nandakumaran M, Dashti H M, Al-Saleh E, Al-Zaid N S
Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Kuwait, Sufat.
Mol Cell Biochem. 2003 Oct;252(1-2):91-6. doi: 10.1023/a:1025565720489.
Transport characteristics of essential trace elements as zinc, copper, selenium and iron have been studied in maternal-fetal direction in normal pregnancies, using in vitro perfusion of human placental lobules. Solutions of trace elements corresponding to twice the physiological concentrations were injected (100 microl bolus) into the maternal arterial perfusate. Serial perfusate samples were collected every 30 sec from venous outflows for a study period of 5 min. Concentrations of these trace elements and their transport kinetics were determined. Transport fractions (TF) of zinc, copper, selenium and iron averaged 0.21, 0.49, 0.55 and 0.10% of maternal load respectively. Other parameters such as area under the curve, clearance, elimination constant, absorption and elimination rates showed some significant differences between the various elements. Copper and selenium appear to be transported passively in maternal-fetal direction, while for iron and zinc, role of active transport for transfer across the human placental membrane cannot be discounted. We speculate that alterations in copper: zinc TR50 (transport rate for 50% efflux) and TF ratios could serve as useful indicators for assessing placental transport status of these essential elements in complicated pregnancy states.
利用人胎盘小叶的体外灌注技术,在正常妊娠中研究了锌、铜、硒和铁等必需微量元素在母胎方向上的转运特征。将相当于生理浓度两倍的微量元素溶液(100微升推注量)注入母体动脉灌注液中。在5分钟的研究期间,每隔30秒从静脉流出液中采集一系列灌注液样本。测定这些微量元素的浓度及其转运动力学。锌、铜、硒和铁的转运分数(TF)分别平均为母体负荷的0.21%、0.49%、0.55%和0.10%。其他参数,如曲线下面积、清除率、消除常数、吸收和消除速率,在不同元素之间显示出一些显著差异。铜和硒似乎以被动方式在母胎方向转运,而对于铁和锌,主动转运在跨人胎盘膜转运中的作用不可忽视。我们推测,铜:锌TR50(50%流出的转运速率)和TF比值的改变可作为评估复杂妊娠状态下这些必需元素胎盘转运状态的有用指标。