Williams Sarah J, Campbell Morag E, McMillen I Caroline, Davidge Sandra T
Perinatal Research Centre, Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB, Canada.
Am J Physiol Regul Integr Comp Physiol. 2005 Feb;288(2):R360-7. doi: 10.1152/ajpregu.00178.2004. Epub 2004 Nov 4.
In response to reduced oxygen or nutrient supply, the fetus may redistribute cardiac output to conserve brain and heart growth, at the expense of the peripheral tissues; however, it is not known whether alterations in vascular function are maintained after birth or whether reduced fetal oxygen versus nutrient supply produces distinct effects. Using a pressure myograph, we examined isolated carotid and femoral artery responses to phenylephrine and endothelin-1 in neonatal rats, after either reduced maternal oxygen or global nutrient restriction during late gestation. Timed-pregnant Sprague-Dawley rats were randomly assigned to control (n = 10), hypoxia (12% O2, n = 9), or nutrient restriction (NR, 40% of control diet, n = 7) protocol and treated from day 15-21 of pregnancy. Pups were collected 3-12 h after birth. Neonatal weights (P < 0.001) and relative liver weights (P < 0.001) were lower in hypoxia and nutrient restriction treatments compared with control, while relative heart weights were greater in the hypoxia than in the control or nutrient restriction groups (P < 0.01). Constriction to phenylephrine was reduced in carotid arteries from the hypoxia and nutrient restriction groups compared with control (P < 0.001), while the femoral artery response was greater in hypoxia-treated neonates compared with control or nutrient-restricted neonates (P < 0.01). Only the hypoxia reduced carotid responses to endothelin-1, while no differences were observed in the endothelin-1 responses in femoral arteries. Maternal hypoxia and maternal nutrient restriction produced distinct effects on heart growth and neonatal vascular function, suggesting that regional changes in cardiovascular function after poor fetal growth are dependent on the nature of the insult in utero.
为应对氧气或营养供应减少的情况,胎儿可能会重新分配心输出量,以保障脑和心脏的生长,而这是以牺牲外周组织为代价的;然而,目前尚不清楚出生后血管功能的改变是否会持续存在,也不清楚胎儿氧气供应减少与营养供应减少是否会产生不同的影响。我们使用压力肌动描记器,研究了妊娠晚期母体缺氧或整体营养限制后,新生大鼠离体颈动脉和股动脉对去氧肾上腺素和内皮素-1的反应。将定时怀孕的斯普拉格-道利大鼠随机分为对照组(n = 10)、缺氧组(12%氧气,n = 9)或营养限制组(NR,对照饮食的40%,n = 7),并在妊娠第15至21天进行处理。出生后3至12小时收集幼崽。与对照组相比,缺氧和营养限制处理组的新生体重(P < 0.001)和相对肝脏重量(P < 0.001)较低,而缺氧组的相对心脏重量比对照组或营养限制组更大(P < 0.01)。与对照组相比,缺氧和营养限制组颈动脉对去氧肾上腺素的收缩反应降低(P < 0.001),而缺氧处理的新生大鼠股动脉反应比对照组或营养限制的新生大鼠更大(P < 0.01)。只有缺氧降低了颈动脉对内皮素-1的反应,而股动脉对内皮素-1的反应未观察到差异。母体缺氧和母体营养限制对心脏生长和新生血管功能产生了不同的影响,这表明胎儿生长不良后心血管功能的区域变化取决于子宫内损伤的性质。