Ball K T, Power G G, Gunn T R, Johnston B M, Gluckman P D
Department of Paediatrics, School of Medicine, University of Auckland, New Zealand.
Endocrinology. 1992 Jul;131(1):337-43. doi: 10.1210/endo.131.1.1612014.
To evaluate the hypothesis that the rapid fall in circulating GH concentrations at birth is secondary to the initiation of nonshivering thermogenesis and the consequent rise in FFA levels, a series of experiments was performed in late-gestation fetal sheep. By sequentially cooling the fetus by means of a coil placed around the fetal thorax, ventilating with oxygen via an exteriorized tracheostomy tube, and separating the fetus from the placenta by occluding the umbilical cord, nonshivering thermogenesis could be induced in utero. In the first protocol (n = 6) cooling alone had no effect on fetal plasma FFA levels, oxygenation elevated FFAs slightly from 64 +/- 7 mu Eq/liter to 183 +/- 29 mu Eq/liter, and cord occlusion caused a further marked rise (P less than 0.005) to 635 +/- 69 mu Eq/liter. Neither cooling nor ventilation affected fetal plasma GH concentrations which fell (P less than 0.001) from 160 +/- 17 ng/ml to 65 +/- 13 ng/ml upon cord occlusion. When the cord occluder was removed FFA levels fell (P less than 0.001) and GH concentrations rose (P less than 0.001) once more, and when the cord was again occluded FFA levels rose (P less than 0.001) and GH concentrations fell (P less than 0.001). In a second protocol nine fetuses were cooled, ventilated, and the umbilical cord occluded. Once more, plasma FFA levels rose (P less than 0.001) and GH concentrations fell (P less than 0.001); when thermogenesis was inhibited by the infusion of the adenosine agonist N6-(L-2-phenyl isopropyl)-adenosine, FFA levels fell from 725 +/- 88 mu Eq/liter to 265 +/- 56 mu Eq/liter and GH concentrations rose from 54 +/- 13 ng/ml to 323 +/- 73 ng/ml. In two further protocols the possibility that PIA was acting directly on GH secretion was excluded in six fetuses with low plasma FFA levels and in three fetuses with elevated plasma FFA levels secondary to a fatty acid emulsion infusion. These studies provide direct evidence that the pattern of change in plasma GH concentrations at birth in the sheep is determined in part by the rise in plasma FFAs of thermogenic origin.
为了评估出生时循环生长激素(GH)浓度迅速下降是由于非寒战产热启动及随后游离脂肪酸(FFA)水平升高所致这一假说,对妊娠晚期的胎羊进行了一系列实验。通过环绕胎羊胸部放置的线圈依次冷却胎儿、经外置气管造口管给予氧气通气以及阻断脐带使胎儿与胎盘分离,可在子宫内诱导非寒战产热。在第一个方案(n = 6)中,单独冷却对胎儿血浆FFA水平无影响,给氧使FFA水平略有升高,从64±7微当量/升升至183±29微当量/升,而阻断脐带导致FFA水平进一步显著升高(P<0.005)至635±69微当量/升。冷却和通气均未影响胎儿血浆GH浓度,阻断脐带后GH浓度下降(P<0.001),从160±17纳克/毫升降至65±13纳克/毫升。当移除脐带阻断器时,FFA水平下降(P<0.001),GH浓度再次升高(P<0.001),当再次阻断脐带时,FFA水平升高(P<0.001),GH浓度下降(P<0.001)。在第二个方案中,对9只胎儿进行冷却、通气并阻断脐带。血浆FFA水平再次升高(P<0.001),GH浓度下降(P<0.001);当通过输注腺苷激动剂N6-(L-2-苯基异丙基)-腺苷抑制产热时,FFA水平从725±88微当量/升降至265±56微当量/升,GH浓度从54±13纳克/毫升升至323±73纳克/毫升。在另外两个方案中,在6只血浆FFA水平低的胎儿和3只因输注脂肪酸乳剂导致血浆FFA水平升高的胎儿中,排除了PIA直接作用于GH分泌的可能性。这些研究提供了直接证据,表明绵羊出生时血浆GH浓度的变化模式部分由产热来源的血浆FFA升高所决定。