Bitsanis Demetris, Crawford Michael A, Moodley Therishnee, Holmsen Holm, Ghebremeskel Kebreab, Djahanbakhch Ovrang
Institute of Brain Chemistry and Human Nutrition, London Metropolitan University, London, UK.
J Nutr. 2005 Nov;135(11):2566-71. doi: 10.1093/jn/135.11.2566.
The aim of this study was to determine whether the high concentration of arachidonic acid (AA) in term placentae accumulates during pregnancy or is an inherent characteristic of placental lipids. We investigated the lipid content and fatty acid composition of the human placental phospholipids at 2 gestational periods, early in pregnancy (8-14 wk, n = 48) and at term (38-41 wk of gestation, n = 19). The subjects were healthy, normotensive, and free of medical and obstetric complications. The lipid concentration of placentae increased from 0.8% in early gestation to 1.4% at term (P < 0.0001). The mean proportions of AA were lower in the choline (P < 0.05), inositol (P < 0.0001), and ethanolamine (P < 0.0001) phosphoglycerides of the term compared with the early placenta. In contrast, the proportions of the immediate precursor of AA, dihomo-gamma-linolenic acid (DGLA), were higher in the term placenta, particularly in the inositol and serine phosphoglycerides (P < 0.0001). In sphingomyelin, the percentage of lignoceric acid was increased and that of nervonic acid was reduced at term (P < 0.01). The dominance of AA, particularly in the early placenta, suggests that it has an important role for placental development, i.e., organogenesis and vascularization. There was no evidence of an accumulation of AA in the placenta toward term, which might be a trigger for parturition. In contrast, the increased proportion of DGLA (precursor of the vasorelaxant and anticoagulant prostaglandin E(1)) at term is more consistent with a profile favoring optimal blood flow to nourish the fetal growth spurt.
本研究的目的是确定足月胎盘花生四烯酸(AA)的高浓度是在孕期积累的,还是胎盘脂质的固有特征。我们研究了两个孕期(妊娠早期,8 - 14周,n = 48;足月,妊娠38 - 41周,n = 19)人胎盘磷脂的脂质含量和脂肪酸组成。研究对象均健康、血压正常,无内科及产科并发症。胎盘脂质浓度从妊娠早期的0.8%增加至足月时的1.4%(P < 0.0001)。与早期胎盘相比,足月时胆碱(P < 0.05)、肌醇(P < 0.0001)和乙醇胺(P < 0.0001)磷酸甘油酯中AA的平均比例较低。相反,AA的直接前体二高-γ-亚麻酸(DGLA)在足月胎盘中的比例较高,尤其是在肌醇和丝氨酸磷酸甘油酯中(P < 0.0001)。在鞘磷脂中,足月时二十四烷酸的百分比增加,而神经酸的百分比降低(P < 0.01)。AA的优势,特别是在早期胎盘中,表明它对胎盘发育,即器官发生和血管形成具有重要作用。没有证据表明足月时胎盘中有AA积累,而AA积累可能是分娩的触发因素。相反,足月时DGLA(血管舒张和抗凝前列腺素E1的前体)比例增加,更符合有利于滋养胎儿生长突增的最佳血流的特征。