Chen Chung-Ming, Wang Leng-Fang, Chou Hsiu-Chu, Lang Yaw-Dong
Department of Pediatrics, Taipei Medical University Hospital, Taipei, Taiwan.
Neonatology. 2007;92(3):187-93. doi: 10.1159/000102958. Epub 2007 May 21.
To evaluate the effects of experimental oligohydramnios on lung growth, expression of platelet-derived growth factor (PDGF) and its receptors, and lung morphology in fetal rats.
On day 16 of gestation, we anesthetized timed pregnant Sprague-Dawley dams and punctured uterine wall and fetal membranes of each uterine sac which resulted in oligohydramnios. The fetuses in the opposite uterine horn served as controls. On days 19 and 21 of gestation, the fetuses were delivered by cesarean section and weighed, and the lungs were dissected free and weighed.
Rats exposed to oligohydramnios exhibited significantly lower lung/body weight ratios on days 19 and 21 of gestation and significantly lower radial saccular counts on day 21 of gestation than did the control rats. Lung PDGF-A and PDGF-B gene and protein expression and elastin level were significantly decreased in rats exposed to oligohydramnios on days 19 and 21 of gestation. The PDGF receptor alpha and beta gene expression levels were significantly decreased in rats exposed to oligohydramnios on day 19 of gestation.
A decreased PDGF expression may be important in the pathogenesis of oligohydramnios-induced pulmonary hypoplasia and suggests that supplementation may provide useful therapeutic strategies.
评估实验性羊水过少对胎鼠肺生长、血小板衍生生长因子(PDGF)及其受体表达以及肺形态的影响。
在妊娠第16天,对定时受孕的斯普拉格-道利孕鼠进行麻醉,穿刺每个子宫囊的子宫壁和胎膜,导致羊水过少。对侧子宫角的胎儿作为对照。在妊娠第19天和第21天,通过剖宫产取出胎儿并称重,然后将肺分离出来称重。
与对照大鼠相比,暴露于羊水过少的大鼠在妊娠第19天和第21天的肺/体重比显著降低,在妊娠第21天的放射状囊泡计数显著减少。在妊娠第19天和第21天,暴露于羊水过少的大鼠肺中PDGF-A和PDGF-B基因及蛋白表达以及弹性蛋白水平显著降低。在妊娠第19天,暴露于羊水过少的大鼠中PDGF受体α和β基因表达水平显著降低。
PDGF表达降低可能在羊水过少诱导的肺发育不全的发病机制中起重要作用,并提示补充可能提供有用的治疗策略。