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山羊分娩:关于胎儿、胎盘、前列腺素F和孕酮在分娩前、足月时或通过给胎儿输注促肾上腺皮质激素诱导早产时相互作用的研究。

Parturition in goats: studies on the interactions between the foetus, placenta, prostaglandin F and progesterone before parturition, at term or at parturition induced prematurely by corticotrophin infusion of the foetus.

作者信息

Currie W B, Thorburn G D

出版信息

J Endocrinol. 1977 May;73(2):263-78. doi: 10.1677/joe.0.0730263.

Abstract

Relationships between foetal corticosteroid concentrations, utero-ovarian prostaglandin F (PGF) and maternal peripheral progesterone have been examined in detail in goats shortly before spontaneous parturition at term. Foetal corticosteroids increased during the last 13-11 days of gestation and particularly sharply during the last 3 days and even during advanced labour. About 24 h before parturition, acute releases of PGF were evident in the vein draining the pregnant uterine horn, and these corresponded closely to the time of luteal regression. Further release of PGF occured when progesterone declined to low levels, probably reflecting in the course of labour. The changes observed before premature parturition, induced by infusing ACTH into foetal goats, were similar except for the more rapid increase in foetal corticosteoid concentrations. Immature neonates born after ACTH treatment were viable, placental delivery was normal and lactogenesis occurred in the mothers indicating that the treatment promoted full expression of the critical perinatal events. The early, acute releases of PGF were ipsilateral to the ACTH-infused foetus and were luteolytic provided the corpora lutea were also on that side. Luteolysis failed or was abnormally delayed if the corpora lutea were contralateral and prolonged ACTH treatment of the foetuses in such cases caused foetal death probably because of premature failure of the placenta. Similar findings were noted if ACTH infusion of the foetus was accompanied by simultaneous progesterone treatment of the mothers in order block the induction of labour. It was suggested that placental changes occurring during foetal hypercortisolism might be caused by increased placental oestrogen synthesis and the effect of this on the foeto-maternal junction along with a stimulatory action on PG synthesis in the maternal placenta. Experimental disruption of the normal sequence of events, when labour was blocked by progesterone, proved to be lethal to the foetus if the loss of placental integrity progressed sufficiently. The chain of regulatory signals linking increased activity of the foetal adrenal with parturition thus appears to involve stimulation of oestrogen biosynthesis, PGF release from the maternal placenta and the start of physical changes at the placental junction. Provided the foetus and corpora lutea are ipsilateral, the early releases of PGF effect luteolysis and a withdrawal of progesterone from the maternal circulation. When progesterone concentrations are sufficiently low, labour is initiated and its progress reflected by further release of PGF. The control mechanisms, which also provide for the final maturation of the foetus, clearly enable a close synchronization of the various perinatal events which are essential for the transition from foetal to postnatal life.

摘要

在足月山羊自然分娩前不久,已对胎儿皮质类固醇浓度、子宫 - 卵巢前列腺素F(PGF)与母体外周孕酮之间的关系进行了详细研究。在妊娠的最后13 - 11天,胎儿皮质类固醇水平升高,在最后3天尤其急剧上升,甚至在分娩后期也是如此。分娩前约24小时,在引流妊娠子宫角的静脉中明显出现PGF的急性释放,这些释放与黄体退化的时间密切对应。当孕酮降至低水平时,PGF进一步释放,这可能反映了分娩过程。在给胎儿山羊输注促肾上腺皮质激素(ACTH)诱导早产之前观察到的变化相似,只是胎儿皮质类固醇浓度升高得更快。ACTH治疗后出生的未成熟新生儿是存活的,胎盘娩出正常,母亲发生泌乳,这表明该治疗促进了关键围产期事件的充分表达。PGF的早期急性释放在输注ACTH的胎儿同侧,并且如果黄体也在同一侧,则具有溶黄体作用。如果黄体在对侧,溶黄体作用失败或异常延迟,在这种情况下对胎儿进行长时间的ACTH治疗可能导致胎儿死亡,可能是因为胎盘过早功能衰竭。如果在给胎儿输注ACTH的同时对母亲进行孕酮治疗以阻止分娩发动,也会有类似的发现。有人提出,胎儿高皮质醇血症期间发生的胎盘变化可能是由于胎盘雌激素合成增加,以及这对胎儿 - 母体交界区的影响,同时对母体胎盘的PG合成有刺激作用。当分娩被孕酮阻断时,实验性破坏正常事件顺序,如果胎盘完整性丧失足够严重,被证明对胎儿是致命的。因此,将胎儿肾上腺活动增加与分娩联系起来的调节信号链似乎涉及刺激雌激素生物合成、母体胎盘释放PGF以及胎盘交界区开始发生物理变化。如果胎儿和黄体同侧,PGF的早期释放会导致溶黄体作用,并使孕酮从母体循环中撤出。当孕酮浓度足够低时,分娩开始,其进展通过PGF的进一步释放反映出来。这些控制机制也为胎儿的最终成熟提供条件,显然能够使各种围产期事件紧密同步,这些事件对于从胎儿期到产后生活的转变至关重要。

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