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正常氧血症、低氧血症和窒息期间胎豚鼠血浆和器官中的儿茶酚胺浓度。

Catecholamine concentrations in plasma and organs of the fetal guinea pig during normoxemia, hypoxemia, and asphyxia.

作者信息

Jelinek J, Jensen A

机构信息

Department of Obstetrics and Gynecology, University of Giessen, West Germany.

出版信息

J Dev Physiol. 1991 Mar;15(3):145-52.

PMID:1940141
Abstract

To examine the responses of the sympatho-adrenal system to reduced oxygen supply we studied plasma and tissue concentrations of catecholamines during normoxemia, hypoxemia, and asphyxia in 22 fetal guinea pigs near term. Fetal blood was obtained by cardiopuncture in utero under ketamine/xylazine-anesthesia. Catecholamines were determined in plasma and tissue of 15 organs and 14 brain parts by HPLC-ECD. During normoxemia (SO2 54 +/- 4 (SE) %, pH 7.36 +/- 0.02, n = 5) plasma catecholamine levels were low (norepinephrine 447 +/- 53, epinephrine 42 +/- 12, dopamine 44 +/- 6 pg/ml). During hypoxemia (SO2 27 +/- 3%, pH 7.32 +/- 0.01, n = 6) and asphyxia (SO2 24 +/- 2%, pH 7.23 +/- 0.02, n = 11) tissue catecholamine concentrations changed with changing blood gases and with increasing plasma catecholamines. Norepinephrine concentrations increased in both skin and lung and decreased in liver, pancreas, and scalp; those of epinephrine increased in the heart, lung liver, and scalp and decreased in the adrenal. There were only minor changes in brain catecholamine concentrations except for a 50% reduction in dopamine in the caudate nucleus. Concentrations of dopamine catabolite 3,4-dihydroxyphenylacetic acid decreased in many brain parts, suggesting that cerebral catecholamine metabolism was affected by hypoxemia and asphyxia. We conclude that the sympatho-adrenal system of fetal guinea pigs near term is mature and that its stimulation by reduced fetal oxygen supply leads to changes in both plasma and tissue catecholamine concentrations.

摘要

为研究交感 - 肾上腺系统对氧供应减少的反应,我们在22只近足月的豚鼠胎儿中,研究了正常血氧、低氧血症和窒息期间儿茶酚胺的血浆及组织浓度。在氯胺酮/甲苯噻嗪麻醉下,通过子宫内心脏穿刺获取胎儿血液。采用高效液相色谱 - 电化学检测法(HPLC - ECD)测定15个器官和14个脑区的血浆及组织中的儿茶酚胺。在正常血氧期间(血氧饱和度(SO2)54±4(标准误)%,pH 7.36±0.02,n = 5),血浆儿茶酚胺水平较低(去甲肾上腺素447±53,肾上腺素42±12,多巴胺44±6 pg/ml)。在低氧血症期间(SO2 27±3%,pH 7.32±0.01,n = 6)和窒息期间(SO2 24±2%,pH 7.23±0.02,n = 11),组织儿茶酚胺浓度随血气变化及血浆儿茶酚胺水平升高而改变。皮肤和肺中的去甲肾上腺素浓度升高,而肝脏、胰腺和头皮中的去甲肾上腺素浓度降低;肾上腺素浓度在心脏、肺、肝脏和头皮中升高,而在肾上腺中降低。除尾状核中多巴胺浓度降低50%外,脑内儿茶酚胺浓度仅有微小变化。许多脑区中多巴胺代谢产物3,4 - 二羟基苯乙酸的浓度降低,提示脑内儿茶酚胺代谢受低氧血症和窒息影响。我们得出结论,近足月豚鼠胎儿的交感 - 肾上腺系统已成熟,胎儿氧供应减少对其刺激会导致血浆和组织儿茶酚胺浓度发生变化。

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