Jones O W, Cheung C Y, Brace R A
Department of Reproductive Medicine, University of California, San Diego, La Jolla 92093-0802.
Am J Obstet Gynecol. 1991 Nov;165(5 Pt 1):1524-33. doi: 10.1016/0002-9378(91)90400-l.
The purpose of this experiment was to establish dose-response relationships for the effects of angiotensin II on arterial pressure, venous pressure, heart rate, and blood volume in the ovine fetus. Chronically catheterized fetal sheep at 132 +/- 1 (SE) days' gestational age were infused with angiotensin II at 4.8 +/- 1.1 (n = 7), 27.7 +/- 4.6 (n = 7), 102.2 +/- 16.7 (n = 6), or 239.0 +/- 30.9 (n = 4) ng/min/kg fetal body weight for 30 minutes. Fetal arterial pressure increased at the three highest doses. Fetal venous pressure, heart rate, and blood volume responded only at 102.2 and 239.0 ng/min/kg. At 239.0 ng/min/kg, arterial pressure increased by 17.7 +/- 1.6 mm Hg (p less than 0.00001), venous pressure increased by 1.5 +/- 0.3 mm Hg (p less than 0.0005), blood volume decreased by 7.8 +/- 2.2% (p less than 0.0001), and heart rate initially decreased by 14 +/- 4 beats/min, followed by an increase of 52 +/- 17 beats/min from control (p less than 0.0005) at the end of angiotensin II infusion. Thus this study shows that angiotensin II affected multiple fetal cardiovascular variables in a dose-dependent manner, suggesting that it is an important regulatory hormone for the entire fetal cardiovascular system.
本实验的目的是建立血管紧张素II对绵羊胎儿动脉压、静脉压、心率和血容量影响的剂量-反应关系。对妊娠132±1(标准误)天的慢性插管胎羊,以4.8±1.1(n = 7)、27.7±4.6(n = 7)、102.2±16.7(n = 6)或239.0±30.9(n = 4)ng/分钟/千克胎儿体重的剂量输注血管紧张素II,持续30分钟。在三个最高剂量时,胎儿动脉压升高。胎儿静脉压、心率和血容量仅在102.2和239.0 ng/分钟/千克时出现反应。在239.0 ng/分钟/千克时,动脉压升高17.7±1.6毫米汞柱(p<0.00001),静脉压升高1.5±0.3毫米汞柱(p<0.0005),血容量减少7.8±2.2%(p<0.0001),心率最初下降14±4次/分钟,在血管紧张素II输注结束时比对照增加52±17次/分钟(p<0.0005)。因此,本研究表明血管紧张素II以剂量依赖方式影响多个胎儿心血管变量,提示它是整个胎儿心血管系统的一种重要调节激素。