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卵巢系膜血管烧灼术,一种大鼠宫内生长受限的新模型。

Cauterization of meso-ovarian vessels, a new model of intrauterine growth restriction in rats.

作者信息

Camprubí M, Ortega A, Balaguer A, Iglesias I, Girabent M, Callejo J, Figueras J, Krauel X

机构信息

Servei de Neonatologia, Agrupación Sanitaria Sant Joan de Déu-Hospital Clínic, Passeig Sant Joan S/N, Esplugues de Llobregat, Barcelona 08950, Spain.

出版信息

Placenta. 2009 Sep;30(9):761-6. doi: 10.1016/j.placenta.2009.06.010. Epub 2009 Jul 23.

Abstract

Intrauterine growth restriction (IUGR) remains an important cause of perinatal morbidity and mortality. Both IUGR and low birth weight have been identified as risk factors for increased incidence of cardiovascular disease, dyslipemia, and other diseases in the adulthood. Several animal models have been developed to study the underlying mechanisms of IUGR and its later consequences, with utero-placental ischemia by uterine artery ligation (UAL) being the most frequently used in rats. The relevance of this model lies in the fact that it induces altered placental perfusion, the main cause of IUGR in humans in Western countries. However, there is also controversy over the grade and homogeneity of IUGR obtained. In this study, we propose a new animal model of IUGR related to placental ischemia through the cauterization of meso-ovarian vessels. We aimed to test the feasibility of meso-ovarian vessel cauterization (CMO), and to compare it with uterine artery ligation (UAL). The CMO group had similar incidence of perinatal mortality, percentage of IUGR, and evolution of body weight during early extrauterine life to the UAL group, indicating that both methods are similarly efficient for inducing IUGR. Moreover, both of them affect the ratio of fetal to placental weight, and the weight of vital organs, supporting the hypothesis of a fetal compensatory response or "brain- and heart-sparing effect". Both operative models suffer approximately 50% perinatal mortality, implying that they are both more efficient in the production of IUGR when C-section is performed. On the other hand, CMO was significantly faster to perform than UAL and seemed to produce a more uniform ischemia throughout the uterus than the UAL method, resulting in a more homogeneous group of IUGR pups.

摘要

宫内生长受限(IUGR)仍然是围产期发病和死亡的重要原因。IUGR和低出生体重均已被确定为成年后患心血管疾病、血脂异常及其他疾病发病率增加的风险因素。已经建立了几种动物模型来研究IUGR的潜在机制及其后期后果,其中子宫动脉结扎(UAL)导致的子宫-胎盘缺血是大鼠中最常用的模型。该模型的相关性在于它会导致胎盘灌注改变,而胎盘灌注改变是西方国家人类IUGR的主要原因。然而,对于所获得的IUGR的程度和同质性也存在争议。在本研究中,我们通过烧灼卵巢系膜血管提出了一种与胎盘缺血相关的IUGR新动物模型。我们旨在测试烧灼卵巢系膜血管(CMO)的可行性,并将其与子宫动脉结扎(UAL)进行比较。CMO组与UAL组在围产期死亡率、IUGR百分比以及宫外早期生活期间的体重变化方面相似,这表明两种方法在诱导IUGR方面同样有效。此外,它们都影响胎儿与胎盘的重量比以及重要器官的重量,支持了胎儿代偿反应或“脑心保护效应”的假说。两种手术模型的围产期死亡率均约为50%,这意味着在进行剖宫产时,它们在产生IUGR方面都更有效。另一方面,CMO的操作明显比UAL快,并且似乎比UAL方法在整个子宫内产生更均匀的缺血,从而产生更均匀的IUGR幼崽组。

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