Neonatal Division, 2nd Department of Obstetrics and Gynecology, Athens University Medical School, 10682 Athens, Greece.
Metabolism. 2011 Apr;60(4):486-90. doi: 10.1016/j.metabol.2010.04.014. Epub 2010 May 20.
The aim of this study was to investigate circulating concentrations of omentin-1 and vaspin (adipocytokines predominantly secreted by visceral adipose tissue and not yet investigated in perinatal life) in maternal, fetal, and neonatal samples from intrauterine growth-restricted (IUGR; associated with altered development of adipose tissue) and appropriate-for-gestational-age (AGA) pregnancies and to correlate them with the respective insulin concentrations. Serum omentin-1 and vaspin concentrations were determined by enzyme immunoassay in 40 mothers and their 20 IUGR and 20 AGA singleton full-term fetuses and neonates on postnatal day 1 (N1) and day 4 (N4). Both hormones were detectable in fetal and neonatal blood (omentin-1 [mean ± SD, in nanograms per milliliter]: AGA vs IUGR group--fetal: 11.32 ± 1.88 vs 10.47 ± 1.30, N1: 10.74 ± 1.42 vs 10.46 ± 1.54, and N4: 10.90 ± 2.72 vs 11.35 ± 3.92; vaspin [median, minimum-maximum; in nanograms per milliliter]: AGA vs IUGR group--fetal: 0.39 [0.04-19.06] vs 0.40 [0.05-1.34], N1: 0.40 [0.04-16.70] vs 0.44 [0.23-3.34], and N4: 0.49 [0.02-8.89] vs 0.55 [0.06-3.92]). No significant differences in omentin-1 or vaspin concentrations were observed between IUGR and AGA groups, whereas fetal and N1 insulin concentrations were lower in the former (P = .025 and P = .027, respectively). In both groups, fetal omentin-1 concentrations were higher (P ≤ .018), whereas vaspin concentrations were lower (P ≤ .001), than maternal ones. Furthermore, maternal vaspin concentrations were higher in cases of cesarean delivery (P = .024). Omentin-1 and vaspin concentrations did not correlate with the respective insulin ones. In conclusion, omentin-1 and vaspin are present in the fetus and neonate. Perinatal concentrations of omentin-1 and vaspin are similar in IUGR cases and AGA controls--despite lower insulin concentrations in the former--and do not correlate with the respective insulin concentrations. Higher omentin-1 concentrations in the fetus may be crucial to enhance a growth-promoting effect, whereas lower maternal vaspin concentrations in cases of vaginal delivery may be attributed to spontaneous term delivery inflammation.
本研究旨在探讨网膜素-1 和内脂素(主要由内脏脂肪组织分泌的脂肪细胞因子,在围产期尚未进行研究)在宫内生长受限(IUGR;与脂肪组织发育改变相关)和适合胎龄(AGA)妊娠的母血、胎儿和新生儿样本中的循环浓度,并将其与相应的胰岛素浓度相关联。通过酶联免疫吸附试验在 40 名母亲及其 20 名 IUGR 和 20 名 AGA 单胎足月胎儿和新生儿的产后第 1 天(N1)和第 4 天(N4)时检测血清网膜素-1 和内脂素浓度。两种激素均可在胎儿和新生儿血液中检测到(网膜素-1 [平均值 ± 标准差,纳克/毫升]:AGA 与 IUGR 组 - 胎儿:11.32 ± 1.88 与 10.47 ± 1.30,N1:10.74 ± 1.42 与 10.46 ± 1.54,N4:10.90 ± 2.72 与 11.35 ± 3.92;内脂素 [中位数,最小值-最大值;纳克/毫升]:AGA 与 IUGR 组 - 胎儿:0.39 [0.04-19.06] 与 0.40 [0.05-1.34],N1:0.40 [0.04-16.70] 与 0.44 [0.23-3.34],N4:0.49 [0.02-8.89] 与 0.55 [0.06-3.92])。IUGR 组和 AGA 组之间的网膜素-1 或内脂素浓度无显著差异,而前者的胎儿和 N1 胰岛素浓度较低(P =.025 和 P =.027)。在两组中,胎儿网膜素-1 浓度均较高(P ≤.018),而内脂素浓度较低(P ≤.001)。此外,剖宫产病例的母体内脂素浓度较高(P =.024)。网膜素-1 和内脂素浓度与相应的胰岛素浓度无关。总之,网膜素-1 和内脂素存在于胎儿和新生儿中。IUGR 病例和 AGA 对照组的围产期网膜素-1 和内脂素浓度相似 - 尽管前者的胰岛素浓度较低 - 并且与相应的胰岛素浓度无关。胎儿中较高的网膜素-1 浓度可能对促进生长有重要作用,而阴道分娩病例中较低的母体内脂素浓度可能归因于自发性足月分娩炎症。