Department of Obstetrics, Gynecology and Reproductive Sciences, University of Vermont, Burlington, Vermont, USA.
Reprod Sci. 2012 Mar;19(3):322-31. doi: 10.1177/1933719111424435.
Normal pregnancy is associated with an increase in uteroplacental blood flow in part due to growth and remodeling of the maternal uterine vasculature. In this study, we characterized the effect of diabetic pregnancy on vascular growth of the maternal uterine vasculature and on the passive mechanical properties of the uterine resistance arteries. Diabetes was induced in pregnant rats by injection of streptozotocin and confirmed by development of hyperglycemia. Fetuses of diabetic rats were significantly smaller and placentas larger compared to controls. Pregnancy-induced axial elongation of the mesometrial uterine vasculature was not altered by diabetes. Vascular wall thickness was unchanged between groups. Wall distensibility was increased and the rate constant of an exponential function fitted to stress-strain curve was significantly reduced demonstrating decreased wall stiffness in diabetic uterine radial arteries compared to controls. We conclude that experimental diabetes in rat pregnancy does not compromise the growth of maternal uterine vasculature but alters passive mechanical properties of the uterine radial arteries.
正常妊娠伴随着子宫胎盘血流的增加,这部分归因于母体子宫血管的生长和重塑。在这项研究中,我们描述了糖尿病妊娠对母体子宫血管生长和子宫阻力血管被动机械特性的影响。通过链脲佐菌素注射诱导怀孕大鼠糖尿病,并通过高血糖的发展来确认。与对照组相比,糖尿病大鼠的胎儿明显较小,胎盘较大。糖尿病并不改变妊娠诱导的子宫血管中系膜血管的轴向伸长。两组间血管壁厚度无变化。壁顺应性增加,指数函数拟合的应力-应变曲线的速率常数显著降低,表明与对照组相比,糖尿病大鼠子宫放射状动脉的壁僵硬度降低。我们的结论是,实验性糖尿病妊娠不会损害母体子宫血管的生长,但会改变子宫放射状动脉的被动机械特性。