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急性补充氨基酸可增加 IUGR 胎儿羊的净蛋白积累。

Acute supplementation of amino acids increases net protein accretion in IUGR fetal sheep.

机构信息

Perinatal Research Center, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO 80045, USA.

出版信息

Am J Physiol Endocrinol Metab. 2012 Aug 1;303(3):E352-64. doi: 10.1152/ajpendo.00059.2012. Epub 2012 May 29.

Abstract

Placental insufficiency decreases fetal amino acid uptake from the placenta, plasma insulin concentrations, and protein accretion, thus compromising normal fetal growth trajectory. We tested whether acute supplementation of amino acids or insulin into the fetus with intrauterine growth restriction (IUGR) would increase net fetal protein accretion rates. Late-gestation IUGR and control (CON) fetal sheep received acute, 3-h infusions of amino acids (with euinsulinemia), insulin (with euglycemia and euaminoacidemia), or saline. Fetal leucine metabolism was measured under steady-state conditions followed by a fetal muscle biopsy to quantify insulin signaling. In CON, increasing amino acid delivery rates to the fetus by 100% increased leucine oxidation rates by 100%. In IUGR, amino acid infusion completely suppressed fetal protein breakdown rates but increased leucine oxidation rate by only 25%, resulting in increased protein accretion rates by 150%. Acute insulin infusion, however, had very little effect on amino acid delivery rates, fetal leucine disposal rates, or fetal protein accretion rates in CON or IUGR fetuses despite robust signaling of the fetal skeletal muscle insulin-signaling cascade. These results indicate that, when amino acids are given directly into the fetal circulation independently of changes in insulin concentrations, IUGR fetal sheep have suppressed protein breakdown rates, thus increasing net fetal protein accretion.

摘要

胎盘功能不全会降低胎儿从胎盘摄取氨基酸、血浆胰岛素浓度和蛋白质积累,从而影响正常的胎儿生长轨迹。我们测试了宫内生长受限(IUGR)胎儿急性补充氨基酸或胰岛素是否会增加净胎儿蛋白质积累率。在妊娠晚期 IUGR 和对照(CON)胎儿羊接受了 3 小时的氨基酸(伴胰岛素正常)、胰岛素(伴血糖和氨基酸正常)或生理盐水急性输注。在稳态条件下测量胎儿亮氨酸代谢,然后进行胎儿肌肉活检以量化胰岛素信号。在 CON 中,将氨基酸输送到胎儿的速度增加 100%,亮氨酸氧化率增加 100%。在 IUGR 中,氨基酸输注完全抑制了胎儿蛋白质分解率,但仅增加了亮氨酸氧化率 25%,导致蛋白质积累率增加 150%。然而,急性胰岛素输注对 CON 或 IUGR 胎儿的氨基酸输送率、胎儿亮氨酸处置率或胎儿蛋白质积累率几乎没有影响,尽管胎儿骨骼肌胰岛素信号级联有明显的信号。这些结果表明,当氨基酸直接输入胎儿循环而不改变胰岛素浓度时,IUGR 胎儿的蛋白质分解率受到抑制,从而增加了净胎儿蛋白质积累。

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