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内毒素输注对怀孕母牛类花生酸、孕酮、皮质醇、葡萄糖和乳酸的循环水平以及流产的影响。

Effects of endotoxin infusion on circulating levels of eicosanoids, progesterone, cortisol, glucose and lactic acid, and abortion in pregnant cows.

作者信息

Giri S N, Emau P, Cullor J S, Stabenfeldt G H, Bruss M L, Bondurant R H, Osburn B I

机构信息

Department of Veterinary Pharmacology, School of Veterinary Medicine, University of California, Davis 95616.

出版信息

Vet Microbiol. 1990 Jan;21(3):211-31. doi: 10.1016/0378-1135(90)90033-r.

Abstract

The effects of Escherichia coli endotoxin infusions (1.0 or 2.5 micrograms kg-1 over 6 h) on pregnancy were investigated in cows in the first, second and third trimester of gestation. Endotoxin increased the plasma levels of prostaglandins (PGs), thromboxane B2 and cortisol, and decreased progesterone. The severity of the clinical signs and the magnitude of the increases in plasma PGs, thromboxane B2 and cortisol tended to depend on the dose of endotoxin, but were independent of the gestation period. There was hyperglycemia followed by hypoglycemia and lactic acidemia. Hyperglycemia and lactic acidemia were significant only at the high dose of endotoxin. Endotoxin infusion at both doses caused a preferential mobilization of oleic acid from adipose tissue, and also had some effects on the mobilization of palmitic and stearic acids during the post-infusion period. The cows in the first trimester of gestation were more sensitive to the abortifacient effect of endotoxin than cows in the second and third trimester of gestation. The results of this study indicate that the mechanism of endotoxin-induced abortion in cows initially involves a prolonged release of PGF2 alpha and its subsequent stimulant effect on uterine smooth muscle contraction and luteolytic effect leading to a gradual decline in the plasma levels of progesterone. It was concluded that pregnancy terminates in the absence of an adequate level of progesterone, especially during the first trimester of gestation, when progesterone of extraluteal origin is not yet available, coupled with the PGF2 alpha-induced propulsive contraction of the uterus. In addition, the metabolic and circulatory failures in severe cases of endotoxemia, especially at the high dose of endotoxin, resulting either directly or indirectly via the release of various autacoids, catecholamines and cortisol, may also contribute to the termination of pregnancy at any stage of gestation.

摘要

研究了在妊娠第一、第二和第三个月的奶牛中,静脉输注大肠杆菌内毒素(6小时内1.0或2.5微克/千克)对妊娠的影响。内毒素增加了血浆中前列腺素(PGs)、血栓素B2和皮质醇的水平,并降低了孕酮水平。临床症状的严重程度以及血浆PGs、血栓素B2和皮质醇升高的幅度往往取决于内毒素的剂量,但与妊娠期无关。出现了高血糖,随后是低血糖和乳酸性血症。高血糖和乳酸性血症仅在高剂量内毒素时显著。两种剂量的内毒素输注均导致脂肪组织中油酸的优先动员,并且在输注后期间对棕榈酸和硬脂酸的动员也有一些影响。妊娠第一个月的奶牛比妊娠第二和第三个月的奶牛对内毒素的流产作用更敏感。本研究结果表明,内毒素诱导奶牛流产的机制最初涉及PGF2α的长时间释放及其随后对子宫平滑肌收缩的刺激作用和溶黄体作用,导致血浆孕酮水平逐渐下降。得出的结论是,在没有足够水平孕酮的情况下妊娠终止,特别是在妊娠第一个月,此时尚未有来自黄体外的孕酮,再加上PGF2α诱导的子宫推进性收缩。此外,严重内毒素血症病例中的代谢和循环衰竭,特别是在高剂量内毒素时,直接或通过各种自身活性物质、儿茶酚胺和皮质醇的释放间接导致,也可能在妊娠的任何阶段促成妊娠终止。

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