Smeaton T C, Owens J A, Kind K L, Robinson J S
Department of Obstetrics & Gynaecology, University of Adelaide, South Australia.
J Dev Physiol. 1989 Aug;12(2):95-9.
There was net uptake of branched-chain keto acids by the fetus from the umbilical circulation. Mean fetal uptake of the 3 keto acids 2-keto isovalerate, 2-keto isocaproate and 2-keto methylvalerate was 1.8 mumol/min per kg of fetus. The concentrations in the umbilical vein for these keto acids were 10.9 +/- 3.8 microM (mean +/- SD: 2-keto isovalerate), 19.7 +/- 6.1 microM (2-keto isocaproate) and 14.8 +/- 5.3 microM (2-keto methylvalerate) respectively. The coefficients of extraction for the same keto acids were 17.2%, 16.8% and 11.9% respectively. Fetal uptakes (both mumol/min and mumol/min per kg fetus) were positively correlated with umbilical supply. There were concentration gradients across the placenta, with fetal concentration: maternal concentration ratios of 3.3 +/- 1.5 for 2-keto isovalerate, 2.1 +/- 0.8 for 2-keto isocaproate and 1.3 +/- 0.6 for 2-keto methylvalerate. The net release of 2-keto acids into the umbilical circulation may conserve the carbon skeleton of branched-chain amino acids for fetal metabolism and growth. In the uterine circulation there was not a consistent pattern of release from or uptake by the uteroplacental tissues. It is suggested that branched-chain keto acids may contribute to fetal growth or energy metabolism.
胎儿通过脐循环从母体摄取支链酮酸。胎儿对三种酮酸(2-酮异戊酸、2-酮异己酸和2-酮甲基戊酸)的平均摄取量为每千克胎儿1.8微摩尔/分钟。这些酮酸在脐静脉中的浓度分别为10.9±3.8微摩尔/升(2-酮异戊酸,平均值±标准差)、19.7±6.1微摩尔/升(2-酮异己酸)和14.8±5.3微摩尔/升(2-酮甲基戊酸)。相同酮酸的提取系数分别为17.2%、16.8%和11.9%。胎儿摄取量(微摩尔/分钟和每千克胎儿微摩尔/分钟)与脐循环供应量呈正相关。胎盘两侧存在浓度梯度,2-酮异戊酸的胎儿浓度与母体浓度之比为3.3±1.5,2-酮异己酸为2.1±0.8,2-酮甲基戊酸为1.3±0.6。2-酮酸向脐循环的净释放可能为胎儿代谢和生长保留支链氨基酸的碳骨架。在子宫循环中,子宫胎盘组织的释放或摄取模式并不一致。提示支链酮酸可能有助于胎儿生长或能量代谢。