Harel S, Sömjen D, Earon Y, Tomer A, Kaye A M, Kariv N, Binderman I
Division of Pediatrics, Tel Aviv Medical Center, University of Tel Aviv, Israel.
Biol Neonate. 1988;54(2):116-20. doi: 10.1159/000242833.
Vascular placental insufficiency is considered a common pathogenic factor in human intrauterine growth retardation. To mimic this condition, the rabbit, a 'perinatal brain developer' was utilized as an experimental model. Ischemic conditions were achieved by total ligation of approximately 30% of the uteroplacental vessels of half of the fetuses in each pregnant rabbit in the last third of gestation. The change in activity of the brain type isozyme of creatine kinase (CKBB), involved in energy regeneration and regulation, was assessed as a response marker to tissue ischemia in rabbit tissues: cerebellum, cerebrum, kidney, liver and placenta. A significant transient increase in CK-specific activity was found in the kidney and the cerebellum but not in the other organs tested, at 24 and 48 h after ligation. This increase was not seen with adenylate kinase, another enzyme involved in energy regeneration and regulation. It is proposed that an increase in CK-specific activity could serve as a metabolic marker of vascular insufficiency in rapidly developing tissues, representing part of a compensatory mechanism to overcome an energetic gap induced by ischemia.
血管胎盘功能不全被认为是人类宫内生长受限的常见致病因素。为模拟这种情况,选用兔子这一“围产期脑发育动物”作为实验模型。在妊娠最后三分之一阶段,对每只孕兔半数胎儿的约30%子宫胎盘血管进行完全结扎,以实现缺血状态。参与能量再生和调节的脑型肌酸激酶(CKBB)同工酶活性变化,被评估为兔组织(小脑、大脑、肾脏、肝脏和胎盘)对组织缺血的反应标志物。结扎后24小时和48小时,在肾脏和小脑中发现CK特异性活性显著短暂升高,但在其他受试器官中未发现。参与能量再生和调节的另一种酶——腺苷酸激酶,未出现这种升高。有人提出,CK特异性活性升高可作为快速发育组织中血管功能不全的代谢标志物,代表克服缺血诱导的能量缺口的补偿机制的一部分。