Department of Diagnostic and Interventional Radiology and Nuclear Medicine, Centre for Radiology and Endoscopy, University Medical Centre Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Department of Diagnostic and Interventional Radiology and Nuclear Medicine, Centre for Radiology and Endoscopy, University Medical Centre Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Placenta. 2018 May;65:15-19. doi: 10.1016/j.placenta.2018.03.009. Epub 2018 Apr 1.
Stress during pregnancy is known to have negative effects on fetal outcome. The purpose of this exploratory study was to examine placental perfusion alterations after stress challenge during pregnancy in a mouse model.
Seven Tesla MRI was performed on pregnant mice at embrionic day (ED) 14.5 and 16.5. Twenty dams were exposed to an established acoustic stress challenge model while twenty non-exposed dams served as controls. Placental perfusion was analyzed in dynamic contrast-enhanced (DCE) MRI using the steepest slope model. The two functional placental compartments, the highly vascularized labyrinth and the endocrine junctional zone, were assessed separately.
Statistical analysis revealed decreased perfusion levels in the stress group at ED 14.5 compared to controls in both placenta compartments. On ED 16.5, the perfusion level increased significantly in the stress group while placenta perfusion in controls remained similar or even slightly decreased leading to an overall increased perfusion in the stress group on ED 16.5 compared to controls.
MR imaging allows noninvasive placenta perfusion assessment in this fetal stress mimicking animal model. In this exploratory study, we demonstrated that stress challenge during pregnancy leads to an initial reduction followed by an increase of placenta perfusion.
孕期压力已知会对胎儿结局产生负面影响。本探索性研究的目的是在小鼠模型中检查孕期应激挑战后胎盘灌注的改变。
在胚胎期 (ED) 14.5 和 16.5 对怀孕小鼠进行 7T MRI 检查。20 只母鼠暴露于已建立的声应激挑战模型中,而 20 只未暴露的母鼠作为对照。使用陡峭斜率模型在动态对比增强 (DCE) MRI 中分析胎盘灌注。分别评估两个功能性胎盘隔室,即高度血管化的绒毛膜和内分泌连接区。
统计学分析显示,与对照组相比,应激组在 ED 14.5 时两个胎盘隔室的灌注水平均降低。在 ED 16.5 时,应激组的灌注水平显著增加,而对照组的胎盘灌注水平相似甚至略有下降,导致应激组在 ED 16.5 时的总体灌注水平高于对照组。
MR 成像允许在这个模拟胎儿应激的动物模型中进行非侵入性胎盘灌注评估。在这项探索性研究中,我们证明了孕期应激挑战会导致胎盘灌注最初减少,随后增加。