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孕期食土癖影响肾心完整性、ATP驱动的质子泵、肾素-血管紧张素-醛固酮系统以及F2-异前列腺素状态。

Gestational Geophagia Affects Nephrocardiac Integrity, ATP-Driven Proton Pumps, the Renin⁻Angiotensin⁻Aldosterone System, and F2-Isoprostane Status.

作者信息

Agomuo Emmanuel Nnabugwu, Amadi Peter Uchenna, Adumekwe Chiamaka

机构信息

Department of Biochemistry, Imo State University, Owerri, Imo State 234, Nigeria.

Department of Biochemistry, University of Port Harcourt, Choba, Rivers State 234, Nigeria.

出版信息

Med Sci (Basel). 2019 Jan 22;7(2):13. doi: 10.3390/medsci7020013.

Abstract

Pregnancy brings about strong cravings for nonfood materials, the gestational toxicities of which are not yet ascertained. In this study, we used rat models to investigate the effect of clay beverage consumption during early and late gestation on p-Type ATPases, nephrocardiac integrity, the antioxidant system, and on the activities of the renin⁻angiotensin⁻aldosterone system (RAAS). The rats at early (7th day) and late gestation (20th) were administered single doses (500 mg/kg body weight of clay beverage and examined using ELISA and spectrophotometry. The gestational clay beverage intake significantly elevated the renal hemodynamics, glomerular filtration rate (GFR), anion gap, urinary output, and blood urea nitrogen⁻creatinine ratio (BUN/Crt). At early and late gestation, clay beverage consumption elevated the heartbeat, atherogenic index of plasma, cardiac risk ratio, and atherogenic coefficients. Creatinine kinase and troponin levels after clay beverage consumption significantly increased with gestation age, while lactate dehydrogenase elevation was independent of gestation age. Mg-ATPase and Na⁺/K⁺-ATPase significantly decreased during gestation and were further altered with clay beverage intake. The rats showed higher RAAS activities during early and late gestation stages but greatly decreased activities after clay beverage administration. When F2-isoprostane and malondialdehyde levels were measured, slight elevations were found during pregnancy and were greatly elevated with clay beverage intake, while the glutathione reductase, catalase, and superoxide dismutase levels were decreased. We thus discourage clay beverage consumption throughout the entire pregnancy period because of these profound homeostatic imbalances and organ toxicities associated with its consumption.

摘要

怀孕会引发对非食物物质的强烈渴望,而这些物质的妊娠毒性尚未确定。在本研究中,我们使用大鼠模型来研究妊娠早期和晚期饮用黏土饮料对p型ATP酶、肾心完整性、抗氧化系统以及肾素-血管紧张素-醛固酮系统(RAAS)活性的影响。对妊娠早期(第7天)和晚期(第20天)的大鼠单次给予(500毫克/千克体重)黏土饮料,并使用酶联免疫吸附测定法(ELISA)和分光光度法进行检测。妊娠期间饮用黏土饮料显著提高了肾血流动力学、肾小球滤过率(GFR)、阴离子间隙、尿量以及血尿素氮-肌酐比值(BUN/Crt)。在妊娠早期和晚期,饮用黏土饮料会提高心率、血浆动脉粥样硬化指数、心脏风险比和动脉粥样硬化系数。饮用黏土饮料后,肌酐激酶和肌钙蛋白水平随胎龄显著增加,而乳酸脱氢酶的升高与胎龄无关。妊娠期间Mg-ATP酶和Na⁺/K⁺-ATP酶显著降低,饮用黏土饮料后进一步改变。大鼠在妊娠早期和晚期阶段RAAS活性较高,但饮用黏土饮料后活性大幅下降。当检测F2-异前列腺素和丙二醛水平时,发现妊娠期间略有升高,饮用黏土饮料后大幅升高,而谷胱甘肽还原酶、过氧化氢酶和超氧化物歧化酶水平则降低。因此,由于饮用黏土饮料会导致这些严重的体内平衡失调和器官毒性,我们不建议在整个孕期饮用黏土饮料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dc0/6409520/549de6e445b9/medsci-07-00013-g001.jpg

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