Department of Obstetrics & Gynecology, Howard University College of Medicine, Washington, DC, USA.
Adv Exp Med Biol. 2020;1265:111-131. doi: 10.1007/978-3-030-45328-2_7.
Amino acids are not only the building blocks of proteins, an indispensable component of cells, but also play versatile roles in regulating cell metabolism, proliferation, differentiation and growth by themselves or through their derivatives. At the whole body level, the bioavailability and metabolism of amino acids, interacting with other macronutrients, is critical for the physiological processes of reproduction including gametogenesis, fertilization, implantation, placentation, fetal growth and development. In fertilization and early pregnancy, histotroph in oviductal and uterine secretions provides nutrients and microenvironment for conceptus (embryo and extraembryonic membranes) development. These nutrients include select amino acids in histotroph (arginine, leucine and glutamine of particular interest) that stimulate conceptus growth and development, as well as interactions between maternal uterus and the conceptus, thus impacting maintenance of pregnancy, placental growth, development and functions, fetal growth and development, and consequential pregnancy outcomes. Gestational protein undernutrition causes fetal growth restriction and predisposes cardiovascular, metabolic diseases and others in offspring via multiple mechanisms, whereas the supplementation of glycine, leucine and taurine during pregnancy partially rescues growth restriction and beneficially modulates fetal programming. Thus, amino acids are essential for the fertility of humans and all animals.
氨基酸不仅是蛋白质的组成部分,也是细胞不可或缺的成分,它们自身或通过其衍生物发挥多种调节细胞代谢、增殖、分化和生长的作用。在全身水平上,氨基酸的生物利用度和代谢与其他宏量营养素相互作用,对生殖生理过程(包括配子发生、受精、着床、胎盘形成、胎儿生长和发育)至关重要。在受精和早孕期间,输卵管和子宫分泌物中的组织滋养层为胚胎(胚胎和胚胎外膜)的发育提供营养和微环境。这些营养物质包括组织滋养层中的特定氨基酸(精氨酸、亮氨酸和谷氨酰胺特别重要),它们刺激胚胎的生长和发育,以及母体子宫和胚胎之间的相互作用,从而影响妊娠的维持、胎盘的生长、发育和功能、胎儿的生长和发育以及随后的妊娠结局。妊娠期蛋白质营养不良通过多种机制导致胎儿生长受限,并使后代易患心血管疾病、代谢疾病等,而在妊娠期补充甘氨酸、亮氨酸和牛磺酸可部分挽救生长受限并有益地调节胎儿编程。因此,氨基酸对人类和所有动物的生育能力都是必不可少的。