Block S M, Johnson R L, Sparks J W, Battaglia F C
Department of Pediatrics, University of Colorado School of Medicine, Denver 80262.
Pediatr Res. 1988 Jan;23(1):45-9. doi: 10.1203/00006450-198801000-00010.
During the last half of pregnancy, the fetal guinea pig grows exponentially at 7.1%/day. In order to define the metabolic requirements of the gravid uterus during this period of rapid growth, catheters were placed in the femoral artery and uterine vein of guinea pigs at gestational ages ranging from 40 days to term (68 days). The animals were studied in the unstressed state after full recovery from surgery and anesthesia. Arterial and venous concentrations of oxygen, glucose, lactate, acetoacetate, beta-hydroxybutyrate, and acetate were measured, and metabolic quotients and coefficients of extraction were calculated. The glucose/oxygen quotient did not change significantly in the last half of pregnancy averaging 1.26, while the lactate/oxygen quotient remained unchanged at -0.42, and the (glucose + lactate)/oxygen quotient remained unchanged at 0.82. Coefficients of extraction of glucose and oxygen increased linearly with gestational age. The increase in supply of substrates for the rapid growth of the conceptus toward the end of gestation is accounted for by increasing extraction of substrate and by greatly increasing blood flow with increasing gestation. While glucose remains the major metabolic fuel of the guinea pig conceptus and acetate is consistently taken up by the uterus, these substrates alone cannot account for the metabolic fate of the oxygen taken up and fall far short of the predicted nutritional requirements of the fetus for both oxidative metabolism and growth.
在妊娠的后半期,豚鼠胎儿以每天7.1%的速度呈指数增长。为了确定在这一快速生长时期妊娠子宫的代谢需求,在妊娠40天至足月(68天)的豚鼠股动脉和子宫静脉中放置导管。在动物从手术和麻醉中完全恢复后,在无应激状态下对其进行研究。测量动脉和静脉中的氧气、葡萄糖、乳酸、乙酰乙酸、β-羟基丁酸和乙酸的浓度,并计算代谢商和提取系数。在妊娠后半期,葡萄糖/氧气商平均为1.26,无显著变化,而乳酸/氧气商保持在-0.42不变,(葡萄糖+乳酸)/氧气商保持在0.82不变。葡萄糖和氧气的提取系数随胎龄呈线性增加。在妊娠末期,为适应胎儿快速生长而增加的底物供应,是通过增加底物提取量以及随着妊娠进展大幅增加血流量来实现的。虽然葡萄糖仍然是豚鼠胎儿的主要代谢燃料,且子宫持续摄取乙酸,但仅这些底物无法解释所摄取氧气的代谢去向,远远低于胎儿对于氧化代谢和生长的预测营养需求。