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母胎输血与先天性畸形:一项使用大鼠胚胎的实验研究

Maternoembryonic transfusion and congenital malformations: an experimental study using rat embryos.

作者信息

van der Zee D C, Poelmann R E, Vermeij-Keers C, Zwierstra R P, Mentink M M

机构信息

Department of General and Pediatric Surgery, University Hospital, Groningen, The Netherlands.

出版信息

J Pediatr Surg. 1988 Mar;23(3):266-9. doi: 10.1016/s0022-3468(88)80737-1.

Abstract

In an experimental study, using an in vitro whole rat embryo culture, the effects of a maternoembryonic transfusion and immunologic interaction on the development of ten-day-old rat embryos (stages 8 to 10 somites) has been studied. Transplacental transfusion has been simulated by embryonic intracardiac microinjection of 0.1 to 0.5 microL immunologically active rat serum. After an incubation of 24 and 48 hours, respectively, the embryos were killed. All tested embryos have survived the incubation period. On microscopic examination of the tested embryos those that were taken from the incubator after 24 hours showed no signs of pathogenic cell degeneration, while the embryos that were taken from the incubator after 48 hours all had localized lesions with pathogenic cell degeneration in one or multiple major structures. The neurectoderm and endoderm seem to be the most sensitive tissues in this period of organogenesis. The results suggest that immunologic reaction to transplacental transfusion of maternal serum may lead to congenital malformations.

摘要

在一项实验研究中,利用体外全大鼠胚胎培养技术,研究了母胎输血和免疫相互作用对10日龄大鼠胚胎(8至10体节期)发育的影响。通过向胚胎心脏内显微注射0.1至0.5微升具有免疫活性的大鼠血清来模拟经胎盘输血。分别孵育24小时和48小时后,将胚胎处死。所有受试胚胎均在孵育期内存活。对受试胚胎进行显微镜检查时,24小时后从培养箱中取出的胚胎未显示出致病性细胞变性的迹象,而48小时后从培养箱中取出的胚胎在一个或多个主要结构中均有伴有致病性细胞变性的局部病变。神经外胚层和内胚层似乎是器官发生这一时期最敏感的组织。结果表明,对母体血清经胎盘输血的免疫反应可能导致先天性畸形。

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