Kasahara Yoshiyuki, Yoshida Chihiro, Saito Masatoshi, Kimura Yoshitaka
Department of Maternal and Fetal Therapeutics, Tohoku University Graduate School of Medicine, Sendai, Japan.
Department of Maternal and Child Health Care Medical Science, Tohoku University Graduate School of Medicine, Sendai, Japan.
Front Physiol. 2021 Apr 8;12:652828. doi: 10.3389/fphys.2021.652828. eCollection 2021.
Heart rate is controlled by the activity of the autonomic nervous system: the sympathetic and parasympathetic nervous systems increase and suppress heart rate, respectively. To evaluate the activity of the autonomic nervous system, it is possible to determine heart rate variability using electrocardiography (ECG). During the fetal period, the heart and autonomic nerves develop in coordination; however, physiological changes, including autonomic nervous activities that occur during the fetal stage, remain largely unknown. Therefore, in this study, we measured ECG signals of mouse fetuses using our established method to evaluate the development of heart rate and autonomic nervous activity at different fetal developmental stages. We found that heart rate was significantly increased in fetal mice at embryonic day (E) 18.5 compared with that at E13.5, E15.5, and E17.5, indicating that fetal heart rate increases only at the stage immediately prior to birth. Interestingly, fetal parasympathetic nervous activity was reduced at E17.5 and E18.5 compared with that at E13.5, whereas fetal sympathetic nervous activity remained unchanged, at least from E13.5 to E18.5. These results indicate that parasympathetic activity rather than sympathetic activity affects fetal heart rate and that the decrease in parasympathetic activity toward the end of pregnancy could result in the observed increase in fetal heart rate.
交感神经系统和副交感神经系统分别增加和抑制心率。为了评估自主神经系统的活动,可以使用心电图(ECG)来测定心率变异性。在胎儿期,心脏和自主神经协同发育;然而,胎儿期发生的生理变化,包括自主神经活动,在很大程度上仍不清楚。因此,在本研究中,我们使用已建立的方法测量了小鼠胎儿的心电图信号,以评估不同胎儿发育阶段心率和自主神经活动的发育情况。我们发现,与E13.5、E15.5和E17.5时相比,胚胎期第18.5天(E18.5)的胎儿小鼠心率显著增加,这表明胎儿心率仅在出生前的阶段增加。有趣的是,与E13.5时相比,E17.5和E18.5时胎儿的副交感神经活动减少,而胎儿交感神经活动至少从E13.5到E18.5保持不变。这些结果表明,影响胎儿心率的是副交感神经活动而非交感神经活动,且妊娠末期副交感神经活动的减少可能导致观察到的胎儿心率增加。