Clarke D W, Steenaart N A, Brien J F
Alcohol Clin Exp Res. 1986 Jun;10(3):330-6. doi: 10.1111/j.1530-0277.1986.tb05099.x.
The disposition of ethanol and its metabolite, acetaldehyde, and the activity of alcohol dehydrogenase (ADH) and aldehyde dehydrogenases (ALDH) were determined in the third-trimester pregnant guinea pig following single and 7-day oral administration of ethanol (0.5 g X kg maternal body weight-1 X day-1). Animals were killed at each of selected times after the single and seventh ethanol dose. For both ethanol dosage regimens, the maternal and fetal blood and brain ethanol concentrations were virtually identical during the elimination phase of the time-course study. There was initial slow transfer of ethanol into amniotic fluid, followed by significantly higher ethanol concentration in amniotic fluid relative to maternal and fetal blood during the elimination phase. Acetaldehyde was measurable in maternal blood, maternal brain, and fetal brain at concentrations that were low and variable. For both ethanol dosage regimens, ADH activity was measurable only in maternal liver. Low Km ALDH activity was measurable only in maternal liver and fetal liver. High Km ALDH was measurable in maternal liver, fetal liver, and placenta and was significantly greater in maternal liver. The data indicate that there is bidirectional placental transfer of ethanol in the maternal-fetal unit; the elimination of ethanol from the maternal and fetal compartments is regulated by maternal hepatic biotransformation involving ADH; the amniotic fluid is a reservoir for ethanol in utero; the low Km ALDH in fetal liver protects the fetus from ethanol-derived acetaldehyde in the maternal circulation; and short-term maternal administration of once-daily, low-dose ethanol does not produce major changes in ethanol disposition and the activity of the enzymes involved in ethanol biotransformation.
在妊娠晚期的豚鼠单次及连续7天口服乙醇(0.5 g×kg母体体重-1×天-1)后,测定了乙醇及其代谢产物乙醛的处置情况以及乙醇脱氢酶(ADH)和乙醛脱氢酶(ALDH)的活性。在单次和第七次乙醇给药后的选定时间点处死动物。对于两种乙醇给药方案,在时间进程研究的消除阶段,母体和胎儿血液及脑内的乙醇浓度实际上是相同的。乙醇最初缓慢转移至羊水,随后在消除阶段羊水中的乙醇浓度显著高于母体和胎儿血液中的乙醇浓度。在母体血液、母体脑和胎儿脑中可检测到浓度较低且变化不定的乙醛。对于两种乙醇给药方案,仅在母体肝脏中可检测到ADH活性。低Km ALDH活性仅在母体肝脏和胎儿肝脏中可检测到。高Km ALDH在母体肝脏、胎儿肝脏和胎盘中均可检测到,且在母体肝脏中显著更高。数据表明,乙醇在母胎单位中存在双向胎盘转运;母体和胎儿体内乙醇的消除受母体肝脏中涉及ADH的生物转化调节;羊水是子宫内乙醇的储存库;胎儿肝脏中的低Km ALDH可保护胎儿免受母体循环中乙醇衍生的乙醛的影响;短期母体每日一次低剂量给予乙醇不会使乙醇处置及参与乙醇生物转化的酶的活性发生重大变化。