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氧、葡萄糖和乳酸在清醒近足月豚鼠子宫中的转运。

Movement of oxygen, glucose, and lactate across the uterus of the awake near-term guinea pig.

作者信息

Peeters L L, Mårtensson L, van Kreel B K, Saxena P R, Wallenburg H C

出版信息

Pediatr Res. 1986 Aug;20(8):730-4. doi: 10.1203/00006450-198608000-00006.

Abstract

In this study the uterine movement of oxygen, glucose, and lactate was quantitated in the awake late pregnant guinea pig. Mean uterine uptake of oxygen per kg of uterus with conceptus was 581 mumol min-1, which is comparable to the value reported for the awake near-term rabbit, but 30% higher than the value reported for the awake near-term sheep. Experiment-related anemia in some animals was associated with a reduced uterine oxygen uptake. The arteriovenous oxygen difference across the uterus correlated positively with the arterial oxygen content and the hemoglobin concentration and negatively with uteroplacental blood flow. Uterine oxygen uptake showed a positive correlation with both the arterial hemoglobin and the uteroplacental blood flow. Uterine lactate output accounted for 20% of uterine glucose uptake, assuming maternally derived glucose to be the only source for uterine lactate output. After correction for this lactate output, the uterine glucose uptake was 96.5 mumol min-1 X kg-1 of pregnant uterus. This value is 30% higher than in the awake near-term rabbit and more than twice as high as that in the awake near-term sheep. Nevertheless, because of the high uterine demand for substrates, this uterine glucose uptake could only cover 45% of the caloric requirements of the pregnant uterus. The late pregnant guinea pig fetus may derive as much as 55% of its caloric uptake for fat deposition and protein accretion. Therefore, it is likely that the nonglucose uterine caloric uptake in the late pregnant guinea pig consists predominantly of fat precursors and amino acids.

摘要

在本研究中,对清醒的晚期妊娠豚鼠子宫对氧气、葡萄糖和乳酸的转运进行了定量分析。每千克带有胚胎的子宫的平均氧气摄取量为581 μmol·min⁻¹,这与报道的清醒近足月兔的值相当,但比报道的清醒近足月绵羊的值高30%。一些动物因实验相关贫血导致子宫氧气摄取减少。子宫动静脉氧差与动脉血氧含量和血红蛋白浓度呈正相关,与子宫胎盘血流量呈负相关。子宫氧气摄取与动脉血红蛋白和子宫胎盘血流量均呈正相关。假设母体来源的葡萄糖是子宫乳酸输出的唯一来源,子宫乳酸输出占子宫葡萄糖摄取量的20%。校正该乳酸输出后,子宫葡萄糖摄取量为96.5 μmol·min⁻¹·kg⁻¹妊娠子宫。该值比清醒近足月兔高30%,比清醒近足月绵羊高两倍多。然而,由于子宫对底物的需求很高,这种子宫葡萄糖摄取量仅能满足妊娠子宫45%的热量需求。晚期妊娠豚鼠胎儿脂肪沉积和蛋白质积累所需热量的多达55%可能来自母体。因此,晚期妊娠豚鼠子宫非葡萄糖热量摄取可能主要由脂肪前体和氨基酸组成。

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