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人胎儿血浆中的胰岛素样生长因子(IGF)1和2及其与孕中期胎龄和胎儿大小的关系。

Insulin-like growth factors (IGF) 1 and 2 in human foetal plasma and relationship to gestational age and foetal size during midpregnancy.

作者信息

Ashton I K, Zapf J, Einschenk I, MacKenzie I Z

出版信息

Acta Endocrinol (Copenh). 1985 Dec;110(4):558-63. doi: 10.1530/acta.0.1100558.

DOI:10.1530/acta.0.1100558
PMID:3911715
Abstract

IGF-1 and IGF-2 were measured by specific radioimmunoassay after acid-ethanol extraction of plasma obtained by foetoscopy from 20 normal foetuses aged 15-23 weeks. IGF-1 and IGF-2 levels were 36 +/- 11 and 162 +/- 55 ng/ml, respectively. In comparison, levels in cord blood were 84 +/- 58 and 264 +/- 176 ng/ml, respectively, and in adult plasma were 410 +/- 106 and 818 +/- 272 ng/ml. Both IGF-1 and IGF-2 were in the normal foetal range in a further three foetuses with anencephaly and two foetuses with spina bifida. No sex difference was observed. IGF-1 was positively correlated with foetal body weight (P less than 0.001), placenta weight (P less than 0.02) and with body length measured crown-rump (P less than 0.01) or crown-heel (P less than 0.02). No correlation between IGF-2 and body weight, length, placenta weight or gestational age was found. Both IGF-1 and IGF-2 are present in the human foetal circulation earlier in gestation than has previously been demonstrated, the levels being low throughout this period of gestation in comparison with adult plasma.

摘要

通过对20例15至23周龄正常胎儿进行胎儿镜检查获取血浆,经酸乙醇提取后,采用特异性放射免疫分析法测定胰岛素样生长因子-1(IGF-1)和胰岛素样生长因子-2(IGF-2)。IGF-1和IGF-2水平分别为36±11和162±55纳克/毫升。相比之下,脐血中的水平分别为84±58和264±176纳克/毫升,成人血浆中的水平分别为410±106和818±272纳克/毫升。另外3例无脑儿胎儿和2例脊柱裂胎儿的IGF-1和IGF-2均处于正常胎儿范围内。未观察到性别差异。IGF-1与胎儿体重(P<0.001)、胎盘重量(P<0.02)以及顶臀长度(P<0.01)或顶跟长度(P<0.02)呈正相关。未发现IGF-2与体重、身长、胎盘重量或孕周之间存在相关性。与之前所证实的情况相比,IGF-1和IGF-2在人类胎儿循环中出现的时间更早,在整个孕期中其水平与成人血浆相比均较低。

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