Miyakawa I, Taniyama K, Sakata M, Mori N
Nihon Sanka Fujinka Gakkai Zasshi. 1986 Feb;38(2):161-7.
GH, PRL and TSH in the maternal, fetal and amniotic compartments were measured by radioimmunoassay in normal pregnant women (group I, n = 16) and patients with anencephalic fetuses (group II, n = 10). The concentrations of GH (20.6 +/- 8.5 ng/ml, mean +/- SD) in cord blood of normal fetuses were significantly higher (p less than 0.001) than those (5.1 +/- 3.5 ng/ml) in anencephalic fetuses. Both maternal PRL levels in group I and group II were lower than their respective cord bloods. The concentrations of PRL (283.1 +/- 127.5 ng/ml) in normal fetuses were higher, but not significantly, than those (199.4 +/- 111.8 ng/ml) in anencephalic fetuses. Also, compared with PRL levels in the maternal and cord blood, those in amniotic fluid were significantly higher (p less than 0.001) in both groups. On the contrary, GH and TSH levels in amniotic fluid were much lower than those in the maternal and fetal blood. The concentration of TSH (10.2 +/- 4.6 microU/ml) in normal fetuses was significantly higher (p less than 0.05) than those (7.1 +/- 3.1 microU/ml) in maternal blood, but not significantly different from those (11.3 +/- 3.6 microU/ml) in anencephalic fetuses. These results suggest that GH, PRL and TSH do not cross human placenta and biosyntheses of these hormones in the maternal and fetal pituitaries are independent.
采用放射免疫分析法测定了正常孕妇(I组,n = 16)和无脑儿胎儿患者(II组,n = 10)母血、胎儿血和羊水中的生长激素(GH)、催乳素(PRL)和促甲状腺激素(TSH)。正常胎儿脐血中GH浓度(20.6±8.5 ng/ml,均值±标准差)显著高于无脑儿胎儿(5.1±3.5 ng/ml)(p<0.001)。I组和II组孕妇的PRL水平均低于各自的脐血。正常胎儿PRL浓度(283.1±127.5 ng/ml)高于无脑儿胎儿(199.4±111.8 ng/ml),但差异无统计学意义。此外,与母血和脐血中的PRL水平相比,两组羊水中的PRL水平均显著更高(p<0.001)。相反,羊水中GH和TSH水平远低于母血和胎儿血中的水平。正常胎儿TSH浓度(10.2±4.6 μU/ml)显著高于母血(7.1±3.1 μU/ml)(p<0.05),但与无脑儿胎儿(11.3±3.6 μU/ml)差异无统计学意义。这些结果表明,GH、PRL和TSH不会穿过人胎盘,这些激素在母体和胎儿垂体中的生物合成是独立的。