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产妇、胎盘绒毛间隙及足月新生儿的血清和红细胞叶酸水平。

Serum and red blood cell folate levels in parturients, in the intervillous space of the placenta and in full-term newborns.

作者信息

Giugliani E R, Jorge S M, Gonçalves A L

出版信息

J Perinat Med. 1985;13(2):55-9. doi: 10.1515/jpme.1985.13.2.55.

Abstract

Folates, essential nutrients for man, are especially important during gestation. Serum and red blood cell folate levels were measured in 51 parturients and in their respective placentas and concepts, with the objective to further elucidate the mechanisms of folate transfer from mother to fetus. The interrelationships between the three compartments with respect to folate levels were also studied (Tab. I). Serum and red blood cell folates were measured by radioimmunoassay in samples of venous blood from the mother, from the intervillous space of the placenta, and from the umbilical cord. Higher folate levels were detected in newborns than in their mothers both in serum (3.9 times) and red blood cells (2.3 times). Serum folate levels were higher in the intervillous space of the placenta than in newborns (1.3 times) or mothers (4.5 times) Fig. 1, 2). These data suggest that the placenta concentrates folates, thus offering high concentrations of this vitamin to the fetus. It is possible that folate-binding proteins existing in the placenta participate in the mechanism of folate concentration in this organ. However, despite the existence of a transfer mechanism that benefits the fetus, a significant positive correlation was observed between serum folate levels of mothers, newborns and placentas.

摘要

叶酸是人体必需的营养素,在妊娠期尤为重要。对51名产妇及其各自的胎盘和胎儿进行了血清和红细胞叶酸水平测定,目的是进一步阐明叶酸从母体向胎儿转移的机制。还研究了这三个部分在叶酸水平方面的相互关系(表I)。通过放射免疫分析法测定了母亲静脉血、胎盘绒毛间隙血和脐带血样本中的血清和红细胞叶酸水平。新生儿血清(3.9倍)和红细胞(2.3倍)中的叶酸水平均高于其母亲。胎盘绒毛间隙中的血清叶酸水平高于新生儿(1.3倍)或母亲(4.5倍)(图1、2)。这些数据表明胎盘会浓缩叶酸,从而为胎儿提供高浓度的这种维生素。胎盘内存在的叶酸结合蛋白可能参与了该器官中叶酸浓缩的机制。然而,尽管存在有利于胎儿的转运机制,但母亲、新生儿和胎盘的血清叶酸水平之间仍观察到显著的正相关。

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