Crosland B Adam, Hedges Madeline A, Ryan Kimberly S, D'mello Rahul J, Mccarty Owen J T, Malhotra Sanjay V, Spindel Eliot R, Shorey-Kendrick Lyndsey E, Scottoline Brian P, Lo Jamie O
Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA.
Department of Pediatrics, Oregon Health & Science University, Portland, OR, USA.
J Perinatol. 2025 May 8. doi: 10.1038/s41372-025-02313-1.
Amniotic fluid is a complex biological medium that surrounds the fetus and offers not only mechanical protection but also provides nutrition and plays a critical role in normal fetal growth, organogenesis, and potentially fetal programming. Despite its importance, the biology of amniotic fluid has been understudied because of ethical and technical challenges in obtaining amniotic fluid samples from healthy human pregnancies, translational limitations of animal models to humans due to species-specific differences. Recent progress in understanding its dynamic physiology, composition, and clinical applications has advanced prenatal care and facilitated improved diagnostic and therapeutic strategies. As research continues to elucidate the complexities and evolutionary function of amniotic fluid, its increasingly recognized role in maternal-fetal medicine and its potential to transform clinical practice will only become more evident. The purpose of this review is to underscore the key roles of amniotic fluid in shaping fetal development and therapeutic potential.
羊水是一种复杂的生物介质,它环绕着胎儿,不仅提供机械保护,还提供营养,并在胎儿的正常生长、器官形成以及潜在的胎儿编程中发挥关键作用。尽管羊水很重要,但由于从健康孕妇获取羊水样本存在伦理和技术挑战,以及动物模型因物种特异性差异而在向人类转化方面存在局限性,羊水生物学一直未得到充分研究。最近在理解羊水动态生理学、成分和临床应用方面取得的进展推动了产前护理,并促进了诊断和治疗策略的改进。随着研究不断阐明羊水的复杂性和进化功能,其在母胎医学中日益被认可的作用以及改变临床实践的潜力将变得更加明显。本综述的目的是强调羊水在塑造胎儿发育和治疗潜力方面的关键作用。