Rose J C, Meis P J, Morris M
Am J Physiol. 1981 Jun;240(6):E656-61. doi: 10.1152/ajpendo.1981.240.6.E656.
We studied the ACTH, vasopressin (AVP), and cortisol responses to nitroprusside-induced hypotension in 27 chronically cannulated lamb fetuses between 0.53 and 0.98 gestation. Age-related differences in the hormonal responses to hypotension were found. Hypotension was associated with peak AVP levels of 7.8 +/- 2.7 pg/ml (mean +/- SE) in animals less than 0.68 gestation and 63.5 +/- 20 pg/ml in animals 0.89-0.98 gestation (P less than 0.05). The peak ACTH response was 95 +/- 20 pg/ml in the youngest animals and 380 +/- 111 pg/ml in animals 0.83-0.88 gestation (P less than 0.05). These observations suggest that maturation of the systems (possibly neuroendocrine) subserving the hormonal responses occurs in utero. Fetal plasma cortisol levels did not increase in response to the increase in ACTH except in animals 0.89-0.98 gestation. At this time, the basal plasma cortisol levels were high (58.8 +/- 16.8 pg/ml) and the ACTH response to hypotension was attenuated. Taken together, these findings suggest functional negative feedback regulation of ACTH by cortisol in the late gestation fetus.
我们研究了27只在妊娠0.53至0.98期长期插管的羔羊胎儿对硝普钠诱导的低血压的促肾上腺皮质激素(ACTH)、血管加压素(AVP)和皮质醇反应。发现了对低血压的激素反应存在与年龄相关的差异。低血压与妊娠小于0.68期的动物中AVP峰值水平为7.8±2.7 pg/ml(平均值±标准误)以及妊娠0.89 - 0.98期的动物中AVP峰值水平为63.5±20 pg/ml相关(P < 0.05)。最年幼动物的ACTH峰值反应为95±20 pg/ml,妊娠0.83 - 0.88期的动物中ACTH峰值反应为380±111 pg/ml(P < 0.05)。这些观察结果表明,支持激素反应的系统(可能是神经内分泌系统)在子宫内发生成熟。除了妊娠0.89 - 0.98期的动物外,胎儿血浆皮质醇水平并未因ACTH增加而升高。此时,基础血浆皮质醇水平较高(58.8±16.8 pg/ml),且对低血压的ACTH反应减弱。综上所述,这些发现表明在妊娠晚期胎儿中皮质醇对ACTH存在功能性负反馈调节。