Tsai M Y, Handschin B, Syverson B J, Josephson M W, Brown D M
Pediatr Res. 1984 Sep;18(9):908-11. doi: 10.1203/00006450-198409000-00022.
The effect of prenatal glucocorticoid treatment on levels of immunoreactive 6-ketoprostaglandin F1 alpha (PGF1 alpha) (the stable metabolite of prostacyclin) was studied in fetal rat lungs. During late gestation (20-22 days), levels of 6-keto-PGF1 alpha peaked at 21 days in offspring of control mothers. At a maternal dose of 0.2 mg/kg dexamethasone, maximal enhancement of fetal 6-keto-PGF1 alpha levels occurred at 20 days gestation. At a treatment dose of 0.4 mg/kg, however, dexamethasone increased fetal lung 6-keto-PGF1 alpha concentrations throughout late gestation. Because maturation of fetal lung is known to be delayed in males relative to females, we also studied the impact of sex of the fetus on levels of 6-keto-PGF1 alpha. Our results showed no statistically significant differences between females and males in any of the treatment groups at any of the gestational ages studied. These results suggest that prenatal dexamethasone enhances endogenous levels of 6-keto-PGF1 alpha in fetal rat lungs. Since prostacyclin may play important roles in fetal lung maturation and neonatal lung function, the effectiveness of prenatal glucocorticoid therapy for accelerating functional maturity of the fetal lung may in part be due to stimulation of prostacyclin synthesis.
在胎鼠肺中研究了产前糖皮质激素治疗对免疫反应性6-酮前列环素F1α(PGF1α,前列环素的稳定代谢产物)水平的影响。在妊娠晚期(20 - 22天),对照母亲所产后代的6-酮-PGF1α水平在21天达到峰值。母体给予地塞米松剂量为0.2mg/kg时,胎儿6-酮-PGF1α水平在妊娠20天时出现最大增强。然而,在治疗剂量为0.4mg/kg时,地塞米松在整个妊娠晚期均增加了胎儿肺6-酮-PGF1α浓度。由于已知雄性胎儿肺成熟相对于雌性会延迟,我们还研究了胎儿性别对6-酮-PGF1α水平的影响。我们的结果显示,在所研究的任何胎龄的任何治疗组中,雌性和雄性之间均无统计学上的显著差异。这些结果表明,产前地塞米松可提高胎鼠肺中6-酮-PGF1α的内源性水平。由于前列环素可能在胎儿肺成熟和新生儿肺功能中起重要作用,产前糖皮质激素治疗加速胎儿肺功能成熟的有效性可能部分归因于对前列环素合成的刺激。