Siegel S R
Pediatr Res. 1981 Nov;15(11):1419-21. doi: 10.1203/00006450-198111000-00006.
Simultaneous plasma renin activity and aldosterone levels were measured in the chronically catheterized fetal lamb and pregnant ewe between 100 days gestation and term (140 to 150 days). Amniotic fluid renin levels were not statistically different after the addition of sheep renin substrate [0.76 +/- 0.18 ng/ml/hr (mean and S.E.) under 120 days and 1.33 +/- 0.29 after 125 days]. Amniotic fluid renin levels were unmeasurable without the addition of renin substrate. Basal plasma renin activity levels increased from 4.27 +/- 0.66 ng/ml/hr (P less than 0.01) (mean and S.E.) between 95 to 120 days of gestation in the fetal lamb to 10.14 +/- 1.46 between 125 to 150 days; these levels were greater than the amniotic fluid levels (P less than 0.001). Basal plasma renin activity levels in the pregnant ewe increased from 2.61 +/- 0.40 ng/ml/hr under 120 days of gestation to 7.13 +/- 1.41 (P less than 0.01) after 125 days; these levels were greater than the simultaneous amniotic fluid levels (P less than 0.001). The basal amniotic fluid, fetal, and maternal aldosterone levels of 5.0 +/- 0.53, and 5.83 +/- 0.76 ng/dl (mean and S.E.) increased to 8.97 +/- 0.86, 6.67 +/- 1.21, and 12.28 +/- 2.87 ng/dl, respectively, (P less than 0.05). Neither the fetal nor the maternal levels were statistically different from the amniotic fluid aldosterone levels during development. These data suggest that active renin and renin substrate pass poorly into the amniotic fluid; however, aldosterone from both the fetus and mother pass easily and contribute to the level of this steroid in amniotic fluid.
在妊娠100天至足月(140至150天)期间,对长期插管的胎羊和妊娠母羊同时测量血浆肾素活性和醛固酮水平。添加绵羊肾素底物后,羊水肾素水平无统计学差异[妊娠120天以下时为0.76±0.18 ng/ml/小时(均值和标准误),125天后为1.33±0.29]。不添加肾素底物时,羊水肾素水平无法测量。胎羊妊娠95至120天期间,基础血浆肾素活性水平从4.27±0.66 ng/ml/小时(P<0.01)(均值和标准误)增加到125至150天期间的10.14±1.46;这些水平高于羊水水平(P<0.001)。妊娠母羊基础血浆肾素活性水平在妊娠120天以下时为2.61±0.40 ng/ml/小时,125天后增加到7.13±1.41(P<0.01);这些水平高于同期羊水水平(P<0.001)。基础羊水、胎儿和母体醛固酮水平分别为5.0±0.53、5.83±0.76 ng/dl(均值和标准误),分别增加到8.97±0.86、6.67±1.21和12.28±2.87 ng/dl(P<0.05)。在发育过程中,胎儿和母体的醛固酮水平与羊水醛固酮水平均无统计学差异。这些数据表明,活性肾素和肾素底物进入羊水的能力较差;然而,胎儿和母体的醛固酮很容易进入羊水,并对羊水中这种类固醇的水平有贡献。