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分娩对胎羊血清甲状腺素浓度的影响。

Effect of parturition on serum iodothyronine concentrations in fetal sheep.

作者信息

Klein A H, Oddie T H, Fisher D A

出版信息

Endocrinology. 1978 Oct;103(4):1453-7. doi: 10.1210/endo-103-4-1453.

Abstract

T4, T3, and rT3 were determined by RIA on daily serum samples collected from five catheterized fetal sheep during the 2-week period before spontaneous vaginal delivery (PTD). Samples were also available from three newborn lambs during the first 4 h of life. T3 concentrations began to increase 4-6 days before spontaneous vaginal delivery, from a stable geometric mean concentration of 30 ng/dl to a mean concentration of 131 ng/dl on the day of delivery (day 0). T4 concentrations decreased in four of the animals and remained unchanged in one during this time interval. rT3 concentrations decreased from a stable mean of 472 to 249 ng/dl on day 0. The prenatal increase in serum T3 levels correlated temporally with increasing fetal serum cortisol concentrations. The mean T3 concentration increased further after delivery to a level of 487 ng/dl at 1 h of age without significant changes in T4 or rT3 levels. The following conclusions were reached: 1) fetal serum T3 concentrations increase while T4 and rT3 concentrations decrease during the 4-6 days preceding spontaneous labor, and 2) T3 concentrations increase further after delivery. Available evidence suggests that the prenatal increase in fetal serum T3 levels is mediated by a cortisol-induced increase in T4 to T3 conversion in fetal tissues. The mechanism(s) of the postnatal increase in serum T3 concentrations in the newborn is not clear.

摘要

在自然阴道分娩(PTD)前的2周内,通过放射免疫分析(RIA)测定了从5只插入导管的胎羊每日采集的血清样本中的T4、T3和反T3(rT3)。还获取了3只新生羔羊出生后4小时内的样本。在自然阴道分娩前4 - 6天,T3浓度开始升高,从稳定的几何平均浓度30 ng/dl升至分娩当天(第0天)的平均浓度131 ng/dl。在此时间间隔内,4只动物的T4浓度下降,1只动物的T4浓度保持不变。rT3浓度从稳定的平均值472 ng/dl降至第0天的249 ng/dl。产前血清T3水平的升高与胎儿血清皮质醇浓度的升高在时间上相关。出生后,T3平均浓度进一步升高,在出生后1小时达到487 ng/dl,而T4和rT3水平无显著变化。得出以下结论:1)在自然分娩前的4 - 6天内,胎儿血清T3浓度升高,而T4和rT3浓度下降;2)出生后T3浓度进一步升高。现有证据表明,胎儿血清T3水平的产前升高是由皮质醇诱导胎儿组织中T4向T3转化增加介导的。新生儿出生后血清T3浓度升高的机制尚不清楚。

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