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甲状腺激素对妊娠晚期绵羊胎儿氧和葡萄糖代谢的影响。

The effects of thyroid hormones on oxygen and glucose metabolism in the sheep fetus during late gestation.

作者信息

Fowden A L, Silver M

机构信息

Physiological Laboratory, Cambridge, UK.

出版信息

J Physiol. 1995 Jan 1;482 ( Pt 1)(Pt 1):203-13. doi: 10.1113/jphysiol.1995.sp020510.

Abstract
  1. The effects of thyroid hormones on fetal metabolism during late gestation were examined by measuring the rates of glucose and oxygen utilization rates in chronically catheterized sheep fetuses made hypothyroid by either fetal thyroidectomy (TX) or hypophysectomy (HX). The values were compared with those in intact fetuses and in thyroxine (T4)-treated TX and HX fetuses. 2. Umbilical O2 uptake expressed on a weight-specific basis was reduced by 20-30% in the hypothyroid fetuses and was restored to normal values when plasma T4 levels were maintained in the TX and HX fetuses by exogenous T4 administration. 3. The low O2 consumption rates of the untreated hypothyroid fetuses were accompanied by fetal growth retardation, an abnormal blood gas status, and in the TX fetuses, by significant reductions in the rates of glucose oxidation, CO2 production from glucose carbon and O2 utilization for glucose oxidation. 4. When T4 levels were maintained in the TX fetuses, these metabolic rates and fetal blood gas status were restored to their normal values. Replacement of T4 also sustained growth in TX but not in HX fetuses. 5. When the data from all fetuses were combined irrespective of treatment, there were significant positive correlations between plasma levels of T4 (but not triiodothyronine (T3)) and the rates of umbilical O2 uptake, glucose oxidation, CO2 production from glucose carbon and O2 utilization for glucose oxidation in the individual fetuses. 6. These findings demonstrate that T4 is a physiological regulator of O2 utilization by the sheep fetus close to term.
摘要
  1. 通过测量经慢性插管的绵羊胎儿(通过胎儿甲状腺切除术(TX)或垂体切除术(HX)使其甲状腺功能减退)的葡萄糖和氧气利用率,研究了甲状腺激素在妊娠后期对胎儿代谢的影响。将这些值与完整胎儿以及接受甲状腺素(T4)治疗的TX和HX胎儿的值进行比较。2. 以体重为基础表示的脐部氧气摄取量在甲状腺功能减退的胎儿中降低了20 - 30%,当通过外源性T4给药使TX和HX胎儿的血浆T4水平维持正常时,该值恢复到正常水平。3. 未经治疗的甲状腺功能减退胎儿的低氧消耗率伴随着胎儿生长发育迟缓、异常的血气状态,在TX胎儿中,葡萄糖氧化率、葡萄糖碳产生的二氧化碳以及用于葡萄糖氧化的氧气利用率显著降低。4. 当TX胎儿的T4水平维持正常时,这些代谢率和胎儿血气状态恢复到正常水平。T4替代治疗也能维持TX胎儿的生长,但不能维持HX胎儿的生长。5. 当不考虑治疗情况将所有胎儿的数据合并时,个体胎儿血浆T4水平(而非三碘甲状腺原氨酸(T3)水平)与脐部氧气摄取率、葡萄糖氧化率、葡萄糖碳产生的二氧化碳以及用于葡萄糖氧化的氧气利用率之间存在显著正相关。6. 这些发现表明,T4是足月绵羊胎儿氧气利用的生理调节因子。

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