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孕前叶酸和维生素补充对母体叶酸水平及体内神经管形成期仓鼠胚胎的影响。

The effects of periconceptional folic acid and vitamin supplementation on maternal folate levels and on neurulating hamster embryos in vivo.

作者信息

Mooij P N, Thomas C M, Doesburg W H, Eskes T K

机构信息

Department of Obstetrics and Gynecology, University Hospital, Nijmegen, The Netherlands.

出版信息

Int J Vitam Nutr Res. 1993;63(3):212-6.

PMID:8300333
Abstract

We studied the effects of periconceptional oral supplementation of folic acid and vitamins on the maternal red blood cell (RBC) folate level of golden hamsters (Mesocricetus auratus, Waterhouse). The effects of folate deficiency and supplementation on the process of neurulation and the incidence of resorptions were evaluated. Groups of at least eleven mature virgin female hamsters were placed on one of six specific regimens which started two weeks prior to mating and continued until sacrifice on day nine of pregnancy. Just prior to sacrifice, blood samples were drawn by cardiac puncture to measure maternal folic acid levels in red blood cells. The staging of the embryos was based on O'Rahill's modification of Streeter's developmental horizons in human embryos. Considerable variation was observed in the stage of embryonic development of 9-day-old hamster embryos, both between littermates and between litters of the same gestational age. A high overall incidence of open neural tubes was observed, which did not reflect neural tube closure failures. A folate-free diet caused retardation of the embryonic development, although maternal folate levels were unaffected (p < 0.01). The RBC folate levels in the animals which received oral supplementation with folic acid was significantly higher than that in the unsupplemented controls (p < 0.001). Folic acid supplementation alone increased the RBC folate level significantly more than combined supplementation with multivitamins (p < 0.001). The data indicate that oral supplementation with folic acid and/or multivitamins produce adequate maternal RBC folate levels. An inadequate maternal folate intake can affect the growth of neurulating embryos even if the maternal RBC folate levels are still sufficient.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

我们研究了围孕期口服补充叶酸和维生素对金黄仓鼠(Mesocricetus auratus,Waterhouse)母体红细胞(RBC)叶酸水平的影响。评估了叶酸缺乏和补充对神经管形成过程及吸收发生率的影响。将至少11只成熟的未孕雌性仓鼠分为六组,采用六种特定方案之一,从交配前两周开始,持续至妊娠第9天处死。处死前,通过心脏穿刺采集血样以测量母体红细胞中的叶酸水平。胚胎分期基于奥雷希尔对人类胚胎斯特里特发育阶段的修正。在9日龄仓鼠胚胎的发育阶段,同窝幼崽之间以及相同孕周的不同窝幼崽之间均观察到显著差异。观察到开放性神经管的总体发生率较高,但这并不反映神经管闭合失败。无叶酸饮食导致胚胎发育迟缓,尽管母体叶酸水平未受影响(p < 0.01)。口服补充叶酸的动物红细胞叶酸水平显著高于未补充的对照组(p < 0.001)。单独补充叶酸比联合补充多种维生素更能显著提高红细胞叶酸水平(p < 0.001)。数据表明,口服补充叶酸和/或多种维生素可使母体红细胞叶酸水平充足。即使母体红细胞叶酸水平仍然充足,母体叶酸摄入不足也会影响正在形成神经管的胚胎的生长。(摘要截断于250字)

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