Keeney S E, Mathews M J, Rassin D K
Department of Pediatrics, University of Texas Medical Branch, Galveston 77550.
Pediatr Res. 1993 Feb;33(2):177-80. doi: 10.1203/00006450-199302000-00017.
Although prenatal steroid therapy is known to enhance in utero maturation of the surfactant and antioxidant enzyme systems, little is known about the effects of steroids on the antioxidant system after birth. We measured activities of the antioxidant enzymes, catalase, superoxide dismutase, and glutathione peroxidase, in lung homogenates from both preterm and term rat pups after prenatal dexamethasone treatment. Enzyme activities were measured at birth and after exposure to > 98% oxygen. Dexamethasone treatment resulted in significantly higher survival of the preterm pups at 24 h (91.3% for dexamethasone versus 57% for saline). In preterm pups, the activities of catalase and superoxide dismutase at birth were higher after dexamethasone treatment (p < 0.05). However, after 24 h of hyperoxic exposure, there were no differences in activities of any of the antioxidant enzymes between the dexamethasone and control groups of prematurely born pups. In term pups, antioxidant enzyme activities did not differ significantly at birth; nor did they differ after 24 to 72 h of hyperoxic exposure in the dexamethasone and control treatment groups. Our results indicate that although prenatal dexamethasone treatment augments survival and catalase and superoxide dismutase activities at birth in preterm rat pups, dexamethasone does not result in altered early postnatal antioxidant enzyme activities after exposure to hyperoxia.
虽然已知产前类固醇疗法可促进子宫内表面活性物质和抗氧化酶系统的成熟,但对于类固醇对出生后抗氧化系统的影响却知之甚少。我们测量了产前地塞米松治疗后早产和足月大鼠幼崽肺匀浆中抗氧化酶过氧化氢酶、超氧化物歧化酶和谷胱甘肽过氧化物酶的活性。在出生时以及暴露于>98%氧气后测量酶活性。地塞米松治疗导致早产幼崽在24小时时的存活率显著提高(地塞米松组为91.3%,生理盐水组为57%)。在早产幼崽中,地塞米松治疗后出生时过氧化氢酶和超氧化物歧化酶的活性较高(p<0.05)。然而,在高氧暴露24小时后,早产幼崽的地塞米松组和对照组之间任何抗氧化酶的活性均无差异。在足月幼崽中,出生时抗氧化酶活性无显著差异;在高氧暴露24至72小时后,地塞米松治疗组和对照组之间也无差异。我们的结果表明,虽然产前地塞米松治疗可提高早产大鼠幼崽出生时的存活率以及过氧化氢酶和超氧化物歧化酶的活性,但地塞米松不会导致暴露于高氧后出生后早期抗氧化酶活性发生改变。