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早产绵羊胎儿吞咽和精氨酸加压素刺激浓度阈值的研究进展

Development of concentration thresholds for fetal swallowing and arginine vasopressin stimulation in the preterm ovine fetus.

作者信息

Kullama L K, Nijland M J, Ross M G

机构信息

Perinatal Research Laboratory, Harbor-UCLA Medical Center, UCLA School of Medicine, Torrance 90502, USA.

出版信息

J Matern Fetal Med. 1996 Mar-Apr;5(2):51-7. doi: 10.1002/(SICI)1520-6661(199603/04)5:2<51::AID-MFM1>3.0.CO;2-P.

Abstract

We previously demonstrated that fetal swallowing was stimulated by intracarotid saline injections in the near term (130 +/- 1 days gestation) ovine fetus. In order to examine the ontogeny of the regulation of thirst-mediated swallowing behavior and arginine vasopressin (AVP) secretion, the present study examined fetal swallowing and AVP secretory responses to hypertonic NaCl and sucrose in preterm (115 days gestation) ovine fetuses. Five fetuses were chronically prepared with thyrohyoid, nuchal and thoracic esophagus, and diaphragm electromyogram (EMG) electrodes, an esophageal flow probe, and vascular catheters. Fetuses received intracarotid injections (0.15 ml/kg) of increasing concentrations of NaCl (0.15-2.55 M), administered at 2-min intervals. The threshold saline concentration for swallowing was defined as the minimum NaCl dose eliciting swallow responses (within 20 s) following 4 of 5 injections at each dose. In 2 fetuses, the threshold dose was 0.75 M (confirmed by 4 of 5 injections resulting in swallows at the next higher dose). In the other 3 animals, no swallowing threshold was observed (i.e., no dose through 2.55 M elicited swallows to 4 of 5 injections). There were no significant increases in AVP secretion. On a subsequent day, equimolar sucrose injections did not affect fetal swallowing activity or AVP secretion. Together with previous reports, these studies indicate that plasma osmolality dipsogenic mechanisms become functional in some ovine fetuses by 115 days gestation, while all fetuses exhibit intact osmotic dipsogenic responses at 130 days gestation. These results further suggest an acute process of development of dipsogenic responsiveness, rather than by gradually increasing sensitivity to osmotic stimuli.

摘要

我们先前证明,在妊娠晚期(妊娠130±1天)的绵羊胎儿中,颈动脉内注射生理盐水可刺激胎儿吞咽。为了研究口渴介导的吞咽行为和精氨酸加压素(AVP)分泌调节的个体发生,本研究检测了早产(妊娠115天)绵羊胎儿对高渗氯化钠和蔗糖的胎儿吞咽及AVP分泌反应。对5只胎儿进行长期准备,植入甲状舌骨肌、颈部和胸部食管以及膈肌肌电图(EMG)电极、食管流量探头和血管导管。胎儿以2分钟的间隔接受颈动脉注射(0.15 ml/kg)浓度递增的氯化钠(0.15 - 2.55 M)。吞咽的阈盐水浓度定义为在每个剂量下5次注射中有4次注射后(20秒内)引发吞咽反应的最低氯化钠剂量。在2只胎儿中,阈剂量为0.75 M(通过5次注射中有4次注射导致下一个更高剂量时出现吞咽得到证实)。在其他3只动物中,未观察到吞咽阈值(即,直至2.55 M的任何剂量均未使5次注射中有4次引发吞咽)。AVP分泌没有显著增加。在随后的一天,等摩尔蔗糖注射不影响胎儿吞咽活动或AVP分泌。与先前的报告一起,这些研究表明,在妊娠115天时,一些绵羊胎儿的血浆渗透压致渴机制开始发挥作用,而所有胎儿在妊娠130天时均表现出完整的渗透压致渴反应。这些结果进一步表明,致渴反应性的发展是一个急性过程,而非对渗透刺激的敏感性逐渐增加。

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