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胎狒狒心肺功能的昼夜节律

Diurnal rhythms in cardiorespiratory function of the fetal baboon.

作者信息

Fletcher K L, Leung K, Myers M M, Stark R I

机构信息

Department of Pediatrics, Columbia College of Physicians and Surgeons, New York 10032, USA.

出版信息

Early Hum Dev. 1996 Sep 20;46(1-2):27-42. doi: 10.1016/0378-3782(96)01738-0.

Abstract

Diurnal periodicities of cardiorespiratory function were monitored between 144 and 156 days of gestation (term = 175 days) in six chronically instrumented fetal baboons. For each fetus, 5-11 days of electrocardiographic and tracheal fluid pressure data were summarized as hourly means of fetal heart rate (FHR), standard deviation of FHR, breath-to-breath interval (B-Bi) and percent time spent in fetal breathing activity (PFB). Summaries were evaluated by cosinor analysis to determine the least squares fit to a 24-h cycle. For all fetuses, FHR had a significant (P < 0.001) diurnal rhythm with peak to nadir fluctuations of 17.4 beats/min around a 24-h mean of 163.2 beats/min. The time of the peak FHR was similar across animals occurring in the mid-day between 10:49 h and 14:45 h. For each fetus, standard deviation of FHR also had a significant (P < 0.01) diurnal periodicity with highest values at night between 20:15 h and 02:04 h. The times of the acrophase for these heart rate parameters were correlated (R = 0.88, P < 0.02) across fetuses. Significant (P < 0.001) 24-h rhythms were found in four of six fetuses for B-Bi and five of six for PFB. These PFB rhythms accounted for a fluctuation of 14.4% around a mean of 36.9 +/- 4.5%. In contrast to heart rate, the acrophases of fetal breathing parameters were distributed throughout the entire 24-h cycle and not significantly correlated across fetuses. It is concluded that diurnal rhythms of fetal heart rate, which are synchronized with light/dark conditions in the environment, are evidence for a passive response or entrainment of fetal systems to maternal circadian influences. Alternately, the absence of synchronization across fetuses in daily rhythms of fetal breathing activity provides evidence for a functioning fetal pacemaker, and not simply the imposition of maternal rhythms on her fetus. This differential in the cardiac and breathing activity of the developing primate indicates that pathways for entrainment of fetal pacemaker function are subject to important maturational influences during late gestation.

摘要

在妊娠144至156天(足月为175天)期间,对六只长期植入仪器的胎狒进行了心肺功能的昼夜节律监测。对于每只胎儿,将5至11天的心电图和气管内液体压力数据汇总为胎儿心率(FHR)的每小时平均值、FHR的标准差、呼吸间隔(B-Bi)以及胎儿呼吸活动所花费的时间百分比(PFB)。通过余弦分析对汇总数据进行评估,以确定与24小时周期的最小二乘拟合。对于所有胎儿,FHR具有显著(P < 0.001)的昼夜节律,在24小时平均值163.2次/分钟的基础上峰谷波动为17.4次/分钟。FHR峰值出现的时间在各动物之间相似,出现在上午10:49至下午14:45之间的中午时段。对于每只胎儿,FHR的标准差也具有显著(P < 0.01)的昼夜周期性,在夜间20:15至02:04之间达到最高值。这些心率参数的高峰期时间在不同胎儿之间具有相关性(R = 0.88,P < 0.02)。在六只胎儿中,有四只的B-Bi和五只的PFB发现了显著(P < 0.001)的24小时节律。这些PFB节律在平均值36.9 +/- 4.5%的基础上波动了14.4%。与心率不同,胎儿呼吸参数的高峰期分布在整个24小时周期内,并且在不同胎儿之间没有显著相关性。结论是,与环境中的明暗条件同步的胎儿心率昼夜节律是胎儿系统对母体昼夜影响的被动反应或同步的证据。或者,胎儿呼吸活动的日常节律在不同胎儿之间缺乏同步性,这为胎儿起搏器的功能提供了证据,而不仅仅是母体节律强加于胎儿。发育中的灵长类动物心脏和呼吸活动的这种差异表明,胎儿起搏器功能同步的途径在妊娠后期受到重要的成熟影响。

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