Enteral IGF-I enhances fetal growth and gastrointestinal development in oesophageal ligated fetal sheep.

Enteral IGF-I enhances fetal growth and gastrointestinal development in oesophageal ligated fetal sheep.
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肠内 IGF-I 可促进食管结扎胎羊的胎儿生长和胃肠道发育。

DOI:
10.1677/joe.0.1620227
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发表时间:
1999
期刊:
The Journal of endocrinology
影响因子:
--
通讯作者:
J. E. Harding
J. E. Harding
中科院分区:
--
文献类型:
--
作者:
Roy M. Kimble;B. Breier;P. D. Gluckman;J. E. Harding

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上消化道闭锁的婴儿通常有宫内发育和肠道功能受损。IGF-I在胎儿生长中很重要,并包含在羊水中。因此,我们想测试的假设,胰岛素样生长因子-I注入胎儿肠道将扭转上肠梗阻的影响,肠道结构和生长的胎羊。在妊娠90天时,对胎仔(每组n=6)进行食管结扎,然后在结扎后连续输注IGF-I(1-8微克/天)或盐水至肠道,直至137天。对照组仅进行假结扎。食管结扎倾向于降低胎仔体重和器官重量。IGF-I治疗防止了这种减少,并增加了体长和脾脏重量高于对照组。IGF-I治疗也可预防食管结扎引起的肠壁厚度减少。羊水IGF-I浓度在妊娠期间没有变化,IGF-I治疗组较高。未检测到胎儿血浆IGF-I浓度的变化。我们的结论是,肠内注射IGF-I可以促进胎儿生长和肠道发育在子宫内,IGF-I在羊水中可能发挥生理作用,在胎儿肠道发育。
Infants with upper gut atresia often have impaired intrauterine growth and gut function. IGF-I is important in fetal growth and is contained in amniotic fluid. We therefore wanted to test the hypothesis that IGF-I infused into fetal gut would reverse the effects of an upper gut obstruction on gut structure and growth in fetal sheep. At 90 days gestation fetuses (n=6 per group) underwent oesophageal ligation, followed by continuous infusion of IGF-I (1-8 microgram/day) or saline into the gut beyond the ligation until 137 days. Controls underwent sham ligation only. Oesophageal ligation tended to reduce fetal body and organ weights. IGF-I treatment prevented this reduction and increased body length and spleen weight above those of controls. The decrease in bowel wall thickness induced by oesophageal ligation was also prevented by IGF-I treatment. Amniotic fluid IGF-I concentrations did not change over gestation and were higher in the IGF-I treated group. No change in fetal plasma IGF-I concentrations were detectable. We conclude that enterally administered IGF-I may enhance fetal growth and gut development in utero and that IGF-I in amniotic fluid may play a physiological role in gut development in the fetus.
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