胎儿和新生儿羔羊的肌心乳酸代谢
B Bartelds1, H Knoester, G C Beaufort-Krol
1Division of Pediatric Cardiology, Department of Pediatrics, Beatrix Children's Hospital and Groningen Utrecht Institute for Drug Exploration, Groningen, Netherlands.
Circulation
|April 13, 1999
概括
乳酸是胎儿和新生儿羔羊心脏的关键能量来源,吸收和释放同时发生. 脂肪酸可能会降低新生儿心肌中的乳酸氧化.
科学领域:
- 心血管生理学心血管生理学
- 新生儿代谢新生儿代谢
- 心脏能量基板利用率使用率
背景情况:
- 心肌基质供应在出生时从碳水化合物转向脂肪酸.
- 预计在产后,心脏将从乳酸转变为脂肪酸利用.
- 在出生前期内心肌乳酸代谢的体内测量缺乏.
研究的目的:
- 量化心肌乳酸的吸收,氧化和释放在胎儿和新生小羊.
- 研究脂肪酸和葡萄糖对乳酸代谢的影响.
- 了解围产期过渡期间心脏能量基板的利用情况.
主要方法:
- 利用长期使用仪器的胎儿和新生羔羊.
- 输注[1-13C]乳酸盐来测量心肌乳酸动力学.
- 同时评估心肌脂肪酸和葡萄糖流量.
主要成果:
- 心肌乳酸氧化率在胎儿和新生羔羊中是相似的.
- 胎儿和新生羔羊之间的乳酸摄入量是一致的,超过释放.
- 新生儿的乳酸摄入量随着年龄的增长而下降,与供应相关;氧化不受基质供应的影响,但与脂肪酸流动相反.
结论:
- 乳酸作为一个重要的心肌能量来源,在产前和产后早期的生活.
- 心肌表现出同时吸收和释放乳酸的情况.
- 脂肪酸,而不是葡萄糖,可能会减弱乳酸氧化,可能是通过酸盐脱酶.
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