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Showing papers on "Fetus published in 1984"


Journal ArticleDOI
TL;DR: An index case of “undetectable” maternal serum α-fetoprotein at 16 weeks in the first pregnancy of a 28-year-old woman was associated with birth of an infant with trisomy 18, a fortuitous finding that stimulated a retrospective study of prenatally diagnosed chromosomal abnormalities.

677 citations


Journal ArticleDOI
TL;DR: The results suggest that the human fetal brain is a potential target of thyroid hormone at midgestation.
Abstract: A high-affinity T3 binding site with the binding specificity of the nuclear T3 receptor is present in the brain of the human fetus at midgestation. Its concentration was found to be very low at 10 weeks of gestation, and increased by a factor of 10 up to the 16th week, in coincidence with the period of neuroblast multiplication. Liver, heart, and lung also contained receptor. Both T4 and T3 were present in the brain, as measured by RIA. In other tissues, however, only T4 was detected, suggesting that brain T3 in the fetus arises from local 5'-deiodination of T4. The results suggest that the human fetal brain is a potential target of thyroid hormone at midgestation.

264 citations


Journal ArticleDOI
TL;DR: The activities of the antioxidant enzymes in the developing lungs of rabbit fetuses from 10 d before parturition to several days after birth showed similar maturational patterns with significant increases in activity, compared with earlier gestational levels, during the last 3-5 d before birth.
Abstract: To determine if some specific "preparation for birth" occurs in the developing lung to help assure its successful adaptation to a comparatively O2-rich world at birth, we measured the activities of the antioxidant enzymes in the developing lungs of rabbit fetuses from 10 d before parturition to several days after birth. Superoxide dismutase (SOD), catalase (CAT), and glutathione peroxidase (GP) activities showed similar maturational patterns with significant increases in activity, compared with earlier gestational levels, during the last 3-5 d before birth. During the final days in utero, SOD and CAT activities increased by approximately 110% and lung GP activity by approximately 200%. There were no parallel changes in lung O2 consumption demonstrable over this same prenatal period.

264 citations


Journal ArticleDOI
TL;DR: Six mothers at risk of in utero virilization of female fetuses with 21-hydroxylase deficiency were treated with either hydrocortisone or dexamethasone in early pregnancy, with encouraging results.

225 citations


Journal ArticleDOI
TL;DR: Abnormal umbilical velocity wave values are seen in an SGA fetus, unexplained fetal death, poorly controlled diabetes mellitus, and a twin transfusion syndrome.

183 citations


Journal ArticleDOI
TL;DR: Results indicate that endogenous thyroid hormone induces the synthesis of ventricular heavy chain alpha, which as a dimer forms the V1 isomyosin, or plays a permissive role for the continued synthesis of heavy chainalpha in ventricles of fetal and neonatal rats.

170 citations


Journal ArticleDOI
TL;DR: Lung hypoplasia associated with OH is related to loss of this internal stenting force, and tracheal ligation (TL) should prevent this process.

158 citations


Journal ArticleDOI
TL;DR: Activity of glucose-6-phosphate dehydrogenase, catalase, glutathione peroxidase, and manganese superoxide dismutase were higher in neonatal than in adult lung, suggesting that maturation of the antioxidant enzyme system is virtually complete before delivery.
Abstract: Summary: Neonatal, adult, and fetal rat lungs of 18, 20, and 22 d gestation from four to six litters were examined for cytochrome oxidase, glucose-6-phosphate dehydrogenase, catalase, glutathione peroxidase, copper-zinc and manganese superoxide dismutase activities. All results were corrected for the contribution of enzymes in blood that contaminate homogenates. Because lung protein/DNA ratios and body water change significantly with gestational age, enzyme activities were expressed as U/mg DNA. All activities were low in d 18 lung and increased with advancing gestational age. Only catalase and copper-zinc superoxide dismutase increased activity in response to air breathing, suggesting that maturation of the antioxidant enzyme system is virtually complete before delivery. Activities of glucose-6-phosphate dehydrogenase, catalase, glutathione peroxidase, and manganese superoxide dismutase were higher in neonatal than in adult lung.

148 citations


Journal ArticleDOI
TL;DR: The hypothesis that pulmonary prostacyclin synthesis participates in the decline of pulmonary vascular resistance that accompanies the onset of ventilation at birth, but may be less important in maintenance of low pulmonary vascular Resistance once reduced pulmonary vascular tone has been established is supported.
Abstract: Summary: The purpose of the present study was to determine if pulmonary prostacyclin synthesis was stimulated by spontaneous onset of breathing by unanesthetized fetuses at birth. Cannulae were implanted and flow cuffs placed in fetal lambs and goats (0.93 term). Fetuses were delivered by cesarean section at 0.95 term and began breathing spontaneously. Prostacyclin in blood was determined by radioimmunoassay of its hydrolysis product, 6-ketoprostaglandin F1α using methods that produced the same values in duplicate samples as did gas chromatography with electron capture detection. Fetal pulmonary prostacyclin production (left lung) [(left pulmonary venous concentration — pulmonary arterial concentration) × left pulmonary blood flow] was undetectable [−1.7 ± 1.0 (SEM) ng PGI2·kg−1·min−1] and fetal pulmonary vascular resistance (left lung) high (5.1 ± 0.9 mm Hg · kg·min · ml−1). Pulmonary prostacyclin production increased to 30.1 ± 12.3 ngPGI2 · kg−1 · min−1 and pulmonary vascular resistance declined to 0.5 ± 0.1 mm Hg · kg · min · ml−1 15 min after-birth. Pulmonary vascular resistance remained low even though pulmonary prostacyclin production fell 2-5 h after birth. These results, coupled with earlier studies using indomethacin to inhibit prostaglandin synthesis, support the hypothesis that pulmonary prostacyclin synthesis participates in the decline of pulmonary vascular resistance that accompanies the onset of ventilation at birth, but may be less important in maintenance of low pulmonary vascular resistance once reduced pulmonary vascular tone has been established.

147 citations



Journal ArticleDOI
TL;DR: An ultrasonic method combining real-time ultrasonography and pulsed Doppler technique enables quantitative evaluation of the hemodynamic effects of cardiac arrhythmias and finds postextrasystolic potentiation was found to be present already during intrauterine life.
Abstract: An ultrasonic method combining real-time ultrasonography and pulsed Doppler technique was used for the examination of blood flow in the fetal descending aorta. The mean aortic blood flow velocity in the last trimester of normal pregnancies was 29.0 cm/s; the peak maximum velocity 97.3 cm/s and the mean blood flow 238.4 ml/min/kg. The blood flow velocity did not change significantly with gestational age, the aorta diameter showed a linear growth. During labour, the aortic blood flow in undistressed fetuses was not different from the flow recorded during late pregnancy. Fetal breathing movements modulate the flow velocity signals in the descending aorta, the inferior vena cava and the umbilical vein of the fetus; therefore, when quantifying fetal blood flow, only periods without fetal breathing movements should be considered. A group of fetuses with various types of cardiac arrhythmias was examined. Postextrasystolic potentiation was found to be present already during intrauterine life. The present method enables quantitative evaluation of the hemodynamic effects of cardiac arrhythmias.

Journal ArticleDOI
TL;DR: The results reported here suggest that umbilical flow can be used to separate all fetuses, whether growth retarded or not, into "low risk" and "high risk" groups with better sensitivity and accuracy than existing methods.
Abstract: Using pulsed Doppler and B-mode ultrasonic techniques, umbilical venous flow has been measured for the first time under essentially normal physiological conditions. In normal pregnancies, the flow per unit fetal weight remains essentially constant at 110–120 ml/min/kg for most of the pregnancy. In pregnancies with complications, however, abnormally low or high flow values are frequently observed. Low flow values correlate strongly with retarded fetal growth, and with increased incidences of antenatal hypoxia, neonatal morbidity and neonatal death. In some circumstances high flow values suggest the presence of a compensatory mechanism. The results reported here suggest that umbilical flow can be used to separate all fetuses, whether growth retarded or not, into “low risk” and “high risk” groups with better sensitivity and accuracy than existing methods. In addition, low flow values have been measured an average of one week before growth retardation or fetal hypoxia were indicated by the conventional methods. A possible strategy for the diagnostic use of umbilical flow measurements is outlined.

01 Mar 1984
TL;DR: It is concluded that smoking is harmful to gestation and that it should be forbidden, during pregnancy.
Abstract: In this prospective study 151 female nonsmokers and 167 smokers (1-20 cigarettes/day) were studied to determine the harmful effects of smoking on the fetus and the preegnancy. Literature on damage to the fetus due to maternal smoking is reviewed. Adverse effects include prematurity small-for-date gestational infants and abruptio placentae. Congenital malformations higher perinatal mortality and hypertension were not more frequent. It is concluded that smoking is harmful to gestation and that it should be forbidden during pregnancy. (authors modified) (summary in ENG)

Journal ArticleDOI
TL;DR: Fetal blood was taken by direct puncture under ultrasound guidance at 20-26 weeks of pregnancy from eighteen patients and six pregnancies in which rubella occurred before 12 weeks of gestation were terminated.

Journal ArticleDOI
TL;DR: The activity of the steroidogenic enzyme delta 5-3 beta-hydroxysteroid dehydrogenase in fetal Leydig cells and plasma titers of testosterone are low in prenatally stressed males on days 18 and 19 of gestation, a time when both of these substances reach maximal levels in control males.

Journal ArticleDOI
TL;DR: Both insulin and the related peptides, the insulin‐like growth factors/somatomedins, may function as anabolic factors in the regulation of fetal body size and their interaction with fetal tissues, and thus the overall emphasis of fetal growth, may be paracrine.
Abstract: Both insulin and the related peptides, the insulin-like growth factors/somatomedins, may function as anabolic factors in the regulation of fetal body size. Infants born to women suffering from diabetes mellitus may show increased deposition of subcutaneous fat and enhanced lean body mass, findings reproduced in experimental animal fetuses with induced hyperinsulinaemia. Fetal adiposity may be associated with a life-time tendency to obesity and its associated diseases. Insulin-like growth factors I (IGFI) and II are present in the circulation of the newborn infant and animal fetus and correlate positively with birth size. The fetal tissues are biologically responsive to IGFs in vitro and are rich in specific cell membrane receptors, those predominantly recognizing IGFI being structurally and functionally similar to the insulin receptor. Insulin could theoretically influence fetal tissues by an interaction with either the insulin or IGF receptor. IGF release is a property of multiple fetal tissues in vitro, but, in contrast to postnatal life, is not dependent on growth hormone. Fetal IGF production may be influenced by placental lactogen, especially IGFII which rapidly declines in the circulation following parturition in the rat and sheep. A positive association also exists between circulating levels of insulin and IGFs when the former is experimentally manipulated in the animal fetus. Similarly the infant born with transient diabetes mellitus has low cord blood levels of insulin and IGFI. Insulin has a dual role in prenatal life. In the last trimester insulin functions as a glucoregulatory hormone, but from much earlier in gestation creates an anabolic environment in the fetus supplied with optimal nutrients. This latter mechanism of action is unclear and probably heterogeneous, but in overview is permissive rather than obligatory. In contrast the growth-promoting role of the IGFs is direct but their interaction with fetal tissues, and thus the overall emphasis of fetal growth, may be paracrine.

Journal ArticleDOI
TL;DR: Changes in protein concentrations may have important pharmacological implications in pregnancy and near term.

Journal ArticleDOI
TL;DR: The results add suort to previous conclusions that these autacoids may normally have important influences on blood flow in the fetal extra‐corporeal circulation.

Journal ArticleDOI
TL;DR: The results are analyzed in the light of the evidence that transferrin is not only an iron-binding protein, but also a factor involved in cell proliferation and differentiation, and particularly in nerve control of muscle differentiation.

Journal ArticleDOI
TL;DR: This birth has validated the procedures for in vitro fertilization of rhesus monkey gametes and provides an experimental model for studies of early embryonic development in primates.
Abstract: The birth of a rhesus monkey resulting from in vitro fertilization is reported. Oocytes recovered at laparoscopy from five gonadotropin-stimulated donors were inseminated in vitro with sperm preincubated with caffeine and dibutyryl cyclic AMP. After insemination, oocytes were cultured for 33-46 hr. Twenty-two embryos were transferred nonsurgically into 11 recipient females. One recipient showed signs of implantation but did not carry to term. A second female became pregnant after receiving one 4-cell and one 6-cell embryo fertilized in vitro. The subsequent course of early pregnancy and embryonic and fetal development were characteristic of normal singleton pregnancies. A healthy term male infant was delivered by Cesarean section 176 days after fertilization. This birth has validated our procedures for in vitro fertilization of rhesus monkey gametes and provides an experimental model for studies of early embryonic development in primates.

Journal ArticleDOI
TL;DR: This presentation has attempted to review the status of knowledge of the hormonal regulation of fetal and neonatal growth, and has placed particular emphasis on the roles of insulin and somatomedin in fetal growth.

Journal ArticleDOI
TL;DR: The data suggest that the age-related change in myocardial contractility is due to the differences in intracellular Ca2+ concentration and myofibrillar content as well as ATPase activity.
Abstract: This study investigates the developmental changes in myocardial mechanical function and the function of subcellular organelles. Mechanical function was determined at various Ca2+ concentrations ( [Ca2+]0) in the isolated, arterially perfused heart of the fetus (28th day of gestation), newborn (3-5 day old), and adult rabbit. Maximal force of contraction in the fetus (observed at 7.5 mM [Ca2+]0) was significantly less than that in the newborn (observed at 30 mM ( [Ca2+]0), and both the fetus and newborn values were significantly less than that in the adult (observed at 15 mM [Ca2+]0). The myofibrillar content in the fetus and ATPase activity in the fetus and newborn were significantly less than in the adult at pCa 4 and 5 where this enzyme was maximally activated. Both the amount of sarcoplasmic reticulum (SR) and SR Ca2+ uptake per gram of muscle increased with age. Mitochondrial Ca2+ uptake was not observed at pCa more than 6 (physiological range) in all age groups. At pCa less than 6, mitochondrial Ca2+ uptake (per g muscle) in the newborn was significantly greater than in the fetus and adult. Ca2+ uptake by crude homogenate in the newborn was also greater than in the fetus and adult. These data suggest that the age-related change in myocardial contractility is due to the differences in intracellular Ca2+ concentration and myofibrillar content as well as ATPase activity. Intracellular Ca2+ concentration may vary with development depending on the relative capability of Ca2+-releasing system and Ca2+-sequestering system.

Journal ArticleDOI
TL;DR: The results indicate that increased free fatty acid concentrations in the maternal blood at the time of birth result in partial displacement of VPA from maternal binding sites, additional placental transfer, and thus fetal accumulation of the drug.

Journal ArticleDOI
TL;DR: These studies indicate that plasma thyroid concentrations in the 2-3 wk prior to delivery and not the increase in thyroid hormone concentrations which occur after birth are important for postnatal cardiovascular and metabolic adjustments.
Abstract: To assess the role of the early postnatal surge in plasma thyroid hormone concentrations on cardiovascular and metabolic adaptations, we measured cardiac output, total oxygen consumption, and plasma triiodothyronine (T3) concentrations in three groups of lambs in the first 6 h after delivery. 15 fetal lambs were prepared at gestational ages of 128-129 d by placing catheters in the brachiocephalic artery, descending aorta, distal inferior vena cava, left atrium, and pulmonary artery so that measurements could be made soon after delivery. They were divided into three groups: Group I comprised five control animals; Group II consisted of five fetuses in which thyroidectomy was performed at surgery at 129 d gestation; and Group III consisted of five animals in which thyroidectomy was performed at term gestation during delivery by caesarian section, prior to severing the umbilical cord. The lambs in Group I exhibited a rapid postnatal rise in T3 concentrations, similar to that described previously, reaching a peak value of about 5 ng/ml. Although the postnatal surge in T3 concentration was arrested in Group II and III animals, Group II had no detectable plasma T3, while the Group III animals had T3 concentrations of about 0.8 ng/ml, which were within the range previously reported for term lamb fetuses. The lambs in group II showed 40-50% lower left ventricular outputs (190 vs. 297 ml/kg per min), systemic blood flows (155 vs. 286 ml/kg per min), and oxygen consumptions (9.8 vs. 20.2 ml/kg per min) as compared with Group I animals over the entire 6-h period. The lambs in Group II also had significantly lower heart rates (131 vs. 192 beats/min) and mean systemic arterial pressures (56 vs. 72 torr). However, there were no significant differences for any of these measurements between the Group III and Group I lambs. The reduction in cardiac output in the Group II animals were reflected in a significantly lower blood flow to the peripheral circulation, but there were no significant differences in blood flow to other organs in the three groups. These studies indicate that plasma thyroid concentrations in the 2-3 wk prior to delivery and not the increase in thyroid hormone concentrations which occur after birth are important for postnatal cardiovascular and metabolic adjustments. We speculate that lack of circulating triiodothyronine in late gestation may affect postnatal cardiovascular adaptation by modifying normal beta adrenergic receptor development.

Journal ArticleDOI
TL;DR: It is suggested that chronic fetal hyperglycemia induces a state of accelerated fetal oxidative metabolism and may be important in explaining the etiology behind certain unusual findings in human infants of diabetic mothers.
Abstract: Hyperglycemia has been shown to induce arterial hypoxemia in the chronically catheterized fetal sheep. To investigate the mechanism behind this glucose-induced hypoxemia, eight pregnant ewes and their fetuses were studied. Fetal glucose infusion (11.9 +/- 0.6 mg glucose/kg per min) was associated with a doubling of the fetal plasma glucose concentration with concomitant elevation of the umbilical vein-distal arterial O2 content difference by 24 h of infusion (P less than 0.01). Calculated fetal O2 consumption increased from 8.1 +/- 0.4 ml/kg per min in the control period to a maximum value of 10.6 +/- 0.3 ml/kg per min by third infusion day (P less than 0.01), which is an increase of approximately 30%. The degree of stimulation of fetal O2 consumption was related to the degree of fetal hyperglycemia but not to the degree of fetal hyperinsulinemia. The increase in fetal O2 consumption was accompanied by a significant increase in fetal O2 extraction with no change in either fetal O2 delivery or fetal blood O2 affinity. In addition, fetal hypercapnea with a mild fetal respiratory acidosis was induced by fetal hyperglycemia. The increase in fetal arterial PCO2 was linearly related (P less than 0.001) to the magnitude of increase in fetal O2 consumption. These studies suggest that chronic fetal hyperglycemia induces a state of accelerated fetal oxidative metabolism and may be important in explaining the etiology behind certain unusual findings in human infants of diabetic mothers.

Journal ArticleDOI
01 Jul 1984-Diabetes
TL;DR: Data are interpreted as indicating that fetal insulin plays the predominant role in controlling the normal, as well as the augmented, fetal weight characteristic of the human infant of the diabetic mother.
Abstract: One of the hallmarks of the hyperglycemic-hyperinsulinemic infant of the diabetic mother (IDM) is macrosomia and selective organomegaly. Primary hyperinsulinemia, with insulin levels similar to those observed in human IDMs at delivery, was produced in the fetal rhesus monkey during the last third of gestation. The effects of this physiologically relevant hyperinsulinemia, in the absence of hyperglycemia, on fetal growth were studied. Fetal macrosomia, with a 23% increase in total body weight, was observed in physiologically hyperinsulinemic fetuses. A similar 27% increase in weight was produced by fetal insulin levels that were 10 times higher. A logarithmic correlation was observed between fetal birth weight ratio and fetal plasma insulin concentration. In contrast to this increase in weight, skeletal growth, as measured by crown-heel length and head circumference, was not affected by hyperinsulinemia. Only cardiomegaly was found in the low-dose hyperinsulinemic fetuses, whereas cardiomegaly, hepatomegaly, and splenomegaly were produced by hyperinsulinemia in which insulin levels were in the highest range. Compositional analysis of heart and skeletal muscle indicated no differences in the protein, RNA and DNA concentration, or in the protein-to-DNA ratio in hyperinsulinemic fetuses. We interpret these data as indicating that fetal insulin plays the predominant role in controlling the normal, as well as the augmented, fetal weight characteristic of the human infant of the diabetic mother.

01 Jan 1984
TL;DR: In postnatal pigs, the level of GH secretion declined with age and this decline was mainly associated with a reduction in the amplitude of secretory peaks, which were the only significant age-associated changes observed in PRL secretion postnatally.
Abstract: The concentrations of growth hormone (GH) and prolactin (PRL) were measured in serum harvested from umbilical arterial blood of fetal pigs from 40 to 112 days of gestation and the secretory patterns of these hormones determined in plasma obtained from jugular blood samples at 5, 13, 18, and 24 wks after birth. Fetal serum concentrations of GH appeared to parallel the changes in fetal weight until approximately 75 days of fetal age, after which minimal change in GH concentrations occurred. The PRL concentrations in fetal sera reached 1 to 1.5 ng/ml on days 40 to 50 of fetal age and declined approximately 50% through 80 days of fetal age. Near day 80 of gestation, fetal serum PRL concentrations began to increase from nadir concentrations to 3 ng/ml on day 112. In postnatal pigs, the level of GH secretion declined with age and this decline was mainly associated with a reduction in the amplitude of secretory peaks. Decreases in incidence and amplitude of PRL secretory peaks were the only significant age-associated changes observed in PRL secretion postnatally.

Journal ArticleDOI
TL;DR: It is concluded that protein supplementation of culture medium may adversely affect embryo development and viability and could have important implications for human in vitro fertilization.
Abstract: The effects of supplementing culture medium with protein for the culture of mouse embryos from two cells to blastocysts were examined in vitro. The proportion of embryos developing was affected by the type of protein and concentration. The highest rates were obtained in protein-free medium, fetal calf serum, and A Grade bovine serum albumin at all concentrations tested (2–16 mg/ml). Reduced rates of embryo development were observed in proteins of human origin, particularly at the highest concentrations tested. Purification of human and bovine serum albumin resulted in a marked reduction of embryo development. Significantly more normal fetuses were found in pregnant mice receiving transferred embryos grown in protein free-medium than in medium containing fetal calf serum. It is concluded that protein supplementation of culture medium may adversely affect embryo development and viability. These observations could have important implications for human in vitro fertilization.

Journal ArticleDOI
TL;DR: In this article, the proximate teratogen of fetal alcohol syndrome in CD-1 mice was identified as ethanol and it was shown that ethanol is the proximation of fetal malformations and malformation.

Book ChapterDOI
TL;DR: The phenotype and activity of cord blood lymphocytes have been characterized in the chapter and appear to be exclusively T lymphocytes that bear the OKT4 + T8 – phenotype determined by both positive and negative selection techniques.
Abstract: Publisher Summary A fetus does not escape immune detection by its mother during pregnancy. In fact, mothers undergo cellular and humoral sensitization to foreign antigens expressed by their fetuses during pregnancy. Fetal suppressor cells are capable of inhibiting immune responses by primed lymphocytes from adults in vitro . Lymphocytes from cord blood potently suppress lectin-stimulated proliferation, B cell differentiation, and immunoglobulin synthesis of lymphocytes from adults. The phenotype and activity of cord blood lymphocytes have been characterized in the chapter. Cord cells that mediate suppression appear to be exclusively T lymphocytes that bear the OKT4 + T8 – phenotype determined by both positive and negative selection techniques. The period of pregnancy excludes most antigenic stimuli for the fetus, but a greater threat is the mother's potential rejection of antigenically different fetal tissues. Strong suppressor activity is one way that fetal lymphocytes may develop to respond to this challenge.