Effect of hypoxemia on fetal hemoglobin synthesis during late gestation. 1992

H Bard, and J C Fouron, and J Prosmanne, and J Gagnon
Department of Pediatrics, University of Montreal, St. Justine's Hospital, Quebec, Canada.

This study was carried out to investigate the effect of fetal hypoxemia, as a result of acute intermittent maternal hypoxia, on the switchover from fetal to adult type Hb as well as Hb oxygen affinity and 2,3-diphosphoglycerate levels in the near-term fetus. These experiments were carried out using 10 fetal lambs with gestational ages ranging from 132 to 140 d. After the installation of appropriate fetal catheters, five of the ewes were exposed to an air mixture containing 10% O2 for 90 min/d for 4 consecutive d. Blood samples were withdrawn before the beginning of the hypoxic experiments and between the 5th and 6th d after the first episode of hypoxia. These samples were for the determination of 2,3-diphosphoglycerate concentration, arterial O2 pressure at which Hb is 50% saturated, and Hb type synthesis. Blood gases were monitored during each hypoxic episode. During the hypoxia, fetal arterial O2 pressure decreased from 2.43 +/- 0.36 kPa (18.2 +/- 2.7 mm Hg) to 1.57 +/- 0.17 kPa (11.8 +/- 1.3 mm Hg). These values returned to their initial levels after cessation of the maternal hypoxia. Five control animals of the same gestational age were also followed. During the interval of the study, a decrease of fetal Hb synthesis was noted (71.7 +/- 12.1 to 57.4 +/- 10.2%, p less than 0.001) in the control group. However, the level of fetal Hb synthesis did not significantly change in the hypoxic group (85.1 +/- 11.1 versus 80.6 +/- 18.9%).(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D004163 Diphosphoglyceric Acids Glyceric acids where two of the hydroxyl groups have been replaced by phosphates. Bisphosphoglycerates,Acids, Diphosphoglyceric
D005260 Female Females
D005311 Fetal Hypoxia Deficient oxygenation of FETAL BLOOD. Anoxia, Fetal,Fetal Anoxia,Hypoxia, Fetal
D005312 Fetal Blood Blood of the fetus. Exchange of nutrients and waste between the fetal and maternal blood occurs via the PLACENTA. The cord blood is blood contained in the umbilical vessels (UMBILICAL CORD) at the time of delivery. Cord Blood,Umbilical Cord Blood,Blood, Cord,Blood, Fetal,Blood, Umbilical Cord,Bloods, Cord,Bloods, Fetal,Bloods, Umbilical Cord,Cord Blood, Umbilical,Cord Bloods,Cord Bloods, Umbilical,Fetal Bloods,Umbilical Cord Bloods
D005319 Fetal Hemoglobin The major component of hemoglobin in the fetus. This HEMOGLOBIN has two alpha and two gamma polypeptide subunits in comparison to normal adult hemoglobin, which has two alpha and two beta polypeptide subunits. Fetal hemoglobin concentrations can be elevated (usually above 0.5%) in children and adults affected by LEUKEMIA and several types of ANEMIA. Hemoglobin F,Hemoglobin, Fetal
D005865 Gestational Age The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated from the onset of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization. It is also estimated to begin from fertilization, estrus, coitus, or artificial insemination. Embryologic Age,Fetal Maturity, Chronologic,Chronologic Fetal Maturity,Fetal Age,Maturity, Chronologic Fetal,Age, Embryologic,Age, Fetal,Age, Gestational,Ages, Embryologic,Ages, Fetal,Ages, Gestational,Embryologic Ages,Fetal Ages,Gestational Ages
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D000860 Hypoxia Sub-optimal OXYGEN levels in the ambient air of living organisms. Anoxia,Oxygen Deficiency,Anoxemia,Deficiency, Oxygen,Hypoxemia,Deficiencies, Oxygen,Oxygen Deficiencies
D012756 Sheep Any of the ruminant mammals with curved horns in the genus Ovis, family Bovidae. They possess lachrymal grooves and interdigital glands, which are absent in GOATS. Ovis,Sheep, Dall,Dall Sheep,Ovis dalli

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