Aortic isthmus Doppler velocimetry: role in assessment of preterm fetal growth restriction

Intrauterine fetal growth restriction (IUGR) is an important pregnancy complication associated with significant adverse clinical outcome, stillbirth, perinatal morbidity and cerebral palsy. To date, no uniformly accepted management protocol of Doppler surveillance that reduces mortality and cognitive morbidity has emerged. Aortic isthmus (AoI) evaluation has been proposed as a potential monitoring tool for IUGR fetuses. In this review, the current knowledge of the relationship between AoI Doppler velocimetry and preterm fetal growth restriction is reviewed. Relevant technical aspects and reproducibility data are reviewed as we discuss AoI Doppler and its place within the existing repertoire of Doppler assessments in placental insufficiency. The AoI is a link between the right and left ventricles which perfuse the lower and upper body, respectively. The clinical use of AoI waveforms for monitoring fetal deterioration in IUGR has been limited, but preliminary work suggests that abnormal AoI impedance indices are an intermediate step between placental insufficiency-hypoxemia and cardiac decompensation. Further prospective studies correlating AoI indices with arterial and venous Doppler indices and perinatal outcome are required before encorporating this index into clinical practice. Copyright © 2010 John Wiley & Sons, Ltd.     

Temporal variation of lysosomal capacities in relation to susceptibility of mussels, Mytilus edulis, to summer mortality

We examined the temporal variation of lysosomal enzyme activities and lysosomal membrane stability in two stocks of blue mussels (Mytilus edulis L., 1758) from the Magdalen Islands which differ in their susceptibility to summer mass-mortality. The activity of lysosomal enzymes reflects the autolytic capacity which could be used during the transfer of reserves between storage and reproductive tissues or for mobilisation of reserves for energy requirements. The peak of lysosomal enzyme activities in mantle tissue in June 1992 probably was related with autolysis of storage cells to support maturation of the developing gametes. A second peak of lysosomal enzyme activity which occurred in mid- August of 1992 and 1993 may help to cover energetic requirements of maintenance metabolism during this period of high temperatures and reduced food quality. Measures of the destabilization of lysosomal membranes in the digestive gland confirmed that mussels showed a significant stress response in mid-August. Mussels from the stock with a higher susceptibility to summer mortality underwent a longer period of stress and accumulated less glycogen between spawning and the stressful period in mid-August than mussels from the more resistant stock. In conclusion, our field observations demonstrate high activities of lysosomes not only in spawning periods but also during stressful periods of high temperatures and reduced food quality. Received: 23 September 1997 / Accepted: 11 June 1998