In utero development of a mediastinal teratoma: A second-trimester event

Mediastinal teratomas have rarely been discovered during the prenatal period. When seen during the neonatal period, these tumours have caused respiratory distress or hydrops fetalis. We present the sonographic and pathological findings of a rapidly developing anterior mediastinal teratoma causing hydrops fetalis and in utero demise at 27 weeks' gestation.     

In utero diagnosis and treatment of fetal goitrous hypothyroidism,caused by maternal use of propylthiouracil

A fetal goitre is a potentially dangerous phenomenon because of mechanical obstruction and possible fetal thyroid function disorders. In this report we describe a patient with Graves' disease diagnosed in early pregnancy and treated with propylthiouracil, which resulted in a large fetal goitre and fetal hypothyroidism. The diagnostic problems are discussed and we focus on the need for fetal thyroid hormone serum evaluation. The only reliable way to obtain information about the fetal thyroid status is percutaneous fetal umbilical cord blood sampling, since amniotic fluid levels do not properly represent the fetal thyroid function. Fetal hypothyroidism can thus be diagnosed in utero and treated with intra-amniotic injections of thyroxine. The recommended dose and frequency of injections are only based on a few case reports and for that reason we performed a second fetal blood sampling 1 week later to evaluate our therapy. Weekly intra-amniotic injections of 250 μg of thyroxine seem to be sufficient to reduce a fetal goitre and give a normal thyroid hormone level.     

邻苯二甲酸酯暴露的大鼠尿液生物标志物研究

建立了检测尿液中邻苯二甲酸酯类化合物(PAEs)共同水解产物邻苯二甲酸(PA)的分析方法;通过雄性成年SD大鼠代谢试验,检测了邻苯二甲酸二丁酯(DBP)和邻苯二甲酸二(2-乙基己基)酯(DEHP)单独暴露、以及联合暴露条件下大鼠尿液中PA总量,并分析了PA与暴露总量之间的关系.结果显示,随着暴露剂量的增大,尿液中排出的PA总量也不断增大;DBP单独暴露、DEHP单独暴露以及两者联合暴露时尿液PAEs代谢物平均排泄总量占摄入量的百分比分别为65.04%、55.00%和38.35%;大鼠尿液中PA的摩尔总量与DBP、DEHP、以及两者联合暴露的摩尔量之间的相关系数分别为0.92(P<0.01)、0.56(P<0.01)、0.93(P<0.01).尿液水解后的PA能够反映PAEs类物质的总暴露水平,将来可能作为一种潜在的暴露生物标志物用于人群的PAEs暴露监测.     

镉对孕鼠胎盘激素合成功能的毒性效应

为探究孕期低剂量镉暴露对胎盘激素合成功能的毒性效应,选择雌三醇和孕酮激素作为研究对象,基于研究的孕期低剂量镉暴露小鼠模型,通过生物化学方法检测镉暴露小鼠的血液和胎盘中的雌三醇和孕酮激素含量及其合成底物浓度,并通过实时定量PCR法对胎盘中相关激素合成基因的表达水平进行检测.结果表明,孕期低剂量镉暴露可导致小鼠血清和胎盘中...     

In utero ultrasonographic features of campomelic dysplasia

A prenatal diagnosis of campomelic dysplasia in a primigravida is described. First level fetal ultrasonography demonstrated bowing and shortening of lower limbs. Second level examination allowed the correct diagnosis by demonstrating several skeletal anomalies pathognomonic of campomelic dysplasia.     

The development of the fetal eye: In utero ultrasonographic measurements of the vitreous and lens

Our objective was to establish nomograms for fetal eye measurements from 12 weeks' gestation by using transvaginal and transabdominal high-resolution ultrasound techniques. A prospective cross-sectional study was performed on 450 normal singleton pregnancies between 12 and 37 weeks' gestation. Vitreous and lens circumferences were measured by transvaginal ultrasonography until 17 weeks, and by abdominal ultrasound between 18 and 37 weeks' gestation. Regression analyses were used to create nomograms, and several transformations were done to obtain linearity. Eye measurements of 12 fetuses at risk for ocular disturbances were plotted on the constructed nomograms. Linear relationships were fitted between vitreous (r²=0.79) and lens (r²=0.88) circumferences and gestational age. In addition, there was a significant correlation between these measurements and the biparietal diameter. Data of the fetuses at risk showed that disturbances in ocular growth were associated mainly with abnormal cerebral development. These normative data may be helpful in the prenatal diagnosis of suspected congenital syndromes that include, among their manifestations, ocular growth disturbances such as microphthalmos and anophthalmos.     

孕期低剂量镉暴露对不同性别胎鼠肝脏发育的影响及其分子调控机制的研究

为探究镉对胎儿肝脏发育的毒性作用.拟选用15只性成熟的8周龄的雌性C57BL/6小鼠,与雄鼠交配见栓后,于妊娠第7.5 d(Embryonic 7.5,E7.5)时,随机分为3组(每组5只),分别通过饮用水暴露法饲喂0、20和40 mg·L^-1的氯化镉溶液,并于E14.5 d时收集各组小鼠的胎儿肝脏等组织.通过Ki67和TUNEL染色方法探究镉对不同性别胎鼠肝脏的增殖功能和凋亡功能的影响,并通过PCR芯片筛查和实时定量PCR方法检测镉处理组的雌性和雄性胎鼠肝脏中与细胞增殖和凋亡功能相关基因的表达变化.此外,我们还将通过石墨炉火焰原子吸收技术对镉处理组的雌性和雄性胎鼠的镉含量进行检测.结果显示:孕期低剂量镉暴露对胎儿体重、胎肝重量和肝脏指数均无显著性影响.在本实验条件下,镉对胎鼠肝脏的凋亡功能无显著性影响,但对增殖功能具有抑制作用,且该抑制作用具有雌性依赖性的特征.镉特异性诱导雌性胎鼠肝脏中NF1等多个细胞增殖功能相关基因以及TGF-β1信号通路分子的表达失衡;但对雄性胎鼠肝脏中相关基因的表达水平无显著性影响.镉在雌性胎儿组织中的积累量显著高于雄性胎儿组织.综上所述,孕期低剂量镉暴露特异性抑制雌性胎儿肝脏的细胞增殖功能,并诱导雌性胎儿肝脏中NF1等多个增殖功能相关基因以及TGF-β1信号通路分子的表达失衡,该性别依赖性的抑制作用可能与镉在雌性胎儿中相对较高的积累量相关.     

硼暴露对男性精液质量的影响

 为考察硼对男性生殖健康有无影响,分析了研究设计分组、日硼摄入量和肌酐校正后的班后尿硼浓度对精子密度、前向运动精子百分率、a级精子和精子总数的影响.结果表明,在研究摄入量范围内,研究对象分别以研究设计分组、WHO推荐日硼摄入安全上限13mg/d分组和肌酐校正尿硼浓度分组,组间精子密度、前向运动精子百分率、a级精子和精子总数差别没有统计学意义.     

Occupational exposure assessment of phthalate esters in indoor and outdoor microenvironments

Phthalate esters(PAEs) are widely used as plasticizers in consumer products. PAEs are a group of environmental hormone which disrupts human and animals' endocrine systems. Different occupational groups are exposed to various levels of PAEs. In the present study, four typical occupational groups were chosen, including doctors, college teachers, college students, and drivers who worked in public traffic system. In order to understand the exposure levels to PAEs via inhalation, air samples were collected from multiple microenvironments including indoor and outdoor in Hangzhou to measure the gas and particle concentrations of six PAEs, together with time spent in different microenvironments of these four groups. A comprehensive PAEs exposure model was built to estimate the daily PAEs exposure through inhalation, oral and dermal pathways. The Monte Carlo simulation results show that doctors were exposed to the highest level of PAEs, and consequently had the highest health risk among these four occupational groups. In contrast, college students had the lowest health risk. By setting the exposure level of staying in residences as the baseline, doctors and drivers were two occupations exposed to high PAEs health risk. Di-(2-ethylhexyl) phthalate(DEHP) was the largest contributor among the six phthalates, posing moderate health risk(10-5–10-6) to every occupation. For traffic microenvironments alone, the total exposure levels for different transportation modes were in the descending order of busses, cars, cabs, tubes, motor bikes, and walking.     

住宅室内降尘中邻苯二甲酸酯污染特征及暴露评价

利用CH2Cl2和超声对天津市13户家庭住宅冬季和夏季26个室内降尘样品中6种邻苯二甲酸酯(DMP、DEP、DBP、BBP、DEHP、DOP)进行提取分离,并采用气相色谱-质谱定量分析,研究了邻苯二甲酸酯污染变化特征和暴露风险.结果表明,冬夏两季,室内降尘样品均以DEHP 浓度最大,DBP第二,且DBP 和DEHP之和占ΣPAEs 的比例达到80.0%以上;冬季,各采样点6种邻苯二甲酸酯总含量(∑PAEs)浓度在1.498~32.587μg/g之间,平均浓度为(6.772±8.154)μg/g;夏季,∑PAEs浓度在1.981~40.041μg/g之间,平均浓度为(13.406±12.911) μg/g;PAEs浓度季节变化差异显著,夏季降尘样品中PAEs浓度高于冬季.暴露评价显示儿童和成人的夏季邻苯二甲酸酯总暴露量均大于冬季;经口暴露水平大于皮肤;平均儿童的暴露水平是成人的10倍左右;成人和儿童对4种物质(DBP、DEHP、DEP、BBP)的总暴露量最大值均出现在夏季;天津室内降尘暴露量与我国6城市室内降尘总暴露水平相当(除DEHP外),与德国和美国的暴露水平相比,天津儿童和成人的暴露量偏小.但是,室内环境中PAEs污染对人体健康的影响仍要引起重视,尤其是对低龄儿童的健康危害.     

Suppression of male reproduction in rats after exposure to sodium fluoride during early stages of development

Sodium fluoride (NaF), a widespread natural pollutant was given to sperm-positive female rats throughout gestation and lactation at a dose of 4.5 and 9.0 ppm via drinking water. The neonates were allowed to grow up to 90 days on tap water, and then sperm parameters, testicular steroidogenic marker enzyme activity levels, and circulatory hormone levels were studied. The sperm count, sperm motility, sperm coiling (hypoosmotic swelling test), and sperm viability were decreased in experimental rats when compared with controls. The activity levels of testicular steroidogenic marker enzymes (3β hydroxysteroid dehydrogenase and 17β hydroxysteroid dehydrogenase) were significantly decreased in experimental animals indicating decreased steroidogenesis. The serum testosterone, follicle stimulating hormone and luteinizing hormone levels were also significantly altered in experimental animals. Our data indicate that exposure to NaF during gestation and lactation affects male reproduction in adult rats by decreasing spermatogenesis and steroidogenesis.     

Impairment of male reproduction in adult rats exposed to hydroxyprogesterone caproate in utero

Hydroxyprogesterone caproate is one of the most effective and widely used drugs for the treatment of uterine bleeding and threatened miscarriage in women. Hydroxyprogesterone caproate was administered to pregnant rats in order to assess the effect of intraperitoneal exposure to supranormal levels of hydroxyprogesterone caproate on the male reproductive potential in the first generation. The cauda epididymal sperm count and motility decreased significantly in rats exposed to hydroxyprogesterone caproate during embryonic development, when compared with control rats. The levels of serum testosterone decreased with an increase in follicle stimulating hormone and luteinizing hormone in adult rats exposed to hydroxyprogesterone caproate during the embryonic stage. It was suggested that the impairment of male reproductive performance could be mediated through the inhibition of testosterone production.     

Perinatal exposure to maternal obesity: Lasting cardiometabolic impact on offspring

Evidence from epidemiological, clinical, and animal model studies clearly demonstrates that prenatal and lactational maternal obesity and high-fat diet consumption are associated with cardiometabolic morbidity in offspring. Fetal and offspring sex may be an important effect modifier. Adverse offspring cardiometabolic outcomes observed in the setting of maternal obesity include an increased risk for obesity, features of metabolic syndrome (hypertension, hyperglycemia and insulin resistance, hyperlipidemia, increased adiposity), and non-alcoholic fatty liver disease. This review article synthesizes human and animal data linking maternal obesity and high-fat diet consumption in pregnancy and lactation to adverse cardiometabolic outcomes in offspring. We review key mechanisms underlying skeletal muscle, adipose tissue, pancreatic, liver, and central brain reward programming in obesity-exposed offspring, and how such malprogramming contributes to offspring cardiometabolic morbidity.     

二噁英暴露对成年男性血清类固醇激素的影响

为了解二噁英（PCDD/DFs）对成年男性类固醇激素水平的影响,采用高分辨气相色谱法/高分辨质谱联用法（HRGC/HRMS）及液相色谱-质谱联用法（LC-MS/MS）分析二噁英污染地区成年男性（n=50）及非污染地区成年男性（n=48）血清中9种类固醇激素水平和17种二噁英同类物浓度.结果显示成年男性血清中双氢睾酮、睾酮、雌二醇的水平与部分二噁英同类物浓度存在显著性相关.污染地区成年男性双氢睾酮、睾酮、雌二醇的水平与年龄呈显著性正相关.以上结果表明二噁英暴露导致成年男性类固醇激素中的性激素变化异常.