title: Ovine fetal placental lactate exchange and decarboxylation at midgestation.
abstract: In a study of the metabolic implications of the large placental-to-fetal mass ratio that characterizes early fetal development, fetal plasma lactate disposal rate and CO2 production from fetal plasma lactate by fetus and placenta were measured in six midgestation (71-80 days) pregnant sheep. A constant fetal intravenous infusion of L-[U-14C]lactate and 3H2O was given to establish fetal steady-state lactate specific activity and to measure uterine and umbilical blood flows. Fetal and placental weights were 158.6 +/- 19.7 and 441.9 +/- 32.7 g, respectively. There was a significant net lactate flux into the uterine circulation (31 +/- 4.3 mumol/min, P < 0.01) but no measurable umbilical uptake. Fetal plasma lactate disposal rate was 21.2 +/- 2.7 mumol/min, approximately one-half of which represented fetal lactate flux into the placenta (9.9 +/- 1.9 mumol/min). The oxidation rate of tracer lactate carbon to 14CO2 by placenta plus fetus was 72.6 +/- 4.7% of the infused tracer and was fairly evenly distributed between the placenta and the fetus (42.4 +/- 3.9 vs. 30.3 +/- 2.2%). The midgestation placenta metabolizes and produces fetal plasma lactate at rapid and nearly equal rates. This contrasts with the late-gestation placenta, which makes a small contribution to fetal lactate disposal and is a major net source of fetal lactate.
authors.affiliation: Department of Pediatrics, University of Colorado School of Medicine, Denver 80262.
authors.forename: B S
authors.initials: BS
authors.lastname: Carter
authors.forename: R R
authors.initials: RR
authors.lastname: Moores
authors.forename: F C
authors.initials: FC
authors.lastname: Battaglia
authors.forename: G
authors.initials: G
authors.lastname: Meschia
mesh_terms: D000818:Animals; D002245:Carbon Dioxide / Q000097:blood / Q000378:metabolism; D003653:Decarboxylation; D005260:Female; D005333:Fetus / Q000378:metabolism*; D005865:Gestational Age; D007773:Lactates / Q000378:metabolism*; D019344:Lactic Acid; D008431:Maternal-Fetal Exchange; D009994:Osmolar Concentration; D010920:Placenta / Q000378:metabolism*; D011247:Pregnancy; D011270:Pregnancy, Animal / Q000378:metabolism*; D012756:Sheep
chemical_list: D007773:Lactates; D002245:Carbon Dioxide; D019344:Lactic Acid