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Endocrinology Vol. 139, No. 5 2564-2570
Copyright © 1998 by The Endocrine Society


ARTICLES

Chemoreflex Contribution to Adrenocortical Function during Acute Hypoxemia in the Llama Fetus at 0.6 to 0.7 of Gestation1

R. A. Riquelme, J. A. Llanos, H. H. G. McGarrigle, E. M. Sanhueza, M. A. Hanson and D. A. Giussani

Programa de Patología, Campus Oriente, Instituto de Ciencias Biomédicas, Facultad de Medicina (R.A.R., J.A.L., E.M.S.), International Center for Andean Research, Universidad de Chile, Santiago, Chile; The Physiological Laboratory, University of Cambridge (D.A.G.), Cambridge, United Kingdom CB2 3EG; and the Department of Obstetrics and Gynecology, University College London (H.H.G.M., M.A.H.), London, United Kingdom WC1E 6HX

Address all correspondence and requests for reprints to: Raquel A. Riquelme, Programa de Patología, Campus Oriente, Instituto de Ciencias Biomédicas, Facultad de Medicina, International Center for Andean Research, Universidad de Chile, Casilla 16038, Santiago 9, Chile.

This study tested the hypothesis that the fetal llama, a species adapted to the chronic hypoxia of life at high altitude, demonstrates a potent carotid chemoreflex influence on adrenocortical responses during acute hypoxemia. Plasma ACTH and cortisol concentrations, and mesencephalic and adrenal blood flows were measured during a 1-h period of acute hypoxemia in six intact and four carotid sinus-denervated llama fetuses at 0.6–0.7 of gestation. Fetal PaO2 was reduced from approximately 23 to about 14 mm Hg in both intact and carotid-denervated groups during acute hypoxemia. During hypoxemia, fetal plasma ACTH, adrenal blood flow, and, therefore, delivery of ACTH to the adrenals increased to similar extents in both intact and carotid-denervated fetal llamas. Despite this, the increase in plasma cortisol in hypoxemia in intact fetuses was absent in carotid-denervated fetuses. In addition, the increase in delivery of cortisol to the mesencephalon calculated in intact fetuses during hypoxemia did not occur in the carotid-denervated group. These data suggest that the integrity of the carotid chemoreceptors is indispensable to cortisol release during acute hypoxemia in the llama fetus, even at 0.6–0.7 of gestation.




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