Table 4.
AR & NOS Blockade | Interaction | Time | Group | ||||||
---|---|---|---|---|---|---|---|---|---|
Baseline | Hypoxia | + | ++ | +++ | ++++ | P-value | P-value | P-value | |
Fetal arterial blood | |||||||||
pH | |||||||||
Control | 7.285 ± 0.041† | 7.262 ± 0.047 | 7.247 ± 0.047† | 7.231 ± 0.050† | 7.201 ± 0.064† | 7.194 ± 0.067† | NS | <0.0001 | NS |
IGF-1 | 7.263 ± 0.052† | 7.222 ± 0.054 | 7.188 ± 0.073† | 7.166 ± 0.081† | 7.144 ± 0.087† | 7.092 ± 0.092† | |||
CO2 partial pressure (mmHg) | |||||||||
Control | 54 ± 3† | 50 ± 4 | 49 ± 5 | 48 ± 5 | 48 ± 5 | 47 ± 3† | NS | <0.0001 | 0.003 |
IGF-1 | 59 ± 4† | 57 ± 7 | 57 ± 6 | 56 ± 6 | 56 ± 6 | 56 ± 5 | |||
O2 partial pressure (mmHg) | |||||||||
Control | 18.2 ± 1.9† | 10.7 ± 1.1 | 10.8 ± 1.1 | 11.4 ± 1.1 | 11.7 ± 1.3† | 12.5 ± 1.4† | <0.0001 | - | - |
IGF-1 | 15.1 ± 2.8 | 11.1 ± 1.2 | 11.7 ± 1.7 | 12.0 ± 1.6 | 12.5 ± 2.0 | 12.2 ± 1.5 | |||
Hemoglobin, total (g dL−1) | |||||||||
Control | 10.7 ± 1.8† | 11.7 ± 2.1 | 11.8 ± 1.9 | 11.9 ± 2.1 | 11.9 ± 1.9 | 12.4 ± 2.2† | NS | <0.001 | NS |
IGF-1 | 10.0 ± 2.0† | 10.7 ± 2.3 | 11.0 ± 3.0 | 10.9 ± 2.7 | 10.6 ± 2.3 | 10.6 ± 2.5† | |||
O2 content (mL dL−1) | |||||||||
Control | 6.4 ± 1.1† | 2.6 ± 0.4 | 2.5 ± 0.3 | 2.8 ± 0.4 | 2.9 ± 0.6 | 3.2 ± 0.8 | <0.0001 | - | - |
IGF-1 | 4.0 ± 1.8 | 2.1 ± 0.4 | 2.2 ± 0.5 | 2.2 ± 0.6 | 2.3 ± 0.6 | 2.2 ± 0.6 | |||
Glucose (mM) | |||||||||
Control | 0.9 ± 0.3 | 0.9 ± 0.2 | 1.0 ± 0.2 | 1.1 ± 0.3 | 1.3 ± 0.2† | 1.2 ± 0.3† | 0.098 | <0.0001 | 0.024 |
IGF-1 | 0.6 ± 0.2 | 0.7 ± 0.3 | 0.7 ± 0.3 | 0.7 ± 0.3† | 0.7 ± 0.3† | 0.8 ± 0.4† | |||
Lactate (mM) | |||||||||
Control | 1.9 ± 0.4† | 4.8 ± 1.6 | 5.5 ± 1.9† | 6.3 ± 1.9† | 7.4 ± 2.6† | 8.4 ± 2.6† | NS | <0.0001 | 0.03 |
IGF-1 | 4.0 ± 4.1† | 7.3 ± 3.5 | 9.0 ± 3.6† | 10.2 ± 4.1† | 11.3 ± 4.1† | 11.9 ± 5.0† | |||
Hematocrit (%) | |||||||||
Control | 36 ± 6† | 39 ± 7 | 39 ± 7 | 40 ± 7 | 40 ± 7 | 41 ± 7† | NS | <0.0001 | NS |
IGF-1 | 33 ± 7† | 37 ± 8 | 37 ± 8 | 38 ± 8 | 38 ± 8 | 38 ± 9† | |||
Fetal coronary sinus blood | |||||||||
pH | |||||||||
Control | 7.253 ± 0.041† | 7.243 ± 0.028 | 7.152 ± 0.051† | NS 0.052 |
<0.0001 | NS 0.072 |
|||
IGF-1 | 7.244 ± 0.061† | 7.181 ± 0.042 | 7.050 ± 0.065† | ||||||
CO2 partial pressure (mmHg) | |||||||||
Control | 62 ± 3 | 54 ± 5 | 55 ± 2 | NS | 0.027 | 0.03 | |||
IGF-1 | 63 ± 4 | 62 ± 7 | 61 ± 5 | ||||||
O2 partial pressure (mmHg) | |||||||||
Control | 12.4 ± 0.9† | 6.8 ± 1.5 | 6.1 ± 1.2 | NS | <0.0001 | NS | |||
IGF-1 | 10.4 ± 2.2† | 6.3 ± 0.6 | 6.1 ± 1.1 | ||||||
O2 content (mL dL−1) | |||||||||
Control | 3.2 ± 0.4† | 1.2 ± 0.2 | 0.9 ± 0.2 | 0.042 | - | - | |||
IGF-1 | 2.0 ± 0.9 *† | 0.8 ± 0.1 * | 0.7 ± 0.1† | ||||||
Glucose (mM) | |||||||||
Control | 0.58 ± 0.08 | 0.72 ± 0.16 | 1.08 ± 0.10 | 0.029 | - | - | |||
IGF-1 | 0.57 ± 0.27 | 0.65 ± 0.31 | 0.72 ± 0.34† | ||||||
Lactate (mM) | |||||||||
Control | 1.52 ± 0.64† | 4.98 ± 1.72 | 9.38 ± 2.15† | NS | <0.0001 | NS | |||
IGF-1 | 4.07 ± 4.49† | 8.02 ± 3.49 | 12.60 ± 4.24† | ||||||
Maternal arterial blood | |||||||||
O2 partial pressure (mmHg) | |||||||||
Control | 107.6 ± 10.9† | 40.3 ± 6.0 | 42.7 ± 4.4 | 39.3 ± 11.4 | 42.5 ± 8.2 | 41.2 ± 12.4 | NS | <0.0001 | NS |
IGF-1 | 102.7 ± 7.3† | 42.0 ± 7.5 | 46.3 ± 5.5 | 40.7 ± 9.0 | 47.0 ± 8.0 | 38.8 ± 7.4 | |||
O2 saturation (%) | |||||||||
Control | 100 ± 1† | 58 ± 14 | 64 ± 11 | 55 ± 22 | 63 ± 12 | 57 ± 24 | NS | <0.0001 | NS |
IGF-1 | 98 ± 3† | 60 ± 16 | 69 ± 13 | 58 ± 17 | 69 ± 11 | 56 ± 15 |
Arterial and maternal values Control n=10, except last dose n=9; IGF-1 n=7, except last dose n=6. Coronary sinus values Control n=6, except last dose n=4; IGF-1 n=6, except last dose n=5. Not significant (NS). Arterial values analyzed by 2-way repeated measures ANOVA. Coronary sinus values analyzed by mixed-effects analysis. If justified, further analysis was by the Holm-Šidák test.
Different from same-timepoint Control
same-group Hypoxia timepoint. Data shown as mean ± SD.