Twenty-four–hour pattern of cortisol in the human fetus at term
Open accessAbstract
Objectives Indirect evidence suggests that adrenal steroid production in the human fetus may have a circadian rhythm. To assess whether there is a 24-hour rhythm of fetal cortisol in the human fetus, we investigated the relationship between fetal and maternal cortisol and cortisone concentrations in maternal, umbilical arterial, and umbilical venous blood samples over a 24-hour period.Study design Elective cesarean sections were scheduled every 2 hours around the clock in 57 term (38-41 weeks' gestation) nonlaboring pregnant women. Plasma cortisol and cortisone concentrations were measured by high-pressure liquid chromatography.Results The mean 24-hour cortisol concentration was higher in umbilical arterial than in umbilical venous blood samples, 63.6 +/- 4.6 ng/mL (SEM) versus 48.7 +/- 3.2 ng/mL, respectively (P <.05). Fetal plasma cortisol showed a rhythm in the umbilical artery (acme from noon to 4 PM ) (1-way analysis of variance and least significant difference test; P <.05) but not in the umbilical vein. Umbilical arteriovenous differences showed no net transfer of cortisol to the fetus at any time of the day and net fetal production of cortisol from 8 AM to 6 PM. There was limited transfer of cortisone to the fetus and only in the 2 AM -to-noon time interval.Conclusion These data suggest the presence of a 24-hour rhythm of fetal adrenal cortisol secretion that may be controlled by a fetal circadian pacemaker.
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Circadian rhythms of melatonin along with corticosteroid are detectable in the umbilical artery and vein, along with fetal circulation.
“Circadian rhythms of melatonin along with corticosteroid are detectable in the umbilical artery and vein, along with fetal circulation35,36.”
From Rhythms of life: circadian disruption and brain disorders across the lifespan (2019) · cites this paper as [35]
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- Authors
- Serón-Ferré, M., Riffo, R., Valenzuela, G. J., & Germain, A. M.
- Affiliations
- Pontificia Universidad Católica de Chile (CL)
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2001-05
- Volume
- 184
- Issue
- 6
- Pages
- 1278-1283
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W2128956225
- Cited by
- 51
- References
- 24
- Citations by year
- 2025: 1 · 2022: 2 · 2021: 1 · 2020: 7 · 2019: 2 · 2018: 4 · 2017: 4 · 2016: 4 · 2015: 1 · 2014: 2 · 2013: 2 · 2012: 2
- FWCI
- 1.58
- Type
- journal article
- Language
- en
- Open access
- green
- americanae.aecid.es
- Licence
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Americanae (AECID Library) (submittedVersion, other-oa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- fetal cortisol, circadian rhythm, term fetus, umbilical artery, umbilical vein, cortisone, elective cesarean section
- MeSH terms
- Adult, Chromatography, High Pressure Liquid, Circadian Rhythm, Cortisone, Female, Fetal Blood, Humans, Hydrocortisone, Pregnancy, Delivery, Obstetric
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