Lung development in the nephrectomized ovine fetus.

The effect of fetal nephrectomy on lung development was studied in sheep. Fetal kidneys were removed early in the canalicular stage of lung development (95 to 99 days of pregnancy) and lung structure examined during the alveolar stage (125 to 134 days of gestation). Progesterone and estradiol 17 beta concentrations in maternal and fetal plasma were normal for gestational age, thus indicating that the ewes were not close to labour at the time the fetuses were removed. Mean body weight was significantly reduced in nephrectomized fetuses (P less than 0.05). Overall growth of the fetal lung was not markedly affected by fetal nephrectomy. However, compared to controls, alveolar airspaces were smaller in the cranial lobes of nephrectomized fetuses (P less than 0.05) and made up a smaller percentage of the parenchyma for the whole lung. There were fewer lamellar bodies per type 2 alveolar cell in nephrectomized fetuses (P less than 0.05), and more cells were without lamellar bodies (P less than 0.01). Umbilical venous thyroxin (T4) concentrations were lower in nephrectomized fetuses compared to control values (P less than 0.005). Plasma thyroxin concentration in nephrectomized fetuses correlated directly with thyroid weight (P less than 0.02). There was no significant difference in cortisol concentrations in maternal or fetal plasma or fetal tracheal fluid between the two groups. It is thus possible that the delayed lung development observed in nephrectomized fetuses was related to reduced thyroid activity.