Submitted:
26 June 2025
Posted:
27 June 2025
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Abstract
Keywords:
The Aquatic Origins of Life
The Evolution of Homeostasis and the Internal Environment, Claude Bernard's Principle
Amniotic Fluid and Ocean Fluid: A Fetal Aquatic Microcosm and Ontogenetic Recapitulation
- Early Phase (up to approximately 18 weeks). Amniotic fluid is primarily an ultrafiltrate of maternal plasma, passing across the amniotic membranes and the non-keratinized placental surface. Its composition is nearly isotonic to maternal plasma, reflecting the content of electrolytes and small filterable molecules.
- Late Phase (after approximately 18-20 weeks). The fetal contribution becomes predominant. The fetus begins to urinate into the amniotic sac and swallow amniotic fluid, creating a constant recirculation. Fetal lung secretions contribute phospholipids and proteins, while secretions from fetal skin (before keratinization) and secretions from the respiratory and gastrointestinal tracts add further components.
- Water (H2O): constitutes approximately 98-99% of the volume, serving as the universal solvent for all other substances. Its volume is crucially regulated by the balance between production (fetal urine, lung secretions) and reabsorption (fetal swallowing, transmembranous passage).
- Electrolytes: the concentrations of sodium (Na^+) (approximately 120-130 mEq/L), chloride (Cl^-), potassium (K^+) (approximately 4-6 mEq/L), and bicarbonate (HCO3^-) are finely regulated. They tend to be similar to maternal plasma in the early stages, then slightly decrease with increased fetal urinary output (which is hypotonic). Remarkably, the relative proportions of these ions maintain a notable similarity to dilute seawater, a further confirmation of evolutionary "memory." The pH of amniotic fluid (typically 7.0-7.5) is also regulated to optimize the environment for fetal development, remaining neutral or slightly alkaline, consistent with primordial aquatic environments.
- Proteins: although present in lower concentrations than maternal plasma (approximately 0.2-0.3 g/dL), they include albumins, globulins, transferrin, and other specific proteins (e.g., alpha-fetoprotein, produced by the fetus), with nutritional, osmotic, immunological, and transport functions.
- Carbohydrates: primarily glucose, a fundamental energy source for the fetus. Its concentration is maintained in equilibrium with maternal blood glucose.
- Lipids: play structural roles (e.g., phospholipids, such as lecithin and sphingomyelin, crucial for lung surfactant maturation) and energetic roles.
- Metabolic waste Products: urea, creatinine, and uric acid, derived from fetal metabolism and primarily eliminated through fetal urinary tracts into the amniotic fluid. Their concentrations increase with advancing gestation, reflecting fetal renal maturation.
- Hormones and Growth Factors: a wide range of hormones (e.g., prolactin, cortisol, thyroid hormones) and growth factors (e.g., EGF, IGF) are present in amniotic fluid, regulating the complex processes of fetal differentiation and development.
- Fetal Cells: desquamated from the fetal epidermis, respiratory, and urinary tracts, these cells provide material for prenatal diagnosis (e.g., amniocentesis for karyotyping and genetic analysis) [10].
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