Adebiyi Adebowale, Adaikan Ganesan P, Prasad Rama N V
Department of Obstetrics and Gynecology, National University of Singapore, National University Hospital, Singapore.
J Perinat Med. 2004;32(2):126-31. doi: 10.1515/JPM.2004.023.
Thrombin possesses potent oxytocic activity in vitro and in vivo. This activity has been proposed to play a role in post-parturitional uterine contractions and possibly, preterm birth related to intrauterine hemorrhage. Previous workers have demonstrated that cyclo-oxygenase pathway may not play a significant role in oxytocic activity of thrombin. However, the role of 5-hydroxytryptamine (a mediator of some of the biological activities of thrombin) in the oxytocic activity of thrombin is unknown. The present study therefore aimed to examine the possible involvement of 5-hydroxytryptamine in thrombin-induced myometrial contractions.
Effect of 5-hydroxytryptamine receptor antagonists on thrombin-induced contractions of isolated gravid rat myometrium was studied using isolated tissue bath system.
Thrombin-induced myometrial contractions were significantly and concentration-dependently inhibited by ketanserin and methysergide. Furthermore, 12 +/- 2% increase in the force of contractions of gravid rat myometrium pre-contracted with 5-hydroxytryptamine (1 microM) was provoked by 1 U/ml of thrombin. Thrombin-induced augmentation of the uterine stimulating effect of 5-hydroxytryptamine was characterized by pronounced increase in the contractile tone.
5-hydroxytryptamine may possibly play a role in oxytocic activity of thrombin. Uterine hyperactivity associated with intrauterine hemorrhage could hence involve thrombin-induced 5-hydroxytryptamine production in the uterus.
凝血酶在体外和体内均具有强大的催产活性。该活性被认为在产后子宫收缩中起作用,并且可能与与子宫内出血相关的早产有关。先前的研究人员已证明环氧化酶途径可能在凝血酶的催产活性中不起重要作用。然而,5-羟色胺(凝血酶某些生物学活性的介质)在凝血酶的催产活性中的作用尚不清楚。因此,本研究旨在探讨5-羟色胺是否可能参与凝血酶诱导的子宫肌层收缩。
使用离体组织浴系统研究5-羟色胺受体拮抗剂对凝血酶诱导的离体妊娠大鼠子宫肌层收缩的影响。
酮色林和麦角新碱可显著且浓度依赖性地抑制凝血酶诱导的子宫肌层收缩。此外,1 U/ml的凝血酶可使预先用5-羟色胺(1 microM)预收缩的妊娠大鼠子宫肌层的收缩力增加12±2%。凝血酶诱导的5-羟色胺子宫刺激作用增强的特征是收缩张力明显增加。
5-羟色胺可能在凝血酶催产活性中起作用。因此,与子宫内出血相关的子宫活动亢进可能涉及凝血酶诱导的子宫内5-羟色胺生成。