Aisemberg J, Vercelli C, Billi S, Ribeiro M L, Ogando D, Meiss R, McCann S M, Rettori V, Franchi A M
Laboratories of Physiopathology of Pregnancy and Labor, Center for Pharmacological and Botanical Studies, National Research Council, University of Buenos Aires (CEFYBO, CONICET-UBA), Buenos Aires C1121ABG, Argentina.
Proc Natl Acad Sci U S A. 2007 May 1;104(18):7534-9. doi: 10.1073/pnas.0702279104. Epub 2007 Apr 25.
Genital tract bacterial infections could induce abortion and are some of the most common complications of pregnancy; however, the mechanisms remain unclear. We investigated the role of prostaglandins (PGs) in the mechanism of bacterial lipopolysaccharide (LPS)-induced pregnancy loss in a mouse model, and we hypothesized that PGs might play a central role in this action. LPS increased PG production in the uterus and decidua from early pregnant mice and stimulated cyclooxygenase (COX)-II mRNA and protein expression in the decidua but not in the uterus. We also observed that COX inhibitors prevented embryonic resorption (ER). To study the possible interaction between nitric oxide (NO) and PGs, we administered aminoguanidine, an inducible NO synthase inhibitor. NO inhibited basal PGE and PGF(2alpha) production in the decidua but activated their uterine synthesis and COX-II mRNA expression under septic conditions. A NO donor (S-nitroso-N-acetylpenicillamine) produced 100% ER and increased PG levels in the uterus and decidua. LPS-stimulated protein nitration was higher in the uterus than in the decidua. Quercetin, a peroxynitrite scavenger, did not reverse LPS-induced ER. Our results suggest that in a model of septic abortion characterized by increased PG levels, NO might nitrate and thus inhibit COX catalytic activity. ER prevention by COX inhibitors adds a possible clinical application to early pregnancy complications due to infections.
生殖道细菌感染可导致流产,是妊娠最常见的并发症之一;然而,其机制尚不清楚。我们在小鼠模型中研究了前列腺素(PGs)在细菌脂多糖(LPS)诱导的妊娠丢失机制中的作用,我们假设PGs可能在这一过程中起核心作用。LPS增加了早孕小鼠子宫和蜕膜中PG的产生,并刺激了蜕膜中环氧合酶(COX)-II mRNA和蛋白的表达,但未刺激子宫中的表达。我们还观察到COX抑制剂可预防胚胎吸收(ER)。为了研究一氧化氮(NO)与PGs之间可能的相互作用,我们给予了氨基胍,一种诱导型NO合酶抑制剂。NO抑制了蜕膜中基础PGE和PGF(2α)的产生,但在脓毒症条件下激活了它们在子宫中的合成以及COX-II mRNA的表达。一种NO供体(S-亚硝基-N-乙酰青霉胺)导致了100%的胚胎吸收,并增加了子宫和蜕膜中PG的水平。LPS刺激的蛋白硝化在子宫中比在蜕膜中更高。过氧亚硝酸盐清除剂槲皮素并不能逆转LPS诱导的胚胎吸收。我们的结果表明,在以PG水平升高为特征的脓毒症流产模型中,NO可能使COX催化活性硝化从而抑制其活性。COX抑制剂预防胚胎吸收为感染导致的早孕并发症增加了一种可能的临床应用。