Magalhaes Joyce K R S, Carvalho Jose C A, Parkes Robert K, Kingdom John, Li Yong, Balki Mrinalini
Department of Anesthesia and Pain Management, Mount Sinai Hospital, Toronto, Canada.
Reprod Sci. 2009 May;16(5):501-8. doi: 10.1177/1933719108329954. Epub 2009 Jan 22.
Recent biomolecular studies have shown that continuous exposure of human myometrial cells to oxytocin results in a significant loss of responsiveness to subsequent oxytocin stimulation, perhaps because of desensitization of the oxytocin receptors. However, it is unclear whether this phenomenon results in a reduction of the contractile activity of the uterine muscle in humans or animals. The objective of our study was to investigate the in vitro response of the uterine muscle of pregnant rats to oxytocin, following preexposure to varying concentrations of oxytocin, for varying durations. Longitudinal myometrial strips were isolated from 16 pregnant Wistar rats at 19 to 21 days of gestation and preexposed to oxytocin 10(-10) or 10(-8) mol/L (experimental groups) or physiological salt solution (control groups) for 1- or 4-hour period. All muscle strips were then subjected to a dose-response study with oxytocin 10(-10) to 10(-5) mol/L. The area under the curve, frequency, and amplitude of contractions were recorded and compared between the groups. The area under the curve, frequency, and amplitude of the oxytocin-induced contractions were all significantly suppressed in the groups preexposed to oxytocin 10(-8) mol/L compared to either the control groups (P < .0001) or the groups preexposed to oxytocin 10(-10) mol/L (P < .0001). There was no difference in the oxytocin-induced myometrial contractions between the groups preexposed to oxytocin for either the 1- or 4-hour periods. The inhibition of the oxytocin-induced contractile response of pregnant rat myometrium is observed as early as 1 hour of preexposure to oxytocin and is dependent on the preexposed oxytocin concentration and not on the duration of its exposure.
近期的生物分子研究表明,人子宫肌层细胞持续暴露于催产素会导致对后续催产素刺激的反应性显著丧失,这可能是由于催产素受体脱敏所致。然而,尚不清楚这种现象是否会导致人类或动物子宫肌肉收缩活性降低。我们研究的目的是调查妊娠大鼠子宫肌肉在预先暴露于不同浓度催产素、不同持续时间后的体外催产素反应。从16只妊娠19至21天的Wistar大鼠中分离出纵向子宫肌条,将其预先暴露于10(-10)或10(-8) mol/L催产素(实验组)或生理盐溶液(对照组)1小时或4小时。然后所有肌条接受10(-10)至10(-5) mol/L催产素的剂量反应研究。记录并比较各组收缩的曲线下面积、频率和幅度。与对照组(P <.0001)或预先暴露于10(-10) mol/L催产素的组(P <.0001)相比,预先暴露于10(-8) mol/L催产素的组中,催产素诱导收缩的曲线下面积、频率和幅度均显著受到抑制。预先暴露于催产素1小时或4小时的组之间,催产素诱导的子宫肌收缩没有差异。妊娠大鼠子宫肌层对催产素诱导的收缩反应的抑制早在预先暴露于催产素1小时时就可观察到,并且取决于预先暴露的催产素浓度,而不是其暴露持续时间。