Arkinstall S J, Moye I, Jones C T
Laboratory of Cellular and Developmental Physiology, University of Oxford, John Radcliffe Hospital, Headington, England.
Am J Obstet Gynecol. 1990 Mar;162(3):831-6. doi: 10.1016/0002-9378(90)91019-9.
Uterine sympathetic nerves can exert an excitatory influence during pregnancy and parturition. Myometrial alpha 2-adrenergic receptor density falls sharply late in gestation, and diminished presynaptic neuromodulation could contribute to increased norepinephrine release reported at this time. Two studies were performed to investigate this potentially important mechanism. First, when alpha 2-adrenergic receptors were measured in well-innervated (tubal end and cervix), denervated (perifetal), and richly vascularized regions (placental) of late pregnant guinea pig uteri with the selective radioligand [3H]rauwolscine, high levels were detected in perifetal myometrium, particularly outside the site of placental implantation. Second, we report an unsuccessful attempt to demonstrate alpha 2-adrenergic receptor-mediated feedback suppression of electrically stimulated norepinephrine release from tubal and cervical regions of nonpregnant, midterm, and late-pregnant uteri. Together these results suggest that guinea pig myometrial alpha 2-adrenergic receptors are located mostly postjunctionally and are not associated with the vasculature. Thus an alpha 2-adrenergic feedback mechanism is unlikely to play an important role regulating uterine sympathetic neurotransmission.
子宫交感神经在妊娠和分娩期间可发挥兴奋作用。妊娠后期子宫肌层α2 - 肾上腺素能受体密度急剧下降,突触前神经调节减弱可能导致此时报道的去甲肾上腺素释放增加。进行了两项研究以探究这一潜在的重要机制。首先,用选择性放射性配体[3H]萝芙辛测量妊娠晚期豚鼠子宫神经分布良好的区域(输卵管末端和宫颈)、去神经支配的区域(胎儿周围)以及血管丰富的区域(胎盘)中的α2 - 肾上腺素能受体,结果在胎儿周围的子宫肌层中检测到高水平的受体,特别是在胎盘植入部位以外。其次,我们报告了一项未能成功证明α2 - 肾上腺素能受体介导的对非妊娠、中期妊娠和晚期妊娠子宫的输卵管和宫颈区域电刺激去甲肾上腺素释放的反馈抑制的尝试。这些结果共同表明,豚鼠子宫肌层α2 - 肾上腺素能受体大多位于突触后,且与血管系统无关。因此,α2 - 肾上腺素能反馈机制不太可能在调节子宫交感神经传递中发挥重要作用。