Department of Obstetrics, Gynecology and Reproductive Sciences, College of Medicine, University of Vermont Burlington, VT, USA.
Front Physiol. 2013 Jul 23;4:184. doi: 10.3389/fphys.2013.00184. eCollection 2013.
Decreased peroxisome proliferator-activated receptor gamma (PPARγ) activity is thought to have a major role in preeclampsia through abnormal placental development. However, the role of PPARγ in adaptation of the uteroplacental vasculature that may lead to placental hypoperfusion and fetal growth restriction during pregnancy is not known. Here, pregnant Sprague-Dawley rats (n = 11/group) were treated during the second half of pregnancy with the PPARγ inhibitor GW9662 (10 mg/kg/day in food) or vehicle. Pregnancy outcome and PPARγ mRNA, vasodilation and structural remodeling were determined in maternal uterine and mesenteric arteries. PPARγ was expressed in uterine vascular tissue of both non-pregnant and pregnant rats with ~2-fold greater expression in radial vs. main uterine arteries. PPARγ mRNA levels were significantly higher in uterine compared to mesenteric arteries. GW9662 treatment during pregnancy did not affect maternal physiology (body weight, glucose, blood pressure), mesenteric artery vasodilation or structural remodeling of uterine and mesenteric vessels. Inhibition of PPARγ for the last 10 days of gestation caused decreased fetal weights on both day 20 and 21 of gestation that was associated with impaired vasodilation of radial uterine arteries in response to acetylcholine and sodium nitroprusside. These results define an essential role of PPARγ in the control of uteroplacental vasodilatory function during pregnancy, an important determinant of blood flow to the placenta and fetus. Strategies that target PPARγ activation in the uterine circulation could have important therapeutic potential in treatment of pregnancies complicated by hypertension, diabetes or preeclampsia.
过氧化物酶体增殖物激活受体 γ (PPARγ) 活性降低被认为在子痫前期中通过异常胎盘发育起主要作用。然而,PPARγ 在适应子宫胎盘血管中的作用,这可能导致怀孕期间胎盘灌注不足和胎儿生长受限,目前尚不清楚。在这里,妊娠 Sprague-Dawley 大鼠(每组 11 只)在妊娠后半期用 PPARγ 抑制剂 GW9662(食物中 10mg/kg/天)或载体处理。测定母体子宫和肠系膜动脉中的妊娠结局和 PPARγmRNA、血管舒张和结构重塑。PPARγ 在非妊娠和妊娠大鼠的子宫血管组织中表达,在径向子宫动脉中表达约 2 倍。与肠系膜动脉相比,PPARγmRNA 水平在子宫中显著更高。妊娠期间 GW9662 处理不影响母体生理学(体重、葡萄糖、血压)、肠系膜动脉血管舒张或子宫和肠系膜血管的结构重塑。在妊娠的最后 10 天抑制 PPARγ 导致妊娠第 20 天和第 21 天的胎儿体重降低,这与对乙酰胆碱和硝普钠反应的径向子宫动脉血管舒张受损有关。这些结果定义了 PPARγ 在妊娠期间控制子宫胎盘血管舒张功能中的重要作用,这是胎盘和胎儿血流的重要决定因素。针对子宫循环中 PPARγ 激活的策略在治疗伴有高血压、糖尿病或子痫前期的妊娠方面可能具有重要的治疗潜力。