Hehir Mark P, Morrison John J
NUI Galway, Obstetrics and Gynaecology, Clinical Science Institute, Newcastle, Galway, Ireland.
J Obstet Gynaecol Res. 2016 Mar;42(3):302-6. doi: 10.1111/jog.12895. Epub 2015 Dec 8.
Heat shock proteins (HSPs) are synthesized in virtually all organisms in response to increases in temperature. They are associated with a relaxant effect on the human myometrium and are present in decreased concentration in the myometrium at the time of labor. Paeoniflorin is derived from Paeonia lactiflora and has been shown to induce the synthesis of HSPs in cultured mammalian cells. The purpose of the study was to evaluate the effect of paeoniflorin on human uterine contractility.
Samples of human myometrium were taken at lower segment cesarean section. Dissected muscle strips were suspended under isometric conditions and exposed to cumulative additions of paeoniflorin in concentrations ranging from 1 nmol/L to 10 mol/L. Control experiments were simultaneously performed.
Paeoniflorin was found to exert an inhibitory effect on spontaneous and agonist-induced contractions compared to control strips. The mean maximal inhibition values were: 42.21% ± 9.26 for spontaneous contractions (n = 6; P < 0.0001) and 47.84% ± 9.05 for oxytocin-induced contractions (n = 6; P < 0.0001).
The HSP inducing compound, paeoniflorin, had a relaxant effect on human uterine contractility in vitro. These results reinforce the fact that HSPs may play a physiological role in the onset of labor and may also provide future targets for novel tocolytic treatments.
热休克蛋白(HSPs)几乎在所有生物体中都会因温度升高而合成。它们与人类子宫肌层的舒张作用相关,且在分娩时子宫肌层中的浓度会降低。芍药苷源自芍药,已被证明可在培养的哺乳动物细胞中诱导HSPs的合成。本研究的目的是评估芍药苷对人子宫收缩性的影响。
在子宫下段剖宫产时获取人子宫肌层样本。将解剖后的肌条在等长条件下悬挂,并暴露于浓度范围为1 nmol/L至10 μmol/L的芍药苷累积添加物中。同时进行对照实验。
与对照肌条相比,发现芍药苷对自发收缩和激动剂诱导的收缩均有抑制作用。平均最大抑制值分别为:自发收缩时为42.21%±9.26(n = 6;P < 0.0001),催产素诱导收缩时为47.84%±9.05(n = 6;P < 0.0001)。
HSP诱导化合物芍药苷在体外对人子宫收缩性有舒张作用。这些结果强化了HSPs可能在分娩发动中发挥生理作用这一事实,也可能为新型宫缩抑制剂治疗提供未来靶点。