Casper R F, Lye S J
Medical Research Council Group in Reproductive Biology, University of Western Ontario, London, Canada.
Am J Obstet Gynecol. 1987 Oct;157(4 Pt 1):998-1003. doi: 10.1016/s0002-9378(87)80103-5.
Recent evidence of a stimulatory effect of beta-adrenergic receptor agonists on prostaglandin production by human fetal membranes in vitro prompted us to investigate whether prostaglandins are increased during beta-agonist infusion in vivo. On days 120 to 125 of gestation, blood samples were drawn from the aorta and vena cava of five crossbred ewes at 15-minute intervals for 1 hour before, during, and for 1 hour after a 3-hour infusion of isoproterenol (0.16 microgram/kg/min) or normal saline solution. Plasma prostaglandin F2 alpha levels increased (177% +/- 13% SEM over baseline; p less than 0.002) in maternal aorta, while plasma 13,14-dihydro-15-keto prostaglandin F2 alpha levels increased in both aorta and vena cava (354% +/- 47% and 309% +/- 75% over baseline, respectively; p less than 0.002) during isoproterenol infusion but not during saline solution infusion. No change was seen in plasma prostaglandin E2 levels. The increase in plasma stimulatory prostaglandins in the pregnant ewe during beta-agonist infusion is compatible with the increased uterine activity observed after myometrial desensitization by continuous beta-agonist infusion.
最近有证据表明,β-肾上腺素能受体激动剂在体外可刺激人胎膜产生前列腺素,这促使我们研究在体内输注β-激动剂期间前列腺素是否会增加。在妊娠120至125天,对5只杂交母羊在输注异丙肾上腺素(0.16微克/千克/分钟)或生理盐水3小时之前、期间及之后1小时,每隔15分钟从主动脉和腔静脉采集血样1小时。在输注异丙肾上腺素期间,母羊主动脉血浆前列腺素F2α水平升高(比基线水平升高177%±13%标准误;p<0.002),而主动脉和腔静脉中血浆13,14-二氢-15-酮前列腺素F2α水平均升高(分别比基线水平升高354%±47%和309%±75%;p<0.002),而在输注生理盐水期间则未升高。血浆前列腺素E2水平未见变化。在妊娠母羊中,β-激动剂输注期间血浆刺激性前列腺素的增加与连续输注β-激动剂使子宫肌层脱敏后观察到的子宫活动增加相一致。