Takasaki K, Noguchi Y, Ogawa K, Hirato K, Saito H, Yanaihara T, Nakayama T
Department of Obstetrics and Gynecology, Showa University School of Medicine, Tokyo.
Nihon Sanka Fujinka Gakkai Zasshi. 1987 Sep;39(9):1565-70.
It is known that prostaglandin (PG)E2 and PGI2 can contribute to the ripening of the uterine cervix. To study the PG biosynthesis in cervical tissue, 14C-arachidonic acid was used to incubate the preparation of human cervical tissue obtained from pregnant women at delivery and non pregnant women at hysterectomy. Labeled PGE2 and 6-keto-PGF1 alpha (6PG), a stable metabolite of PGI2 were isolated on TLC, and the enzymatic activity was calculated from the formation of PGE2 and 6PG from arachidonic acid. The capacity to metabolize arachidonic acid to PGE2 and 6PG in cervical tissue obtained from pregnant women was 6 times higher than that from non pregnant women. Low enzymatic activity in the formation of PGE2 and 6PG were observed in cervical tissues from the patients with placental sulfatase deficiency and preterm delivery which were known to have a low estrogen environment. On the other hand, DHA-S administration to patients increased the formation of both PGE2 and 6PG. These results demonstrate that human cervical tissue possesses the ability to synthesize PGE2 and PGI2, and enzymatic activity increased during pregnancy, and was further enhanced by the administration of DHA-S. The results suggest that the steroids in the fetoplacental unit may be involved in the mechanism controlling the formation of PGs in the cervical tissue which lead the cervix to ripen at term.
已知前列腺素(PG)E2和PGI2可促使子宫颈成熟。为研究宫颈组织中的PG生物合成,使用14C-花生四烯酸孵育从分娩时的孕妇和子宫切除时的非孕妇获取的人宫颈组织制剂。在薄层层析(TLC)上分离出标记的PGE2和PGI2的稳定代谢产物6-酮-PGF1α(6PG),并根据花生四烯酸形成PGE2和6PG的情况计算酶活性。从孕妇获取的宫颈组织中,将花生四烯酸代谢为PGE2和6PG的能力比非孕妇的高6倍。在已知雌激素环境较低的胎盘硫酸酯酶缺乏和早产患者的宫颈组织中,观察到PGE2和6PG形成时的酶活性较低。另一方面,对患者给予DHA-S可增加PGE2和6PG的形成。这些结果表明,人宫颈组织具有合成PGE2和PGI2的能力,酶活性在孕期增加,并通过给予DHA-S进一步增强。结果提示,胎儿-胎盘单位中的类固醇可能参与了控制宫颈组织中PG形成的机制,该机制导致宫颈在足月时成熟。