Department of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA.
Department of Anesthesiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Sci Rep. 2022 Feb 24;12(1):3143. doi: 10.1038/s41598-022-07236-x.
Despite the widespread use of oxytocin for induction of labor, mechanistic insights into fetal/neonatal wellbeing are lacking because of the absence of an animal model that recapitulates modern obstetric practice. Here, we create and validate a hi-fidelity pregnant rat model that mirrors labor induction with oxytocin in laboring women. The model consists of an implantable preprogrammed microprocessor-controlled infusion pump that delivers a gradually escalating dose of intravenous oxytocin to induce birth at term gestation. We validated the model with molecular biological experiments on the uterine myometrium and telemetry-supported assessment of changes in intrauterine pressure. Finally, we applied this model to test the hypothesis that labor induction with oxytocin would be associated with oxidative stress in the newborn brain. Analysis of biomarkers of oxidative stress and changes in the expression of associated genes were no different between oxytocin-exposed and saline-treated pups, suggesting that oxytocin-induced labor was not associated with oxidative stress in the developing brain. Collectively, we provide a viable and realistic animal model for labor induction and augmentation with oxytocin that would enable new lines of investigation related to the impact of perinatal oxytocin exposure on the mother-infant dyad.
尽管催产素被广泛用于引产,但由于缺乏能够重现现代产科实践的动物模型,因此对于胎儿/新生儿健康状况的机制了解仍很有限。在这里,我们创建并验证了一种高保真的妊娠大鼠模型,该模型可模拟催产素诱导分娩的情况。该模型由可植入的可编程微处理器控制的输注泵组成,可逐渐递增加静脉内催产素的剂量,以在足月妊娠时诱导分娩。我们通过对子宫平滑肌的分子生物学实验以及对子宫内压力变化的遥测支持评估对该模型进行了验证。最后,我们应用该模型来检验催产素诱导分娩会导致新生儿大脑氧化应激的假设。氧化应激生物标志物的分析以及相关基因表达的变化在催产素暴露组和盐水处理组的幼崽之间没有差异,这表明催产素诱导的分娩与发育中大脑的氧化应激无关。总的来说,我们提供了一种可行且现实的动物模型,用于催产素引产和催产素增强,这将能够开展与围产期催产素暴露对母婴对子代影响相关的新研究。