Landauer M, Phernetton T M, Parisi V M, Clark K E, Rankin J H
Am J Obstet Gynecol. 1985 Feb 15;151(4):460-4. doi: 10.1016/0002-9378(85)90270-4.
Rankin et al. have shown that prostacyclin does not dilate the ovine placenta, yet Clark et al. have shown that retrograde infusion of prostacyclin dilates the uterine vasculature. To determine the effects of prostacyclin on the sheep placenta, the two groups have collaborated. In five chronically catheterized near-term sheep, blood flows were measured by the radioactive microsphere technique. Control blood flows were measured and prostacyclin infused into the retrograde uterine artery catheter at 10 micrograms/min. The blood flows were again measured, and the area served by the catheter was then delineated by the injection of a green dye at the time of maternal euthanasia. The placenta and cotyledons were separated and the kidneys were obtained for assay. The systemic effects of prostacyclin were minimal and have been observed previously. The resistance of the myometrium fell from 566 +/- 99.9 to 322 +/- 63.9 mm Hg X ml-1 X min X gm (p less than 0.002). The placental tissue showed no change in resistance. When the tissues were combined, we observed a decrease in resistance from 0.38 +/- 0.18 to 0.32 +/- 0.14 mm Hg X ml-1 X min (p less than 0.004), thereby confirming the observation that there was indeed vasodilation downstream. However, the vasodilation was not in the placenta but in the myometrium, and we reconfirm our previous conclusion that prostacyclin does not dilate the sheep placenta.
兰金等人已表明前列环素不会使绵羊胎盘扩张,然而克拉克等人已表明逆行输注前列环素会使子宫血管扩张。为了确定前列环素对绵羊胎盘的影响,这两组人员展开了合作。在五只长期插管的近足月绵羊中,通过放射性微球技术测量血流量。先测量对照血流量,然后以每分钟10微克的速度将前列环素注入逆行子宫动脉导管。再次测量血流量,然后在对母体实施安乐死时通过注射绿色染料来描绘导管所供应的区域。将胎盘和子叶分离,并获取肾脏用于分析。前列环素的全身效应极小,且此前已被观察到。子宫肌层的阻力从566±99.9降至322±63.9毫米汞柱×毫升⁻¹×分钟×克(p<0.002)。胎盘组织的阻力没有变化。当将这些组织合并起来时,我们观察到阻力从0.38±0.18降至0.32±0.14毫米汞柱×毫升⁻¹×分钟(p<0.004),从而证实了确实在下游存在血管舒张的观察结果。然而,血管舒张并非发生在胎盘,而是在子宫肌层,并且我们再次确认我们之前的结论,即前列环素不会使绵羊胎盘扩张。