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抗雌激素乙胺氧三苯乙烯(MER - 25)及卵巢切除术对妊娠狒狒血清孕酮浓度的影响

Effect of the antiestrogen ethamoxytriphetol (MER-25) and luteectomy on serum progesterone concentrations in pregnant baboons.

作者信息

Albrecht E D, Pepe G J

出版信息

Endocrinology. 1984 Nov;115(5):1717-21. doi: 10.1210/endo-115-5-1717.

Abstract

The present study determined whether the reduction in serum progesterone (P4) concentrations which follows the administration of the antiestrogen ethamoxytriphetol [1-(rho-2-diethylaminoethoxyphenyl)1-phenyl-2-rho-methoxyphenyl ethanol (MER-25)] to pregnant baboons reflects a decline in placental and/or luteal function. Maternal saphenous venous blood was collected at 1- to 4-day intervals between day 70 of gestation and term in pregnant baboons. Four females received no other treatment, and eight females received MER-25 (15 mg/kg BW, orally) daily between day 130 of gestation and term. Four of the MER-25-treated baboons received no other treatment, and four had the corpus luteum of pregnancy surgically excised between days 104 and 118 of gestation. Serum P4 concentrations in the untreated baboons fluctuated, but no significant progressive rise or fall in P4 occurred. Administration of antiestrogen to intact pregnant baboons resulted in a 50% decline (P less than 0.001) in serum P4 concentrations from mean pretreatment values of 7.0-25.1 to 4.2-10.8 ng/ml thereafter. Although removal of the corpus luteum alone had no effect on serum P4, administration of MER-25 to luteectomized females resulted in an 80% decrease (P less than 0.001) in serum P4 concentrations from pretreatment means of 10.6-16.6 to 2.5-3.2 ng/ml thereafter. The results indicate that most or all of the P4 that remained in the peripheral circulation after MER-25 administration to intact pregnant baboons originated from the ovary, primarily the corpus luteum. Thus, the major site of action of antiestrogen in reducing P4 production during baboon pregnancy is on the placenta.

摘要

本研究确定,给怀孕的狒狒施用抗雌激素乙胺氧三苯乙醇[1-(ρ-2-二乙氨基乙氧基苯基)-1-苯基-2-ρ-甲氧基苯基乙醇(MER-25)]后血清孕酮(P4)浓度的降低是否反映了胎盘和/或黄体功能的下降。在怀孕狒狒妊娠第70天至足月期间,每隔1至4天采集一次母体大隐静脉血。4只雌性未接受其他治疗,8只雌性在妊娠第130天至足月期间每天口服MER-25(15mg/kg体重)。4只接受MER-25治疗的狒狒未接受其他治疗,4只在妊娠第104天至118天期间手术切除了妊娠黄体。未治疗的狒狒血清P4浓度有波动,但P4没有显著的逐渐升高或降低。给完整的怀孕狒狒施用抗雌激素后,血清P4浓度从预处理前的平均7.0 - 25.1降至此后的4.2 - 10.8ng/ml,下降了50%(P<0.001)。虽然单独切除黄体对血清P4没有影响,但给切除黄体的雌性施用MER-25后,血清P4浓度从预处理前的平均10.6 - 16.6降至此后的2.5 - 3.2ng/ml,下降了80%(P<0.001)。结果表明,给完整的怀孕狒狒施用MER-25后,外周循环中残留的大部分或全部P4来自卵巢,主要是黄体。因此,抗雌激素在狒狒怀孕期间降低P4产生的主要作用部位是胎盘。

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