Suzuki H, Okawa T, Endo C, Hoshi K, Sato A
Department of Obstetrics and Gynecology, Jikyukai Tani Hospital, Fukushima.
Nihon Sanka Fujinka Gakkai Zasshi. 1995 Apr;47(4):377-84.
In order to clarify the mechanism of preterm labor induced by intrauterine infection, we studied the effect of endotoxin on oxytocin sensitivity of the myometrium in the pregnant rat. We administrated bacterial endotoxin obtained from Escherichia coli to the pregnant rat at preterm. By using a myometrial strip, we determined the effect of oxytocin on contractility, production of prostaglandins (PGs) and phosphoinositide hydrolysis. 1. Endotoxin increased myometrial sensitivity to oxytocin in the pregnant rat at preterm. The pD2 value was equal to that of myometrium taken from term pregnant rat. This hypersensitivity was significantly inhibited by indomethacin. 2. In the myometrial strips from rats to which endotoxin was administered, the concentrations of PGF2 alpha and PGE2 had already developed a tendency to increase during spontaneous contractions, when compared to the controls. There was seen a significant additional increase due to oxytocin. PGF2 alpha production was also significantly inhibited by indomethacin. 3. Oxytocin significantly stimulated total inositol phosphate production in a dose-dependent manner in myometrium taken from preterm pregnant rat. The inositol 1.4.5-trisphosphate production stimulated by oxytocin significantly increased in comparison to the controls. These results suggest that not only the production of PGs but phosphoinositide hydrolysis of transmembrane signaling pathways would play an important role in the mechanism of myometrial contraction at preterm when intrauterine bacterial infection developed.
为阐明宫内感染所致早产的机制,我们研究了内毒素对妊娠大鼠子宫肌层催产素敏感性的影响。我们在早产时给妊娠大鼠注射从大肠杆菌获得的细菌内毒素。通过使用子宫肌条,我们测定了催产素对收缩性、前列腺素(PGs)产生及磷酸肌醇水解的影响。1. 内毒素增加了早产妊娠大鼠子宫肌层对催产素的敏感性。其pD2值与足月妊娠大鼠的子宫肌层相同。吲哚美辛可显著抑制这种超敏反应。2. 与对照组相比,在注射内毒素的大鼠子宫肌条中,PGF2α和PGE2的浓度在自发收缩期间已有升高趋势。催产素可使其显著进一步升高。吲哚美辛也可显著抑制PGF2α的产生。3. 催产素以剂量依赖方式显著刺激早产妊娠大鼠子宫肌层中总肌醇磷酸的产生。与对照组相比,催产素刺激产生的肌醇1,4,5-三磷酸显著增加。这些结果表明,当发生宫内细菌感染时,不仅PGs的产生,而且跨膜信号通路的磷酸肌醇水解在早产子宫肌层收缩机制中都起重要作用。