Schafer W, Tielsch J, Casper F W, Seufert R J, Zahradnik H P
Universitats-Frauenklinik, Freiburg.
Prostaglandins. 1993 Aug;46(2):167-75. doi: 10.1016/0090-6980(93)90042-6.
The etiology of pregnancy induced hypertension (PIH) is still unknown. The pathophysiology must be clarified. In this paper we present an animal model where hypertension in pregnant and non-pregnant rats was induced by an experimental reduction of uteroplacental blood flow. Thus, a preeclampsia-like syndrome could be studied under defined conditions. The eicosanoid system was investigated for pathophysiological alterations of the kidney by measuring urinary excretion of 6-keto-PGF1 alpha, TxB2 and PGE2 with radioimmunoassay at day 18 of pregnancy. First, in gravid control animals concentrations of all three prostaglandins were significantly elevated compared to non-gravid controls. However, in hypertensive gravid rats urinary concentrations of these prostaglandins fell even below the levels of non-gravid controls. The observed decrease was more pronounced for the vasodilatory 6-keto-PGF1 alpha and PGE2 than for the vasoconstrictive TxB2. Our results demonstrate that an experimental reduction of uteroplacental blood flow in the rat culminates in symptoms which clinically (hypertension, proteinuria) and pathophysiologically (eicosanoid system) resemble to preeclampsia.
妊娠高血压综合征(PIH)的病因仍不清楚。其病理生理学必须阐明。在本文中,我们提出了一种动物模型,通过实验性减少子宫胎盘血流量来诱导妊娠和未妊娠大鼠的高血压。因此,可以在特定条件下研究子痫前期样综合征。通过在妊娠第18天用放射免疫法测量6-酮-PGF1α、TXB2和PGE2的尿排泄量,研究类花生酸系统在肾脏的病理生理改变。首先,与未妊娠对照组相比,妊娠对照组动物的所有三种前列腺素浓度均显著升高。然而,在高血压妊娠大鼠中,这些前列腺素的尿浓度甚至低于未妊娠对照组的水平。观察到的血管舒张性6-酮-PGF1α和PGE2的降低比血管收缩性TXB2更明显。我们的结果表明,大鼠子宫胎盘血流量的实验性减少最终导致的症状在临床(高血压、蛋白尿)和病理生理(类花生酸系统)上类似于子痫前期。