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激动剂可提高妊娠大鼠子宫肌层收缩成分对钙离子的敏感性。

Agonists increase the sensitivity of contractile elements for Ca++ in pregnant rat myometrium.

作者信息

Izumi H, Bian K, Bukoski R D, Garfield R E

机构信息

Department of Obstetrics and Gynecology, School of Medicine, Fukuoka University, Japan.

出版信息

Am J Obstet Gynecol. 1996 Jul;175(1):199-206. doi: 10.1016/s0002-9378(96)70275-2.

DOI:10.1016/s0002-9378(96)70275-2
PMID:8694052
Abstract

OBJECTIVE

The effects of agonists and guanosine 5'-triphosphate binding proteins (G proteins) on contractile properties were investigated in rat longitudinal myometrial tissues in late gestation and during delivery.

STUDY DESIGN

The effect of carbachol was examined on the intracellular Ca++ concentration in intact thin muscle strips from pregnant rat myometrium. In addition, the action of carbachol with guanosine 5'-triphosphate was examined on the Ca(++)-induced contractions in beta-escin-treated skinned strips (membrane-permeable conditions and chemical clamping of intracellular Ca++ concentrations). The effects of guanosine 5'-0-(gamma-thiotriphosphate) (a nonhydrolyzable analog of guanosine 5'-triphosphate), prostaglandin F2 alpha with guanosine 5'-triphosphate, prostaglandin E2 with guanosine 5'-triphosphate, and okadaic acid (a phosphatase inhibitor) were also examined in skinned strips.

RESULTS

In intact longitudinal rat myometrium at late gestation the maximum contractions induced by carbachol were larger than the maximum contractions induced by high K+ (118 mmol/L), whereas increases in intracellular Ca++ concentration produced by both agents were similar. In beta-escin-treated skinned myometrial strips from late gestation, 0.3 mumol/L Ca++ evoked contractions. Carbachol (10 mumol/L) plus guanosine 5'-triphosphate (10 mumol/L) enhanced the 0.3 mumol/L Ca(++)-induced contractions of skinned strips; the increase was antagonized by 1 mmol/L guanosine 5'-0-(beta-thiodiphosphate). Guanosine 5'-0-(gamma-thiotriphosphate) (0.1 to 100 mumol/L), prostaglandin F2 alpha (10 mumol/L) plus guanosine 5'-triphosphate (10 mumol/L), prostaglandin E2 (10 mumol/L) plus guanosine 5'-triphosphate (10 mumol/L), and okadaic acid (1 nmol/L) also augmented 0.3 mumol/L Ca++ contractions in skinned strips. The increases of 0.3 mumol/L Ca(++)-induced contractility by the agonists with guanosine 5'-triphosphate or guanosine 5'-0-(gamma-thiotriphosphate) were similar between late gestation and delivery.

CONCLUSION

These results suggest that agonists such as carbachol, prostaglandin F2 alpha, and prostaglandin E2 enhance the Ca(++)-induced contraction of myometrium at late gestation through G protein-mediated mechanisms. The agonist/G protein-mediated Ca(++)-sensitizing effects on contractile elements produce additional contractile force with the same amount of intracellular calcium, thus providing expelling forces for delivery of the fetuses.

摘要

目的

研究激动剂和鸟苷5'-三磷酸结合蛋白(G蛋白)对妊娠晚期及分娩期大鼠子宫肌层纵行组织收缩特性的影响。

研究设计

检测卡巴胆碱对妊娠大鼠子宫完整薄肌条细胞内钙离子浓度的影响。此外,在β-七叶皂苷处理的去皮肌条(膜通透条件及细胞内钙离子浓度的化学钳制)中,检测卡巴胆碱与鸟苷5'-三磷酸共同作用对钙离子诱导收缩的影响。还在去皮肌条中检测了鸟苷5'-O-(γ-硫代三磷酸)(鸟苷5'-三磷酸的一种不可水解类似物)、前列腺素F2α与鸟苷5'-三磷酸、前列腺素E2与鸟苷5'-三磷酸以及冈田酸(一种磷酸酶抑制剂)的作用。

结果

在妊娠晚期的大鼠子宫完整纵行肌层中,卡巴胆碱诱导的最大收缩幅度大于高钾(118 mmol/L)诱导的最大收缩幅度,而两种药物引起的细胞内钙离子浓度升高相似。在妊娠晚期经β-七叶皂苷处理的去皮子宫肌条中,0.3 μmol/L钙离子可诱发收缩。卡巴胆碱(10 μmol/L)加鸟苷5'-三磷酸(10 μmol/L)增强了0.3 μmol/L钙离子诱导的去皮肌条收缩;1 mmol/L鸟苷5'-O-(β-硫代二磷酸)可拮抗这种增强作用。鸟苷5'-O-(γ-硫代三磷酸)(0.1至100 μmol/L)、前列腺素F2α(10 μmol/L)加鸟苷5'-三磷酸(10 μmol/L)、前列腺素E2(10 μmol/L)加鸟苷5'-三磷酸(10 μmol/L)以及冈田酸(1 nmol/L)也增强了0.3 μmol/L钙离子引起的去皮肌条收缩。在妊娠晚期和分娩期,激动剂与鸟苷5'-三磷酸或鸟苷5'-O-(γ-硫代三磷酸)共同作用使0.3 μmol/L钙离子诱导的收缩性增加的情况相似。

结论

这些结果表明,卡巴胆碱、前列腺素F2α和前列腺素E2等激动剂在妊娠晚期通过G蛋白介导的机制增强子宫肌层钙离子诱导的收缩。激动剂/G蛋白介导的对收缩成分的钙离子增敏作用在细胞内钙含量相同时产生额外的收缩力,从而为胎儿娩出提供排出力。

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