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孕酮对母马在氯前列醇诱导流产期间前列腺素F2α分泌及妊娠结局的影响

Effect of progesterone on prostaglandin F2 alpha secretion and outcome of pregnancy during cloprostenol-induced abortion in mares.

作者信息

Daels P F, Besognet B, Hansen B, Mohammed H, Odensvik K, Kindahl H

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.

出版信息

Am J Vet Res. 1996 Sep;57(9):1331-7.

PMID:8874729
Abstract

OBJECTIVES

To determine the role of progesterone in the regulation of endogenous prostaglandin F2 alpha (PGF2 alpha) secretion during cloprostenol-induced abortion and to investigate use of progestins to prevent prostaglandin-associated abortion.

ANIMALS

16 pregnant mares.

PROCEDURE

To induce abortion, cloprostenol (250 micrograms/d) was administered daily until fetal expulsion or for up to 5 days. In experiment 1, 8 mares, 98 to 153 days' pregnant, received progesterone (300 mg/d) at 24-hour intervals for 5 days, starting 18 hours after the first cloprostenol administration. In experiment 2, 8 mares, 93 to 115 days' pregnant, received altrenogest (44 mg/d) at 24-hour intervals, starting 12 hours after the first cloprostenol administration. Historic control mares, 82 to 102 days' pregnant, received cloprostenol (250 micrograms/d) daily until fetal expulsion.

RESULTS

In control mares, fetal expulsion occurred after 2 to 3 cloprostenol administrations and was associated with significant increases in PGF2 alpha secretion. Abortion did not occur in 5 of 8 progesterone-treated mares and 8 of 8 altrenogest-treated mares, and endogenous PGF2 alpha secretion was inhibited, compared with values in aborting mares.

CONCLUSION

Circulating progestogen concentrations may have a role in the outcome of pregnancy during prostaglandin-induced abortion. Altered prostaglandin secretion may be a reflection of a direct effect of progesterone or may be caused by the abortion process.

CLINICAL RELEVANCE

Progestogens might be useful for prevention of abortion in mares in which pregnancy is at risk owing to diseases that are associated with excess prostaglandin secretion.

摘要

目的

确定孕酮在氯前列醇诱导流产过程中对内源性前列腺素F2α(PGF2α)分泌调节中的作用,并研究孕激素预防前列腺素相关流产的用途。

动物

16匹怀孕母马。

程序

为诱导流产,每天给予氯前列醇(250微克/天),直至胎儿排出或最长给药5天。在实验1中,8匹怀孕98至153天的母马,在首次给予氯前列醇18小时后,每隔24小时接受孕酮(300毫克/天),共5天。在实验2中,8匹怀孕93至115天的母马,在首次给予氯前列醇12小时后,每隔24小时接受烯丙孕素(44毫克/天)。历史对照母马,怀孕82至102天,每天接受氯前列醇(250微克/天),直至胎儿排出。

结果

在对照母马中,给予2至3次氯前列醇后发生胎儿排出,且与PGF2α分泌显著增加有关。8匹接受孕酮治疗的母马中有5匹未发生流产,8匹接受烯丙孕素治疗的母马中有8匹未发生流产,与流产母马相比,内源性PGF2α分泌受到抑制。

结论

循环孕激素浓度可能在前列腺素诱导流产期间的妊娠结局中起作用。前列腺素分泌改变可能是孕酮直接作用的反映,也可能是流产过程所致。

临床意义

对于因与前列腺素分泌过多相关疾病而妊娠有风险的母马,孕激素可能有助于预防流产。

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