Belfort M A, Saade G R, Wen T S, Vedernikov Y P
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.
Am J Obstet Gynecol. 1996 Nov;175(5):1163-72. doi: 10.1016/s0002-9378(96)70023-6.
Our purpose was to study the mechanism by which 17 beta-estradiol modulates contractile activity in isolated rings of omental artery from nonpregnant and pregnant patients.
Rings of omental artery with intact endothelium from nonpregnant and pregnant women were mounted in organ chambers for isometric tension recording. The concentration-relaxation relationship to 17 beta-estradiol (10(-7) mol/L to 3 x 10(-5) mol/L) was studied in rings contracted with 60 mmol/L potassium chloride (in both the absence and the presence of tamoxifen, 10(-6) mol/L). The effect of 17 beta-estradiol (10(-5) mol/L) on the contraction induced by 60 mmol/L potassium chloride and on the concentration-contraction relationships to both norepinephrine (10(-9) mol/L to 10(-5) mol/L) and calcium ion (0.05 mmol/L to 2.5 mmol/L in calcium-free depolarizing solution) were studied in the presence and absence of tamoxifen (10(-6) mol/L). The maximal contraction, negative logarithm of the concentration producing 50% relaxation or 50% contraction to the reference 60 mmol/L potassium chloride contraction, and the area under the curve were calculated. Data analysis was by one-way analysis of variance, Newman-Keuls test, and two-sample tests as appropriate. Probability values less than 0.05 in a two-tailed test were considered statistically significant.
17 beta-Estradiol relaxed omental arteries contracted with 60 mmol/L potassium chloride, and this effect was potentiated by tamoxifen in both groups. Incubation of the omental arteries with 17 beta-estradiol inhibited contractions induced by 60 mmol/L potassium chloride in rings from both groups of patients, and tamoxifen did not antagonize this effect in either group. Rings of omental artery from the nonpregnant patients (expressed as percentage of the reference potassium chloride contraction) showed greater contraction than rings from the pregnant women when exposed to norepinephrine, a statistically significant difference. 17 beta-Estradiol decreased the norepinephrine-induced contraction in omental arteries from nonpregnant but not pregnant women in a statistically significant way. Tamoxifen did not influence the effect of norepinephrine for either group. 17 beta-Estradiol inhibited calcium ion-induced contraction similarly in rings of omental artery from both nonpregnant and pregnant patients. Tamoxifen potentiated estradiol-induced inhibition in arteries from pregnant patients.
17 beta-Estradiol inhibits norepinephrine-induced contractions in omental arteries from nonpregnant but no pregnant patients. The inhibition of the ter sion developed after exposure to potassium chloride, norepinephrine, and calcium ion is caused by a calcium channel blocking action.
我们的目的是研究17β-雌二醇调节非孕和孕患者网膜动脉离体环收缩活性的机制。
将来自非孕和孕妇女的具有完整内皮的网膜动脉环安装在器官浴槽中进行等长张力记录。研究了在与60 mmol/L氯化钾收缩的环中(在不存在和存在他莫昔芬,10⁻⁶ mol/L的情况下)17β-雌二醇(10⁻⁷ mol/L至3×10⁻⁵ mol/L)的浓度-舒张关系。在存在和不存在他莫昔芬(10⁻⁶ mol/L)的情况下,研究了17β-雌二醇(10⁻⁵ mol/L)对60 mmol/L氯化钾诱导的收缩以及对去甲肾上腺素(10⁻⁹ mol/L至10⁻⁵ mol/L)和钙离子(在无钙去极化溶液中0.05 mmol/L至2.5 mmol/L)的浓度-收缩关系的影响。计算最大收缩、产生50%舒张或50%收缩至参考60 mmol/L氯化钾收缩的浓度的负对数以及曲线下面积。数据分析采用单因素方差分析、Newman-Keuls检验和适当的双样本检验。双侧检验中概率值小于0.05被认为具有统计学意义。
17β-雌二醇使与60 mmol/L氯化钾收缩的网膜动脉舒张,且两组中这种作用均被他莫昔芬增强。用17β-雌二醇孵育网膜动脉抑制了两组患者环中60 mmol/L氯化钾诱导的收缩,且他莫昔芬在两组中均未拮抗这种作用。当暴露于去甲肾上腺素时,非孕患者的网膜动脉环(表示为参考氯化钾收缩的百分比)比孕妇女的环表现出更大的收缩,差异有统计学意义。17β-雌二醇以统计学显著方式降低非孕但不降低孕妇女网膜动脉中去甲肾上腺素诱导的收缩。他莫昔芬对两组中去甲肾上腺素的作用均无影响。17β-雌二醇在非孕和孕患者的网膜动脉环中类似地抑制钙离子诱导的收缩。他莫昔芬增强了孕患者动脉中雌二醇诱导的抑制作用。
17β-雌二醇抑制非孕但不抑制孕患者网膜动脉中去甲肾上腺素诱导的收缩。暴露于氯化钾、去甲肾上腺素和钙离子后产生的张力抑制是由钙通道阻断作用引起的。