Ruzycky A L, DeLoia J A
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, PA, USA.
Am J Obstet Gynecol. 1997 May;176(5):1077-83. doi: 10.1016/s0002-9378(97)70405-8.
This study tested the hypothesis that the increase in uterine tachyphylaxis to beta-adrenergic stimulation during pregnancy is associated with increased expression of the beta-adrenergic receptor-inactivating protein kinases.
Messenger ribonucleic acid was isolated from snap-frozen myometrium collected from nonpregnant and pregnant rats ranging from 10 to 22 days of gestation. Autoradiographic analysis of beta-adrenergic receptor-inactivating protein kinase messenger ribonucleic acid expression was performed after hybridization with specific complementary deoxyribonucleic acid probes for types 1 and 2 beta-adrenergic receptor-inactivating protein kinases. Probe-specific hybridization was normalized for ribosomal ribonucleic acid detected with methylene blue. Protein expression was detected by Western analysis with use of specific polyclonal antibodies.
Myometrial beta-adrenergic receptor-inactivating protein kinase type 2 messenger ribonucleic acid and protein levels increased during the course of pregnancy and in postpartum day 1. In contrast, type 1 levels remained unchanged during the same period. Estrogen treatment resulted in a modest 20% decrease in messenger ribonucleic acid levels of both subtypes. This effect was reversed with progesterone treatment.
These results suggest that the myometrium undergoes a functional remodeling late in pregnancy to a state promoting myometrial contractions. The increased myometrial expression of type 2 beta-adrenergic receptor-inactivating kinase may explain the decreased effectiveness of beta 2-adrenergic receptor-mediated contraction inhibition at the end of pregnancy and labor.
本研究检验了如下假设,即孕期子宫对β-肾上腺素能刺激快速耐受的增加与β-肾上腺素能受体失活蛋白激酶的表达增加有关。
从妊娠10至22天的未孕和孕鼠的速冻子宫肌层中分离信使核糖核酸。在用针对1型和2型β-肾上腺素能受体失活蛋白激酶的特异性互补脱氧核糖核酸探针杂交后,对β-肾上腺素能受体失活蛋白激酶信使核糖核酸表达进行放射自显影分析。用亚甲蓝检测的核糖体核糖核酸对探针特异性杂交进行标准化。使用特异性多克隆抗体通过蛋白质免疫印迹法检测蛋白质表达。
子宫肌层2型β-肾上腺素能受体失活蛋白激酶信使核糖核酸和蛋白质水平在孕期及产后第1天升高。相比之下,1型水平在同一时期保持不变。雌激素治疗导致两种亚型的信使核糖核酸水平适度下降20%。孕酮治疗可逆转此效应。
这些结果表明,子宫肌层在妊娠后期经历功能重塑,进入促进子宫肌层收缩的状态。2型β-肾上腺素能受体失活激酶子宫肌层表达增加可能解释了妊娠末期和分娩时β2-肾上腺素能受体介导的收缩抑制作用减弱的原因。