Insulin-like growth factor–1 gene splice variants as markers of muscle damage in levator ani muscle after the first vaginal delivery

Studies in animals and human muscle have demonstrated differential splicing of the insulin-like growth factor–1 gene in response to mechanical strain and damage. We conducted a study on the expression of insulin-like growth factor–1 splice variants in the levator ani muscle after the first vaginal d...

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Veröffentlicht in:American journal of obstetrics and gynecology 2005-07, Vol.193 (1), p.64-70
Hauptverfasser: Cortes, Eduardo, te Fong, Lan F. Wong, Hameed, Mahjabeen, Harridge, Stephen, Maclean, Allan, Yang, Shi Yu, Reid, Wendy M., Goldspink, Geoffrey
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container_end_page 70
container_issue 1
container_start_page 64
container_title American journal of obstetrics and gynecology
container_volume 193
creator Cortes, Eduardo
te Fong, Lan F. Wong
Hameed, Mahjabeen
Harridge, Stephen
Maclean, Allan
Yang, Shi Yu
Reid, Wendy M.
Goldspink, Geoffrey
description Studies in animals and human muscle have demonstrated differential splicing of the insulin-like growth factor–1 gene in response to mechanical strain and damage. We conducted a study on the expression of insulin-like growth factor–1 splice variants in the levator ani muscle after the first vaginal delivery. Ten women were recruited after the first vaginal delivery. Biopsy specimens were taken vaginally of the pubovisceral component of the levator ani muscle. Five nonpregnant women were recruited as control subjects. Samples were processed with real-time quantitative polymerase chain reaction, with specific primers for the insulin-like growth factor–1 splice variants. Insulin-like growth factor splice variants mechano growth factor and insulin-like growth factor–1Ea were significantly up-regulated (100- and 1000-fold) in the delivery population, compared with control subjects ( P = .012 and .04, respectively). Statistical analysis indicated a correlation between the expression of the insulin-like growth factor–1 splice variants and the length of the second stage. These results show that damaged levator ani muscle results from stretch and overload after the first vaginal delivery.
doi_str_mv 10.1016/j.ajog.2004.12.088
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Insulin-like growth factor splice variants mechano growth factor and insulin-like growth factor–1Ea were significantly up-regulated (100- and 1000-fold) in the delivery population, compared with control subjects ( P = .012 and .04, respectively). Statistical analysis indicated a correlation between the expression of the insulin-like growth factor–1 splice variants and the length of the second stage. 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subjects Adult
Anus Diseases - metabolism
Anus Diseases - pathology
Biological and medical sciences
Biomarkers - metabolism
Case-Control Studies
Computer Systems
Delivery, Obstetric
Delivery. Postpartum. Lactation
DNA, Recombinant
Female
Genetic Variation
Gynecology. Andrology. Obstetrics
Humans
Immunologic Techniques
Insulin-Like Growth Factor I - genetics
Insulin-Like Growth Factor I - metabolism
Levator ani muscle
Medical sciences
Muscle damage
Muscular Diseases - metabolism
Muscular Diseases - pathology
Parity
Postpartum Period - metabolism
Reverse Transcriptase Polymerase Chain Reaction
Staining and Labeling
Vagina
title Insulin-like growth factor–1 gene splice variants as markers of muscle damage in levator ani muscle after the first vaginal delivery
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