Endothelium-dependent relaxation of human resistance arteries in pregnancy

Objective: Reduced peripheral vascular resistance is an integral component of vascular adaptation in pregnancy. The precise mediators of the reduced resistance are unknown, however, and are often assessed by indirect means. In this study we investigated endothelium-dependent relaxation directly by e...

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Veröffentlicht in:American journal of obstetrics and gynecology 1994-11, Vol.171 (5), p.1309-1315
Hauptverfasser: McCarthy, Andrew L., Taylor, Paul, Graves, John, Raju, Shanti K., Poston, Lucilla
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container_end_page 1315
container_issue 5
container_start_page 1309
container_title American journal of obstetrics and gynecology
container_volume 171
creator McCarthy, Andrew L.
Taylor, Paul
Graves, John
Raju, Shanti K.
Poston, Lucilla
description Objective: Reduced peripheral vascular resistance is an integral component of vascular adaptation in pregnancy. The precise mediators of the reduced resistance are unknown, however, and are often assessed by indirect means. In this study we investigated endothelium-dependent relaxation directly by examining acetylcholine-mediated relaxation in small arteries dissected from the subcutaneous fat layer undergoing biopsy at the time of gynecologic surgery and cesarean section. Study Design: By means of a small vessel myograph we measured tension in resistance arteries of normal pregnant (n = 22) and nonpregnant (n = 10) women and assessed the contributions of vasodilatory prostanoids and endothelium-derived relaxing factor on endothelium-dependent relaxation, as elicited by acetylcholine (1 nmol/L to 10 μmol/L) after precontraction with 3 μmol/L norepinephrine. Results: Endothelium-dependent relaxation was similar in arteries of pregnant and nonpregnant women. Sodium nitroprusside-induced relaxation was similar in arteries of pregnant and nonpregnant women. Conclusion: This study fails to demonstrate any increase in acetylcholine-induced endothelium-dependent relaxation in small subcutaneous arteries in pregnancy.
doi_str_mv 10.1016/0002-9378(94)90153-8
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The precise mediators of the reduced resistance are unknown, however, and are often assessed by indirect means. In this study we investigated endothelium-dependent relaxation directly by examining acetylcholine-mediated relaxation in small arteries dissected from the subcutaneous fat layer undergoing biopsy at the time of gynecologic surgery and cesarean section. Study Design: By means of a small vessel myograph we measured tension in resistance arteries of normal pregnant (n = 22) and nonpregnant (n = 10) women and assessed the contributions of vasodilatory prostanoids and endothelium-derived relaxing factor on endothelium-dependent relaxation, as elicited by acetylcholine (1 nmol/L to 10 μmol/L) after precontraction with 3 μmol/L norepinephrine. Results: Endothelium-dependent relaxation was similar in arteries of pregnant and nonpregnant women. Sodium nitroprusside-induced relaxation was similar in arteries of pregnant and nonpregnant women. Conclusion: This study fails to demonstrate any increase in acetylcholine-induced endothelium-dependent relaxation in small subcutaneous arteries in pregnancy.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/0002-9378(94)90153-8</identifier><identifier>PMID: 7977539</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Acetylcholine - pharmacology ; Adult ; Arginine - analogs &amp; derivatives ; Arginine - pharmacology ; Arteries - drug effects ; Arteries - physiology ; Biological and medical sciences ; endothelium ; Endothelium, Vascular - physiology ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Indomethacin - pharmacology ; Mother. Fetoplacental unit. Mammary gland. Milk ; NG-Nitroarginine Methyl Ester ; nitric oxide ; Nitric Oxide - antagonists &amp; inhibitors ; Pregnancy ; Pregnancy - physiology ; Pregnancy. Parturition. 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The precise mediators of the reduced resistance are unknown, however, and are often assessed by indirect means. In this study we investigated endothelium-dependent relaxation directly by examining acetylcholine-mediated relaxation in small arteries dissected from the subcutaneous fat layer undergoing biopsy at the time of gynecologic surgery and cesarean section. Study Design: By means of a small vessel myograph we measured tension in resistance arteries of normal pregnant (n = 22) and nonpregnant (n = 10) women and assessed the contributions of vasodilatory prostanoids and endothelium-derived relaxing factor on endothelium-dependent relaxation, as elicited by acetylcholine (1 nmol/L to 10 μmol/L) after precontraction with 3 μmol/L norepinephrine. Results: Endothelium-dependent relaxation was similar in arteries of pregnant and nonpregnant women. Sodium nitroprusside-induced relaxation was similar in arteries of pregnant and nonpregnant women. Conclusion: This study fails to demonstrate any increase in acetylcholine-induced endothelium-dependent relaxation in small subcutaneous arteries in pregnancy.</description><subject>Acetylcholine - pharmacology</subject><subject>Adult</subject><subject>Arginine - analogs &amp; derivatives</subject><subject>Arginine - pharmacology</subject><subject>Arteries - drug effects</subject><subject>Arteries - physiology</subject><subject>Biological and medical sciences</subject><subject>endothelium</subject><subject>Endothelium, Vascular - physiology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Indomethacin - pharmacology</subject><subject>Mother. Fetoplacental unit. Mammary gland. Milk</subject><subject>NG-Nitroarginine Methyl Ester</subject><subject>nitric oxide</subject><subject>Nitric Oxide - antagonists &amp; inhibitors</subject><subject>Pregnancy</subject><subject>Pregnancy - physiology</subject><subject>Pregnancy. Parturition. Lactation</subject><subject>prostaglandins</subject><subject>Reference Values</subject><subject>Vascular Resistance</subject><subject>Vasoconstriction - drug effects</subject><subject>Vasodilation - physiology</subject><subject>Vertebrates: reproduction</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLxDAQgIMouj7-gUIPInqoJk2TJhdBZH0heNFzSJOpRtp0TVpx_72pu-xRCEwy882Q-RA6JviSYMKvMMZFLmklzmV5ITFhNBdbaEawrHIuuNhGsw2yh_Zj_JyehSx20W4lq4pROUNPc2_74QNaN3a5hQV4C37IArT6Rw-u91nfZB9jp33KRRcH7Q1kOgwQHMTM-WwR4N2n7PIQ7TS6jXC0jgfo7W7-evuQP7_cP97ePOeGCj7kgnJoKCHplAzTWkteidpIxmsmcMOAmxpEY0ttMSWM0dLiojY03Qvg3NADdLaauwj91whxUJ2LBtpWe-jHqCouGBacJLBcgSb0MQZo1CK4ToelIlhNCtUkRE1-lCzVn0IlUtvJev5Yd2A3TWtnqX66rutodNuEtLyLG4zSksiqSNj1CoPk4ttBUNE4SPasC2AGZXv3_z9-Ae_zjMc</recordid><startdate>19941101</startdate><enddate>19941101</enddate><creator>McCarthy, Andrew L.</creator><creator>Taylor, Paul</creator><creator>Graves, John</creator><creator>Raju, Shanti K.</creator><creator>Poston, Lucilla</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19941101</creationdate><title>Endothelium-dependent relaxation of human resistance arteries in pregnancy</title><author>McCarthy, Andrew L. ; Taylor, Paul ; Graves, John ; Raju, Shanti K. ; Poston, Lucilla</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-836ef3113114503ba9678bc956b580f5e6cbe8fd4ad0315534d02bc33152e66c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Acetylcholine - pharmacology</topic><topic>Adult</topic><topic>Arginine - analogs &amp; derivatives</topic><topic>Arginine - pharmacology</topic><topic>Arteries - drug effects</topic><topic>Arteries - physiology</topic><topic>Biological and medical sciences</topic><topic>endothelium</topic><topic>Endothelium, Vascular - physiology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Indomethacin - pharmacology</topic><topic>Mother. Fetoplacental unit. Mammary gland. Milk</topic><topic>NG-Nitroarginine Methyl Ester</topic><topic>nitric oxide</topic><topic>Nitric Oxide - antagonists &amp; inhibitors</topic><topic>Pregnancy</topic><topic>Pregnancy - physiology</topic><topic>Pregnancy. Parturition. Lactation</topic><topic>prostaglandins</topic><topic>Reference Values</topic><topic>Vascular Resistance</topic><topic>Vasoconstriction - drug effects</topic><topic>Vasodilation - physiology</topic><topic>Vertebrates: reproduction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McCarthy, Andrew L.</creatorcontrib><creatorcontrib>Taylor, Paul</creatorcontrib><creatorcontrib>Graves, John</creatorcontrib><creatorcontrib>Raju, Shanti K.</creatorcontrib><creatorcontrib>Poston, Lucilla</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McCarthy, Andrew L.</au><au>Taylor, Paul</au><au>Graves, John</au><au>Raju, Shanti K.</au><au>Poston, Lucilla</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endothelium-dependent relaxation of human resistance arteries in pregnancy</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1994-11-01</date><risdate>1994</risdate><volume>171</volume><issue>5</issue><spage>1309</spage><epage>1315</epage><pages>1309-1315</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective: Reduced peripheral vascular resistance is an integral component of vascular adaptation in pregnancy. The precise mediators of the reduced resistance are unknown, however, and are often assessed by indirect means. In this study we investigated endothelium-dependent relaxation directly by examining acetylcholine-mediated relaxation in small arteries dissected from the subcutaneous fat layer undergoing biopsy at the time of gynecologic surgery and cesarean section. Study Design: By means of a small vessel myograph we measured tension in resistance arteries of normal pregnant (n = 22) and nonpregnant (n = 10) women and assessed the contributions of vasodilatory prostanoids and endothelium-derived relaxing factor on endothelium-dependent relaxation, as elicited by acetylcholine (1 nmol/L to 10 μmol/L) after precontraction with 3 μmol/L norepinephrine. Results: Endothelium-dependent relaxation was similar in arteries of pregnant and nonpregnant women. Sodium nitroprusside-induced relaxation was similar in arteries of pregnant and nonpregnant women. Conclusion: This study fails to demonstrate any increase in acetylcholine-induced endothelium-dependent relaxation in small subcutaneous arteries in pregnancy.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>7977539</pmid><doi>10.1016/0002-9378(94)90153-8</doi><tpages>7</tpages></addata></record>
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subjects Acetylcholine - pharmacology
Adult
Arginine - analogs & derivatives
Arginine - pharmacology
Arteries - drug effects
Arteries - physiology
Biological and medical sciences
endothelium
Endothelium, Vascular - physiology
Female
Fundamental and applied biological sciences. Psychology
Humans
Indomethacin - pharmacology
Mother. Fetoplacental unit. Mammary gland. Milk
NG-Nitroarginine Methyl Ester
nitric oxide
Nitric Oxide - antagonists & inhibitors
Pregnancy
Pregnancy - physiology
Pregnancy. Parturition. Lactation
prostaglandins
Reference Values
Vascular Resistance
Vasoconstriction - drug effects
Vasodilation - physiology
Vertebrates: reproduction
title Endothelium-dependent relaxation of human resistance arteries in pregnancy
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