Digoxin-like immunoreactive substance and sodium-potassium-adenosine triphosphatase inhibition in normal pregnancy: A longitudinal study

Objective: To measure the levels of digoxin-like immunoreactive substance and digitalis-like factor bioactivity as manifested by sodium-potassium-adenosine triphosphatase (ATPase) inhibition throughout pregnancy. Methods: Serum samples were collected from primigravidas in early (15 ± 1.8 weeks), mid...

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Veröffentlicht in:Obstetrics and gynecology (New York. 1953) 1997-05, Vol.89 (5), p.743-746
Hauptverfasser: Gilson, George J., Graves, Steven W., Qualls, Clifford R., Curet, Luis B.
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container_issue 5
container_start_page 743
container_title Obstetrics and gynecology (New York. 1953)
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creator Gilson, George J.
Graves, Steven W.
Qualls, Clifford R.
Curet, Luis B.
description Objective: To measure the levels of digoxin-like immunoreactive substance and digitalis-like factor bioactivity as manifested by sodium-potassium-adenosine triphosphatase (ATPase) inhibition throughout pregnancy. Methods: Serum samples were collected from primigravidas in early (15 ± 1.8 weeks), mid (26 ± 1.2 weeks), and late (36 ± 1.1 weeks) gestation, as well as at 6 ± 1.1 weeks postpartum (mean ± standard error). Digoxin-like immunoreactive substance levels were determined by radioimmunoassay and digitalis-like factor bioactivity was determined by inhibition of ATPase. Data were analyzed by means of repeated measures analysis of variance. Results: In 41 women with normal pregnancy outcomes, levels of digoxin-like immunoreactive substance rose progressively and significantly ( P < .001) throughout pregnancy and returned to normal levels postpartum. Inhibition of ATPase activity also rose significantly ( P < .004), but not as dramatically, during pregnancy and remained elevated 6 weeks postpartum. Conclusion: Although digoxin-like immunoreactive substance levels rise in pregnancy, functional digitalis-like factor activity, as manifested by inhibition of ATPase, does not parallel this rise strictly, implying that digoxin-like immunoreactive substance receptors may be reset during normal pregnancy. The enhanced cardiac performance that occurs in normal pregnancy may be mediated in part by increased digitalis-like factor activity.
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Methods: Serum samples were collected from primigravidas in early (15 ± 1.8 weeks), mid (26 ± 1.2 weeks), and late (36 ± 1.1 weeks) gestation, as well as at 6 ± 1.1 weeks postpartum (mean ± standard error). Digoxin-like immunoreactive substance levels were determined by radioimmunoassay and digitalis-like factor bioactivity was determined by inhibition of ATPase. Data were analyzed by means of repeated measures analysis of variance. Results: In 41 women with normal pregnancy outcomes, levels of digoxin-like immunoreactive substance rose progressively and significantly ( P &lt; .001) throughout pregnancy and returned to normal levels postpartum. Inhibition of ATPase activity also rose significantly ( P &lt; .004), but not as dramatically, during pregnancy and remained elevated 6 weeks postpartum. Conclusion: Although digoxin-like immunoreactive substance levels rise in pregnancy, functional digitalis-like factor activity, as manifested by inhibition of ATPase, does not parallel this rise strictly, implying that digoxin-like immunoreactive substance receptors may be reset during normal pregnancy. 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Methods: Serum samples were collected from primigravidas in early (15 ± 1.8 weeks), mid (26 ± 1.2 weeks), and late (36 ± 1.1 weeks) gestation, as well as at 6 ± 1.1 weeks postpartum (mean ± standard error). Digoxin-like immunoreactive substance levels were determined by radioimmunoassay and digitalis-like factor bioactivity was determined by inhibition of ATPase. Data were analyzed by means of repeated measures analysis of variance. Results: In 41 women with normal pregnancy outcomes, levels of digoxin-like immunoreactive substance rose progressively and significantly ( P &lt; .001) throughout pregnancy and returned to normal levels postpartum. Inhibition of ATPase activity also rose significantly ( P &lt; .004), but not as dramatically, during pregnancy and remained elevated 6 weeks postpartum. 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Psychology</subject><subject>Hemodynamics - drug effects</subject><subject>Hormone metabolism and regulation</subject><subject>Humans</subject><subject>Pregnancy - physiology</subject><subject>Pregnancy Trimester, First</subject><subject>Pregnancy Trimester, Second</subject><subject>Pregnancy Trimester, Third</subject><subject>Pregnancy. Parturition. 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Psychology</topic><topic>Hemodynamics - drug effects</topic><topic>Hormone metabolism and regulation</topic><topic>Humans</topic><topic>Pregnancy - physiology</topic><topic>Pregnancy Trimester, First</topic><topic>Pregnancy Trimester, Second</topic><topic>Pregnancy Trimester, Third</topic><topic>Pregnancy. Parturition. Lactation</topic><topic>Prospective Studies</topic><topic>Saponins - metabolism</topic><topic>Vertebrates: reproduction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gilson, George J.</creatorcontrib><creatorcontrib>Graves, Steven W.</creatorcontrib><creatorcontrib>Qualls, Clifford R.</creatorcontrib><creatorcontrib>Curet, Luis B.</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>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gilson, George J.</au><au>Graves, Steven W.</au><au>Qualls, Clifford R.</au><au>Curet, Luis B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Digoxin-like immunoreactive substance and sodium-potassium-adenosine triphosphatase inhibition in normal pregnancy: A longitudinal study</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1997-05</date><risdate>1997</risdate><volume>89</volume><issue>5</issue><spage>743</spage><epage>746</epage><pages>743-746</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>Objective: To measure the levels of digoxin-like immunoreactive substance and digitalis-like factor bioactivity as manifested by sodium-potassium-adenosine triphosphatase (ATPase) inhibition throughout pregnancy. 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subjects Adenosine Triphosphatases - antagonists & inhibitors
Adult
Analysis of Variance
Biological and medical sciences
Biological Availability
Cardenolides
Digoxin
Enzyme Inhibitors - metabolism
Female
Fundamental and applied biological sciences. Psychology
Hemodynamics - drug effects
Hormone metabolism and regulation
Humans
Pregnancy - physiology
Pregnancy Trimester, First
Pregnancy Trimester, Second
Pregnancy Trimester, Third
Pregnancy. Parturition. Lactation
Prospective Studies
Saponins - metabolism
Vertebrates: reproduction
title Digoxin-like immunoreactive substance and sodium-potassium-adenosine triphosphatase inhibition in normal pregnancy: A longitudinal study
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