17-hydroxyprogesterone blunts the hypertensive response associated with reductions in uterine perfusion pressure in pregnant rats

Autor: Babbette LaMarca, Marc Parrish, Sharon D. Keiser, Lillian Fournier Ray, William A. Bennett, Edward Veillon, Kathy Cockrell, James N. Martin, Joey P. Granger
Rok vydání: 2009
Předmět:
Zdroj: American Journal of Obstetrics and Gynecology. 201:324.e1-324.e6
ISSN: 0002-9378
DOI: 10.1016/j.ajog.2009.05.054
Popis: Reduction in uteroplacental perfusion (RUPP) in pregnant rats is associated with hypertension, elevated cytokines, and activation of the endothelin (ET-1) system. Our objective was to determine whether the antiinflammatory properties of 17-alpha-hydroxyprogesterone caproate (17 OHP) reduce cytokine-stimulated vasoactive pathways that are associated with hypertension in response to placental ischemia.Mean arterial pressure (MAP), tumor necrosis factor-alpha (TNF-alpha), interleukin (IL)-6, and renal ET-1 were measured in the following: pregnant controls, pregnant controls plus 17 OHP (6.6 mg/kg), RUPP rats, and RUPP rats plus 17 OHP.MAP increased 29 mm Hg in RUPP rats compared with pregnant controls (P.001), whereas in RUPP plus 17 OHP rats, MAP increased only 19 mm Hg (P.05). TNF-alpha and IL-6 increased 2- to 3-fold, respectively, in response to placental ischemia but was normalized in RUPP rats treated with 17 OHP. ET-1 increased 3-fold in RUPP rats but was markedly less in RUPP plus 17 OHP rats.17 OHP blunts hypertension associated with RUPP, possibly via suppression of cytokine-stimulated ET-1 activation.
Databáze: OpenAIRE