Mechanisms of endothelium-dependent relaxation in myometrial resistance vessels and their alteration in preeclampsia.

Abstract:

OBJECTIVE:To investigate the importance of prostacyclin and nitric oxide synthesis in endothelium-dependent relaxation in myometrial resistance vessels, and to test the hypothesis that a deficiency in nitric oxide synthesis contributes to the known alterations in endothelial function in preeclampsia. METHODS:Thirty-six women with normal pregnancies and 14 with preeclampsia had the myometrium biopsied at cesarean section. Resistance arteries were dissected and mounted on a wire myograph. After preconstriction with vasopressin, vessels were treated cumulatively with bradykinin. The process was repeated in the presence of indomethacin and then indomethacin and NG-monomethyl-L-arginine (L-NMMA). RESULTS:The vessels from women with normal pregnancies showed endothelium-dependent relaxation to bradykinin which was not significantly altered by the presence of indomethacin. The addition of L-NMMA significantly, but only partially, reduced the relaxation to bradykinin in the presence of indomethacin (p = 0.03). The vessels from women with preeclampsia showed markedly reduced relaxation to bradykinin (p < 0.0001), as compared to vessels from normal pregnant women. Relaxation of vessels from women with preeclampsia was increased by the addition of indomethacin (p = 0.03) but was virtually eradicated by the presence of L-NMMA. CONCLUSIONS:Eicosanoid synthesis plays little part in the relaxation of normal pregnant myometrial vessels to bradykinin. Nitric oxide synthesis mediates part but not all of the endothelium-dependent relaxation. In preeclampsia, relaxation to bradykinin is reduced; inhibition of eicosanoid synthesis allows increased relaxation, and nitric oxide synthesis appears to mediate a greater proportion of the relaxation than in normal pregnant women.

journal_name

Hypertens Pregnancy

authors

Ashworth JR,Baker PN,Warren AY,Johnson IR

doi

10.3109/10641959909009611

keywords:

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

57-71

issue

1

eissn

1064-1955

issn

1525-6065

journal_volume

18

pub_type

杂志文章
  • ADAMTS 1, 4, 12, and 13 levels in maternal blood, cord blood, and placenta in preeclampsia.

    abstract::The aim of this study is to compare ADAMTS (A Disintegrin and Metalloprotease Domains with Thrombospondins motifs) 1, 4, 12, and 13 levels in maternal and cord blood and placental tissue between preeclampsia and uncomplicated pregnancies. The enzyme-linked immunosorbent assay (ELISA) results showed that ADAMTS 1, 4, 1...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.1080/10641955.2017.1397690

    authors: Namlı Kalem M,Kalem Z,Yüce T,Soylemez F

    更新日期:2018-02-01 00:00:00

  • A mass spectrometric multicenter study supports classification of preeclampsia as heterogeneous disorder.

    abstract:OBJECTIVE:The diagnostic value of affinity-based matrix-assisted laser desorption/ionization time-of-flight mass spectrometry analysis to distinguish preeclampsia (PE) from matched controls was tested in a multicenter setting. METHODS:Serum samples of preeclamptic (n = 60) and healthy pregnant women (n = 66) from four...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章,多中心研究

    doi:10.3109/10641955.2011.640375

    authors: Pecks U,Schütt A,Röwer C,Reimer T,Schmidt M,Preschany S,Stepan H,Rath W,Glocker MO

    更新日期:2012-01-01 00:00:00

  • A study of lipoproteins in normal and pregnancy induced hypertensive women in tertiary care hospitals of the north west frontier province-Pakistan.

    abstract:OBJECTIVES:To evaluate the levels of serum lipoproteins in women with pregnancy-induced hypertension and compare it with the corresponding levels in pregnant women having normal blood pressure. METHOD:This cross-sectional study was conducted in the three tertiary care hospitals of Peshawar, North West Frontier Provinc...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.3109/10641955.2010.507843

    authors: Jan MR,Nazli R,Shah J,Akhtar T

    更新日期:2012-01-01 00:00:00

  • Interactions between inflammatory and oxidative stress in preeclampsia.

    abstract:OBJECTIVE:Oxidative stress and a generalized inflammatory state are features of preeclampsia (PE). The objective of this study was to compare the levels of products of inflammatory reaction and oxidative stress markers in patients with PE, and to determine the relationship between oxidative stress and inflammation in P...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.1080/10641950802233064

    authors: Ouyang YQ,Li SJ,Zhang Q,Cai HB,Chen HP

    更新日期:2009-02-01 00:00:00

  • Heat shock protein 70 is not increased in women with severe preeclampsia.

    abstract:OBJECTIVE:The purpose of this study is to determine if heat shock protein 70 (Hsp 70), a marker of cellular stress, is elevated in pregnancies complicated by severe preeclampsia. METHODS:Maternal blood was collected from women with severe preeclampsia (n=47) matched for delivery gestational age to normotensive pregnan...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.1081/PRG-120004767

    authors: Livingston JC,Ahokas R,Haddad B,Sibai BM,Awaads R

    更新日期:2002-01-01 00:00:00

  • A randomised, double-blinded, placebo-controlled study of the phosphodiesterase type 5 inhibitor sildenafil for the treatment of preeclampsia.

    abstract:OBJECTIVE:To determine if the phosphodiesterase type 5 inhibitor sildenafil prolongs pregnancy in women with preeclampsia. METHODS:Women with preeclampsia at gestational ages 24-34 weeks were recruited from nine hospitals in the UK, and randomly assigned to sildenafil citrate or placebo. Medication was increased every...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/10641950802601278

    authors: Samangaya RA,Mires G,Shennan A,Skillern L,Howe D,McLeod A,Baker PN

    更新日期:2009-08-01 00:00:00

  • Endothelin-1 expression by vascular endothelial growth factor in human umbilical vein endothelial cells and aortic smooth muscle cells.

    abstract:OBJECTIVE:This study investigated endothelin-1 (ET-1) production induced by vascular endothelial growth factor (VEGF) in two different vascular wall cell types. METHODS:We analyzed the effect of endothelin-converting enzyme-1 (ECE-1) inhibitor and tissue inhibitors of matrix metalloproteinase-2 (TIMP-2) on VEGF-induce...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.3109/10641950903115053

    authors: Seol HJ,Oh MJ,Kim HJ

    更新日期:2011-01-01 00:00:00

  • Objective assessment of obstructive sleep apnea in normal pregnant and preeclamptic women.

    abstract:OBJECTIVE:Obstructive sleep apnea (OSA) is a risk factor for adverse pregnancy outcomes. The aim of this study was to evaluate the association between OSA and preeclampsia. METHODS:Between 30 and 39 weeks gestation, objective sleep apnea were evaluated in 38 normal pregnant and 40 preeclamptic women. Preeclampsia was ...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.1080/10641955.2018.1498879

    authors: Keshavarzi F,Mehdizadeh S,Khazaie H,Ghadami MR

    更新日期:2018-08-01 00:00:00

  • Hypertension in pregnancy after Escherichia coli O157:H7 gastroenteritis: a cohort study.

    abstract:BACKGROUND:Escherichia coli O157:H7 is a common cause of bacterial gastroenteritis and may increase the risk of hypertension. We studied the risk of hypertension in pregnancy following a large E. coli O157:H7 outbreak that occurred in Walkerton, Canada, in the year 2000. METHODS:We linked data collected from Walkerton...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.3109/10641955.2013.810238

    authors: Nevis IF,Sontrop JM,Clark WF,Huang A,McDonald S,Thabane L,Moist L,Macnab JJ,Suri R,Garg AX

    更新日期:2013-11-01 00:00:00

  • Low neonatal birth weight as a possible predictive factor for the onset of postpartum eclampsia.

    abstract:OBJECTIVE:To report about a case of complicated late postpartum eclampsia where neonatal low birth weight could be considered a predictive factor of placental sufferance. METHODS:A 25-year-old woman, without medical or familiar history for hypertension or cerebrovascular diseases, underwent a normal spontaneous delive...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.3109/10641955.2010.506231

    authors: Tersigni C,Esposito G,Albanese A,D'Ippolito S,Sabatino G,Di Simone N,Caruso A

    更新日期:2011-01-01 00:00:00

  • Comprehensive analysis of DNA methylation and gene expression of placental tissue in preeclampsia patients.

    abstract:OBJECTIVE:DNA methylation is an important epigenetic regulator of gene transcription, and is involved in many diseases, which has been researched recently. In this study, we aimed to investigate DNA methylation and gene expression in preeclampsia placenta. Preeclampsia has been observed in patients with molar pregnancy...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.3109/10641955.2015.1117099

    authors: Xuan J,Jing Z,Yuanfang Z,Xiaoju H,Pei L,Guiyin J,Yu Z

    更新日期:2016-01-01 00:00:00

  • Eclampsia in Sweden.

    abstract:OBJECTIVE:Assess the actual rate of eclampsia in Sweden, describe the clinical picture of the disease and the maternal and perinatal outcomes. METHODS:Analysis of data regarding incidence of eclampsia registered in the Swedish Medical Birth Register 1991-1992. The records of all the cases with the diagnosis of eclamps...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.1081/PRG-120002906

    authors: Kullberg G,Lindeberg S,Hanson U

    更新日期:2002-01-01 00:00:00

  • Predicting transformation from gestational hypertension to preeclampsia in clinical practice: a possible role for 24 hour ambulatory blood pressure monitoring.

    abstract:OBJECTIVE:To identify parameters that may assist clinicians in predicting which women will develop preeclampsia (PE) after initially presenting with gestational hypertension (GH). METHODS:118 women were recruited to the study with GH or PE. They were divided into three groups based on their diagnosis at delivery- (1) ...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.1080/10641950601147952

    authors: Davis GK,Mackenzie C,Brown MA,Homer CS,Holt J,McHugh L,Mangos G

    更新日期:2007-01-01 00:00:00

  • Subsequent pregnancy outcome after first pregnancy with normotensive early-onset intrauterine growth restriction at

    abstract:OBJECTIVE:The aim of this study was to evaluate maternal and fetal outcome of the subsequent pregnancy of primiparous women with a history of early-onset intrauterine growth restriction (IUGR), prompting delivery before 34 weeks of gestation, without concomitant maternal hypertensive disease. DESIGN:Retrospective coho...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.3109/10641955.2010.484080

    authors: Evers AC,van Rijn BB,van Rossum MM,Bruinse HW

    更新日期:2011-01-01 00:00:00

  • Markers for presymptomatic prediction of preeclampsia and intrauterine growth restriction.

    abstract::Preeclampsia and intrauterine growth restriction are both characterized by placental malfunction. The pathological processes of abnormal trophoblast invasion, partial absence of maternal spiral artery modification, increased apoptosis of trophoblast cells, and placental ischemia are all associated with the release of ...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章,评审

    doi:10.1081/PRG-120028292

    authors: Tjoa ML,Oudejans CB,van Vugt JM,Blankenstein MA,van Wijk IJ

    更新日期:2004-01-01 00:00:00

  • VAL158MET catechol O-methyltransferase polymorphism contributes to the development of preeclampsia.

    abstract::Objectives: Establishment of association between: (a) Val158Met COMT (G1947A) polymorphism and preeclampsia; (b) cytokines gene expression and COMT genotypes. Methods: 50 preeclampsia and 50 healthy pregnant women were enrolled. COMT genotyping was done by PCR/RFLP. TNF-α, IL-1β, and IL-6 mRNA levels were determined b...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.1080/10641955.2020.1843663

    authors: Sljivancanin Jakovljevic T,Kontic-Vucinic O,Nikolic N,Carkic J,Milasin J

    更新日期:2020-11-01 00:00:00

  • Relationship between nulliparity and preeclampsia may be explained by altered circulating soluble fms-like tyrosine kinase 1.

    abstract:OBJECTIVE:To test the hypothesis that the risk of preeclampsia in nulliparous women may be due to an anti-angiogenic state. METHODS:Maternal serum samples obtained in the third trimester from nulliparous (n = 86) and multiparous (n = 165) singleton uncomplicated pregnancies were analyzed for levels of angiogenic facto...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.3109/10641955.2013.858745

    authors: Bdolah Y,Elchalal U,Natanson-Yaron S,Yechiam H,Bdolah-Abram T,Greenfield C,Goldman-Wohl D,Milwidsky A,Rana S,Karumanchi SA,Yagel S,Hochner-Celnikier D

    更新日期:2014-05-01 00:00:00

  • Neutrophils, but not lymphocytes or monocytes, infiltrate maternal systemic vasculature in women with preeclampsia.

    abstract:OBJECTIVE:Leukocytes are activated in women with preeclampsia, but the class of leukocytes that infiltrates the maternal vasculature and, therefore, is most likely to cause vascular dysfunction is not known. METHODS:Subcutaneous fat biopsies were obtained at Cesarean section or abdominal surgery from 7 normal non-preg...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.1080/10641950801958067

    authors: Cadden KA,Walsh SW

    更新日期:2008-01-01 00:00:00

  • Changes in endothelial function, arterial stiffness and blood pressure in pregnant women after consumption of high-flavanol and high-theobromine chocolate: a double blind randomized clinical trial.

    abstract:OBJECTIVES:The aim of this 2-group, parallel, double blind single-centre RCT was to evaluate the acute and chronic impacts of high flavanol high theobromine (HFHT) chocolate consumption on endothelial function, arterial stiffness and blood pressure (BP) in women at risk of preeclampsia. METHODS:131 pregnant women cons...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/10641955.2018.1446977

    authors: Babar A,Bujold E,Leblanc V,Lavoie-Lebel É,Paquette J,Bazinet L,Lemieux S,Marc I,Abdous B,Dodin S

    更新日期:2018-05-01 00:00:00

  • Amino-terminal pro-brain natriuretic peptide levels in hypertensive disorders complicating pregnancy.

    abstract:OBJECTIVE:Amino-terminal pro-brain natriuretic peptide (NT-proBNP) is synthesized in cardiac ventricles in response to volume expansion. This study evaluated NT-proBNP levels to determine the clinical correlation with the severity of hypertensive disorders complicating pregnancy. METHODS:NT-proBNP levels of 95 pregnan...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.3109/10641950903115046

    authors: Seong WJ,Kim SC,Hong DG,Koo TB,Park IS

    更新日期:2011-01-01 00:00:00

  • Neurodevelopmental and cognitive assessment of children born growth restricted to mothers with and without preeclampsia.

    abstract::We examined neurological and intellectual outcome of growth-restricted newborns of pregnancies complicated with preeclampsia and without preeclampsia. Seventy-five consecutive growth restricted newborns (<5th percentile) were prospectively followed up at 6 months' intervals. Newborns with major congenital malformation...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.1081/PRG-120016791

    authors: Many A,Fattal A,Leitner Y,Kupferminc MJ,Harel S,Jaffa A

    更新日期:2003-01-01 00:00:00

  • Treatment of severe hypertension during pregnancy: we still do not know what the best option is.

    abstract::Intracranial hemorrhage and stroke are primary causes of maternal mortality in pregnancies affected by hypertensive disorders. As such antihypertensive therapy plays a crucial role in the management of severe hypertension. However, the target level to achieve the best outcome for both - mother and fetus - is still unc...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章,评审

    doi:10.1080/10641955.2019.1708383

    authors: Wertaschnigg D,Wang R,Reddy M,Costa FDS,Mol BWJ,Rolnik DL

    更新日期:2020-02-01 00:00:00

  • Is gestational hypertension associated with affective temperaments?

    abstract::Objective: Gestational hypertension (GH) is an important pregnancy complication. Sparse studies have shown a correlation between this complication and psychological disorders in patients. In this study, we aimed to assess the possible association between affective temperaments and GH.Methods: This cross-sectional stud...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.1080/10641955.2020.1749279

    authors: Rezaei Ardani A,Tara F,Naghizadeh Kashani S,Hatami SB,Emadzadeh M,Nahidi M

    更新日期:2020-05-01 00:00:00

  • Host inflammatory response profiling in preeclampsia using an in vitro whole blood stimulation model.

    abstract::The pathophysiology of preeclampsia (PET) implicates an inflammatory dysfunction. This study profiled this host response by challenging whole blood with lipopolysaccharide. Multiplex immunoassays determined interleukin (IL)-1beta, IL-2, IL-4, IL-5, IL-6, IL-7, IL-8, IL-10, IL-12(p70), IL-13, IL-17, granulocyte/granulo...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.1080/10641950701826067

    authors: Brewster JA,Orsi NM,Gopichandran N,Ekbote UV,Cadogan E,Walker JJ

    更新日期:2008-01-01 00:00:00

  • Counselling and management of cardiovascular risk factors after preeclampsia.

    abstract:OBJECTIVE:Women with a history of preeclampsia have an increased risk of cardiovascular disease. Gynaecologists have an important role in the counselling and management of cardiovascular risk factors after preeclampsia. We aimed to assess the role of gynaecologists in informing women on interventions and risk factor fo...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.3109/10641955.2015.1100311

    authors: van Kesteren F,Visser S,Hermes W,Teunissen PW,Franx A,van Pampus MG,Mol BW,de Groot CJ

    更新日期:2016-01-01 00:00:00

  • Fibrinogen concentration and factor VIII activity in women with preeclampsia.

    abstract:OBJECTIVE:To compare fibrinogen concentration and factor VIII activity obtained from pregnant women with preeclampsia with those obtained from women with either normal pregnancies or with complications unrelated to preeclampsia. MATERIALS AND METHODS:Fibrinogen concentration and factor VIII activity were measured in t...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.1080/10641950701548240

    authors: Williams VK,Griffiths AB,Carbone S,Hague WM

    更新日期:2007-01-01 00:00:00

  • Effects of in vitro culture at the preimplantation embryo stage on early development and hypertension in ISIAH rats.

    abstract::Objective: The study investigates how IVC and ET affect hypertensive phenotype in ISIAH rats. Methods: ISIAH rats born as the result of ET and IVC were compared with naturally conceived controls. Results: Embryo transfer from hypertensive ISIAH rats to normotensive recipient dams caused lower SBP and DBP in the female...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.1080/10641955.2019.1647232

    authors: Igonina TN,Ragaeva DS,Petrova OM,Rozkova IN,Brusentsev EY,Amstislavsky SY

    更新日期:2019-11-01 00:00:00

  • Preventing preeclampsia and its fetal complications with low-dose aspirin in East Asians and non-East Asians:A systematic review and meta-analysis.

    abstract:BACKGROUND:Low-dose aspirin can reduce the incidence of preeclampsia and intrauterine growth restriction (IUGR). However, the effects of ethnicity upon low-dose aspirin's efficacy has not been analyzed. Here, we comparatively evaluated the efficacy of low-dose aspirin in preventing preeclampsia and related fetal compli...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章,meta分析,评审

    doi:10.1080/10641955.2016.1178772

    authors: Gan J,He H,Qi H

    更新日期:2016-08-01 00:00:00

  • Calcium level during the first trimester of pregnancy as a predictor of preeclampsia.

    abstract:OBJECTIVE:To examine the association between calcium levels during the first trimester of pregnancy and preeclampsia. METHODS:The study population included registered births (n = 5233) in a tertiary medical center between 2001 and 2011. A comparison was performed between women with and without hypocalcemia during the ...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.3109/10641955.2013.877925

    authors: Gabbay A,Tzur T,Weintraub AY,Shoham-Vardi I,Sergienko R,Sheiner E

    更新日期:2014-08-01 00:00:00

  • The effects of preeclampsia and oxygen environment on endothelial release of matrix metalloproteinase-2.

    abstract:BACKGROUND:There is evidence of altered vascular endothelial function in women with preeclampsia as well as in the endothelial cells from umbilical vessels of preeclamptic pregnancies. Matrix metalloproteinase (MMP)-2 is elevated in the plasma of preeclamptic women and is a mediator of vascular reactivity; however, whe...

    journal_title:Hypertension in pregnancy

    pub_type: 杂志文章

    doi:10.1081/PRG-120028281

    authors: Merchant SJ,Narumiya H,Zhang Y,Guilbert LJ,Davidge ST

    更新日期:2004-01-01 00:00:00