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The thermogenic activity of exogenous E and F prostaglandins in humans.

Abstract：

:A basic understanding of the physiologic effects of the prostaglandins on the human reproductive system has been one of the diverse scientific interests of Professor Axel Ingelman-Sundberg (19). Although the obvious clinical ultility of these ubiqitous compounds directed early attention to their therapeutic aspects, more recently there has been renewed interest in the basic physiologic mechanisms of the prostaglandins in reproductive medicine. Undoubtedly, the work of Dr Ingelman-Sundberg has stimulated many of his colleagues, students, and fellow scientists to pursue such basic studies in greater details. :Intensive observations of thermogenic parameters were made on 194 subjects (18-42 years old; 8-22 weeks gestation) aborted by prostaglandin (PG) analogs. Particular attention was paid to: 1) hourly temperature; 2) presence of visible shivering; 3) presence of endometritis or other infection; and 4) subjective feelings of hot and cold. Administration of F PGs elicited no significant thermogenic responses. However, administration of E PGs and their analogs by differing routes and dose schedules provoked thermal side effects such as temperature elevation (53%), rigors (93%), and subjective coldness (100%) in a high percentage of subjects. In 99 cases having abortion induced with intramuscular 15-methyl PGE2 analog, the concomitant administration of aspirin appeared to reduce the incidence and degree of these side effects (only 53% had fever above 38C). Severity of these side effects is dose-related. Although PGEs and their analogs appear to be thermogenic compounds, exerting their effects through a centrally mediated mechanism, there may also be peripheral vascular actions of these PGs which contribute to the appearance of thermal side effects.

journal_name

Acta Obstet Gynecol Scand

journal_title

Acta obstetricia et gynecologica Scandinavica

authors

Dingfelder JR,Brenner WE

doi

10.3109/00016347809154196

subject

Has Abstract

pub_date

1978-01-01 00:00:00

pages

35-40

issue

1

eissn

0001-6349

issn

1600-0412

journal_volume

57

pub_type

杂志文章

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