|
|
||||||||
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, College of Medicine, University of Cincinnati, Cincinnati, Ohio 45267
The present study
was designed to assess the dose-related effects of platelet-activating
factor (PAF) on systemic, renal, and uterine hemodynamics in
nonpregnant sheep and to evaluate how pregnancy might alter these
responses. Nonpregnant and pregnant (110 ± 5 days gestation) ewes
were instrumented for conscious measurements of maternal mean arterial
pressure (MAP), renal blood flow (RBF), uterine blood flow (UBF),
hematocrit, and urinary protein concentration. After recovery,
dose-response curves to PAF were generated by systemic infusion at 10, 30, and 100 ng · kg
1 · min
1
(15 min/dose) into the maternal femoral vein. The above parameters were
measured, and renal and uterine vascular resistances (RVR and UVR,
respectively) were calculated. In pregnant sheep, PAF increased MAP,
RVR, UVR, and urinary protein concentration. We also observed increases
in hematocrit, indicative of reduced blood volume secondary to
increased systemic microvascular protein permeability. These responses
were similar in nonpregnant sheep, with the exception of UVR in
nonpregnant ewes being decreased (and thus UBF was increased), whereas
in pregnant sheep, UVR was increased, which resulted in decreased UBF.
This suggests that pregnancy alters the mechanism of action of PAF
within the uterine vasculature in a way that can reduce UBF and thereby
potentially compromise placental perfusion.
kidney; uterine vasculature; proteinuria; hematocrit
This article has been cited by other articles:
![]() |
S. McElvy, S. G. Greenberg, J. L. Mershon, D. S. Yang, C. Magill, and K. E. Clark Mechanism of uterine vascular refractoriness to endothelin-1 in pregnant sheep Am J Physiol Heart Circ Physiol, August 1, 2001; 281(2): H804 - H812. [Abstract] [Full Text] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| Visit Other APS Journals Online |