Volume 168, Number 2
Am J Obstet Gynecol
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Interaction of myogenic and adrenergic mechanisms in
isolated, pressurized uterine radial arteries from late-
pregnant and nonpregnant rats
George 0501, PhD, and Marilyn Cipolla, BS
Burlington, Vermont
OBJECTIVE: The purpose of this study was to examine how myogenic and adrenergic mechanisms
interact in controlling the lumen diameter of small uterine arteries from nonpregnant and late-pregnant
rats.
STUDY DESIGN: Radial arteries (150 to 250 urn lumen diameter) from nonpregnant (n = 28) and
late-pregnant (n = 18) rats were studied in vitro under conditions of varying transmural pressure and
agonist concentrations.
RESULTS: (1) Arteries from late-pregnant rats were significantly (p < 0.05) larger in diameter and, unlike
nonpregnant vessels, developed a stable intrinsic tone at transmural pressures > 25 mm Hg. (2) Vessels
from late-pregnant rats displayed a threefold increase in sensitivity to the constrictor effects of
phenylephrine; 50% of maximal constriction, nonpregnant = 691 ± 148 nrnol/l, and
late-pregnant = 229 ± 32 nmol/L (p < 0.01). (3) There was no difference in sensitivity to potassium
depolarization. (4) Arteries from late-pregnant rats actively constricted to changes in transmural pressure,
whereas those from nonpregnant did not unless preactivated beforehand with phenylephrine or K' . (5)
After preconstriction the autoregulatory effectiveness of late-pregnant arteries in physiologic saline
solution versus phenylephrine or K+, or of nonpregnant in K+ and phenylephrine, appeared to be equal
in terms of absolute micrometers but not relative percent change in lumen diameter.
CONCLUSION: Pregnancy is associated with significant changes in the active contractile properties of
uterine resistance artery function, specifically heightened a-adrenergic sensitivity, intrinsic
(pressure-dependent) tone, and myogenic reactivity. (AM J OBSTET GVNECOL 1993;168:697-705.)
Key words: Adrenergic, myogenic, pregnancy, radial arteries, rats, uterine circulation
From the Division of Research, Department of Obstetrics and Gyne-
cology, University of Vermont College of Medicine.
Supported by American Heart Association Grant-In-Aid 523421.
G.O. is an Established Investigator of the American Heart Association.
Received for publication February 6, 1992; revised September 22,
1992; accepted September 25, 1992.
Reprint requests: George 0.101, PhD, Department of Obstetrics and
Gynecology, Given Building, Room C-213, University of Vermont
College of Medicine, Burlington, IT 05405.
Copyright © 1993 Mosby-Year Book, Inc.
()()D2-9378/93 $I.DO + .20 6/1/42965
Systemic arterial pressure normally decreases during
pregnancy. By definition, gestational increments in
uterine flow can therefore only be achieved by reducing
the overall resistance of the vascular bed. This is accom-
plished in part by vascular growth and remodeling,
which increases arterial diameter and alters the passive
mechanical properties of the vascular wall. 1-3 The uter-
ine circulation normally operates with a substantial
697