DAILY AND HOURLY TEMPORAL ASSOCIATION BETWEEN DELTA(4)-ANDROSTENEDIONE-INDUCED PRETERM MYOMETRIAL CONTRACTIONS AND MATERNAL PLASMA ESTRADIOL AND OXYTOCIN CONCENTRATIONS IN THE 0.8 GESTATION RHESUS-MONKEY
Da. Giussani et al., DAILY AND HOURLY TEMPORAL ASSOCIATION BETWEEN DELTA(4)-ANDROSTENEDIONE-INDUCED PRETERM MYOMETRIAL CONTRACTIONS AND MATERNAL PLASMA ESTRADIOL AND OXYTOCIN CONCENTRATIONS IN THE 0.8 GESTATION RHESUS-MONKEY, American journal of obstetrics and gynecology, 174(3), 1996, pp. 1050-1055
OBJECTIVE: Our purpose was to investigate the temporal relationship be
tween Delta(4)-androstenedione-induced preterm switching of myometrial
activity patterns from contractures to contractions and maternal plas
ma estradiol and oxytocin concentrations in the 0.8 gestation rhesus m
onkey. STUDY DESIGN: Eight rhesus monkeys (132 to 136 days' gestation)
were instrumented under halothane with femoral artery and vein cathet
ers and uterine electromyogram electrodes. At 138 to 142 days' gestati
on baseline maternal femoral artery blood samples for estradiol and ox
ytocin measurement were taken at 30-minute intervals for 7 hours, star
ting 2 hours before the onset of darkness. The day after baseline samp
ling a continuous intravenous Delta(4)-androstenedione infusion (0.3 m
g . kg(-1) . hr(-1) in 10% intralipid at 0.25 ml . hr(-1)) was started
in four monkeys, while four monkeys were infused intravenously with i
ntralipid alone. The sampling regimen was then repeated at 1 and 3 day
s after the start of the Delta(4)-androstenedione or intralipid infusi
on. Contractions were counted and estradiol and oxytocin were measured
by radioimmunoassay. RESULTS: Androstenedione promoted a premature no
cturnal increase in myometrial contractions in conjunction with an inc
rease in maternal plasma concentrations of estradiol and oxytocin, whi
ch were of similar magnitude to those measured in spontaneous term lab
or. The increase in maternal estradiol preceded the increase in matern
al oxytocin levels and myometrial contractions. The onset of the incre
ase in maternal plasma oxytocin was closely associated with the appear
ance of myometrial contractions after Delta(4)-androstenedione treatme
nt. In contrast, no sustained premature contractions or changes in est
radiol and oxytocin occurred in intralipid-treated monkeys. CONCLUSION
S: We conclude that in the 0.8 gestation rhesus monkey (1) the increas
e in maternal plasma estradiol precedes the increase in maternal plasm
a oxytocin after Delta(4)-androstenedione treatment and (2) Delta(4)-a
ndrostenedione-induced preterm myometrial contractions are closely ass
ociated in time with physiologic increases in maternal plasma oxytocin
concentrations.