C. Yeagley et al., CONTRACTION INHIBITION BY BETA-AGONISTS PROGRESSIVELY DECREASES BEFORE LABOR IN THE RAT MYOMETRIUM, American journal of obstetrics and gynecology, 174(5), 1996, pp. 1637-1642
OBJECTIVE: This study tested the hypothesis that gestational age and a
gonist concentration are important determinants of beta-adrenergic-dep
endent myometrial contraction inhibition. STUDY DESIGN: In vitro conce
ntration-response curves for ritodrine and terbutaline were generated
with myometrial strips collected from 21-day-pregnant rats. The in vit
ro efficacy of ritodrine (0.1 mu mol/L) was evaluated in tissue from 1
5-, 18-, and 21-day animals. Contractile responses were analyzed by co
mputer and normalized to a control potassium response. RESULTS: The de
gree of the inhibitory effects of both drugs was concentration depende
nt over the range of 0.01 to 10 mu mol/L. The duration of contraction
inhibition progressively decreased from 15 to 21 days of pregnancy. CO
NCLUSION: The degree of tachyphylaxis with beta-agonists is dependent
on and increases with the gestational age of the target tissue. beta-A
gonist type was not an important determinant of the duration of inhibi
tory response. We speculate that the effect of gestational age on tach
yphylaxis may be related to increased myometrial expression of inactiv
ating beta-adrenergic receptor kinases.