OBJECTIVE: This study was designed to test the possibility that mast cells
play a role in the regulation of uterine contractility.
STUDY DESIGN: Histamine and rat mast cell protease II levels were determine
d by radioenzymatic assay and standard radial immunodiffusion techniques, r
espectively, in uterine tissues from Wistar rats with timed pregnancies. Is
olated uterine strips from nonsensitized and ovalbumin-sensitized nonpregna
nt and pregnant Wistar rats were used for isometric tension recording. Cont
ractile responses to compound 48/80, carbachol, ovalbumin, normal rabbit se
rum, antirat immunoglobulin E, and 5-hydroxytryptamine were obtained. Antag
onists methysergide, ketanserin, 5,8,11,14-eicosatetraynoic acid, diphenhyd
ramine, and sodium meclofenamate were also used.
RESULTS: Tissue levels of rat mast cell protease II and histamine were decr
eased during delivery compared with prepartum and postpartum levels. Carbac
hol and compound 48/80 stimulated uterine contractility, and responses were
highest during late gestation (day 16 to term). Responses to ovalbumin of
uterine tissues in rats sensitized to the antigen were highest at midpregna
ncy and decreased during the last 10 days of gestation. Ovalbumin challenge
in vitro increased the frequency and magnitude of contractions in tissues
from ovalbumin-sensitized rats. Compound 48/80 and antirat immunoglobulin E
stimulated contractility in both control and sensitized rats. None of the
antagonists prevented the contractile responses.
CONCLUSIONS: Activation of mast cells is an effective mechanism for stimula
tion of uterine contractility and may play an important role in the control
of term and preterm parturition.