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Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan
Address all correspondence and requests for reprints to: Yasunori Yoshimura, M.D., Department of Obstetrics and Gynecology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160, Japan. E-mail: yasu{at}mc.med.keio.ac.jp
Evidence supports the involvement of nitric oxide (NO) in ovarian
physiology. The present study was undertaken to investigate the role of
the NO/NO synthase (NOS) systems in ovulation, oocyte maturation,
ovarian steroidogenesis, and PG production using in
vitro perfused rabbit ovaries. The addition of the NOS
inhibitors, aminoguanidine hemisulfate salt (AG) and
N-omega-nitro-L-arginine methyl ester (L-NAME),
to the perfusate inhibited the ovulation induced by hCG in a
dose-dependent manner, whereas D-NAME had no significant effect.
Neither AG nor L-NAME affected the hCG-induced meiotic maturation of
the ovulated ova. The exogenous administration of the NO generator,
sodium nitroprusside (NP), induced follicle rupture in the absence of
gonadotropin, but did not induce oocyte maturation. Inhibition of
endogenous NOS by AG and L-NAME resulted in a significant elevation in
the production of estradiol (E2), but not of progesterone,
stimulated by hCG. The concomitant administration of NP significantly
reduced the AG-stimulated production of E2 by ovaries
perfused in the presence of hCG, which suggests that NO down-regulates
ovarian E2 synthesis. Ovarian production of
PGE2 and PGF2
in response to hCG was
significantly blocked by L-NAME, and exogenous administration of NP
stimulated the production of PGs in the absence of gonadotropin.
Significant correlations were observed between the ovulatory
efficiencies and the production of PGs by rabbit ovaries perfused with
or without L-NAME. In conclusion, the ovarian NO/NOS system is involved
in follicle rupture during the ovulatory process. NO may induce
follicle rupture in rabbit ovaries at least in part by the
stimulation of PG production.
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