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Department of Zoology, University of Melbourne, Victoria, 3010, Australia
Address all correspondence and requests for reprints to: Marilyn B. Renfree, Department of Zoology, The University of Melbourne, Victoria, 3010, Australia.
| Abstract |
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| Introduction |
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metabolite and the oxytocic
peptide mesotocin (MT) (3, 4), and both hormones are
necessary for birth (5, 6). They stimulate contractions of
the gravid myometrium in vivo (7, 8, 9) and
in vitro (10), and the sensitivity of the
uterus to both increases in late pregnancy (8, 9, 10). The
activation of stimulatory pathways is thus an important component of
the onset of myometrial contractions at parturition. However, the
hormonal mechanisms by which quiescence of the uterus in maintained
during pregnancy in this marsupial are unknown. In all marsupials, there are two anatomically separate uteri, each with its own cervix opening into the anterior vaginae (11). In macropodid marsupials (kangaroos and wallabies), which are monovular, ovulation occurs from alternative ovaries in successive cycles (11). The gravid uterus is associated with an active corpus luteum and developing conceptus, whereas the nongravid uterus is ipsilateral to the developing Graafian follicle, which will ovulate at the postpartum estrus. The anatomical arrangement of the utero-ovarian vasculature allows hormones released by each ovary to be preferentially delivered to the ipsilateral uterus (12). The two uteri are thus differentially controlled, depending on the proximity of the corpus luteum, the fetus, and placenta on one side or the follicle on the other (10, 11, 12, 13, 14, 15). This makes the tammar an excellent model for comparing pregnant and nonpregnant tissue, because each animal has its own internal comparison between the gravid and nongravid uterus.
Myometrial contractility in mammals is regulated by ovarian steroids. In the tammar, spontaneous contractility of both uteri is absent during seasonal and lactational quiescence and after ovariectomy, when levels of estradiol and progesterone are low (7, 8). At this time, estradiol injections increase uterine contractility, whereas progesterone treatment does not (7, 8), suggesting that estradiol controls spontaneous uterine contractility. Parturition in tammars is usually associated with a precipitous fall in progesterone from the corpus luteum and a rise in estradiol from the developing follicle in the contralateral ovary (reviewed in 1, 11). However, neither of these hormonal events is essential for parturition. The timing and success of birth is not affected either by lutectomy or by treatment with exogenous progesterone in late pregnancy, and tammars give birth normally when the rise in estradiol is inhibited by blocking follicular development (reviewed in 1).
In eutherians, uterine quiescence is actively maintained during pregnancy by multiple mechanisms (16, 17, 18, 19). Recently, a role for the smooth muscle relaxant nitric oxide (NO) has been suggested by studies in a number of species (20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32). In these studies, NO was shown to relax myometrium from pregnant animals (rat, 23, 24 ; human, 25, 26), and isoforms of NO synthase (NOS) were found in uterine tissues (rat, 27, 28, 29, 30 ; rabbit, 31, 32). NO rapidly enters cells and stimulates the enzyme cytosolic guanylyl cyclase (cGC) leading to the production of the second messenger nucleotide cyclic GMP (cGMP). This activates a cGMP-dependent protein kinase (PKG), and muscle relaxation results from phosphorylation of various proteins involved in contraction (33). NO is also a smooth muscle relaxant in the gut of marsupials (34), and it may be similarly involved in maintaining myometrial quiescence during pregnancy.
This study investigated the role of NO in regulating myometrial contractility during late pregnancy and parturition in the tammar. The contractility of gravid and nongravid myometrium from the same pregnant female was directly compared, to determine the potential differential effects of local endocrine and paracrine factors in this process.
| Materials and Methods |
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The reproductive tract was removed, and the gravid and nongravid uteri were separated. Uteri were opened with a longitudinal incision, and the ovaries and cervices were removed. The fetus and yolk sac membrane were carefully extracted from the gravid uterus. The opened uteri were spread out flat, and the endometrium was plucked from the underlying myometrium with forceps (36). Longitudinal strips of myometrium, approximately 2.5 mm wide and 15 mm long, were cut from the tissue and placed in ice-cold Krebs-Ringer (118 mM NaCl, 1.18 mM MgSO4, 1.18 mM KH2PO4, 5.5 mM glucose, 25 mM NaHCO3, 2.5 mM CaCl2, 4.7 mM KCl) until needed.
Myometrial contractility
Myometrial strips were tied at each end with silk suture thread.
One end was attached to a hook at the bottom of a double-jacketed organ
bath. The other end was attached to a force transducer (Model FT03;
Grass Instruments Co., Quincy, MA). Organ baths contained 10 ml
Krebs-Ringer solution that was continuously gassed with carbogen (95%
O2-5% CO2) and maintained
at 37 C. Four parallel organ baths allowed simultaneous recordings from
two gravid and two nongravid myometrial strips from the same animal. An
initial tension of 0.5 g was applied, and the myometrial strips
were allowed to equilibrate for 30 min before further manipulation.
Hormones and pharmacological agents were applied to myometrial strips
by the manual delivery of 2050 µl aqueous stock solutions into the
top of the organ bath, with the exception of NO gas, which was applied
in 250-µl aliquots using a 1-ml gas syringe. Experiments were
terminated by flushing the bath contents with 50 ml fresh Krebs/Ringer.
The completeness of this flushing method was assessed using methylene
blue as a visual indicator before experiments started. Concentrations
of each agent are final values in the organ bath, with the exception of
NO gas, which is given as moles of gas applied. Strips were stimulated
with either 0.14 nM or 1.4 nM MT. In this
stimulated condition, the presence of a NO-cGMP relaxation system was
determined by the application of either NO gas (10 µmol) or the cGMP
analog 8-bromo-cGMP (8-b-cGMP; 10 µM;
ICN Pty Ltd., Aurora, OH). One strip from each
gravid/nongravid pair always served as a control in these experiments
and received no treatment. The dependence of NO responsiveness on cGC
was determined by application of the specific cGC blocker 1H-
[1,2,4]oxadiazolo-[4,3-
]quinoxalin-1-one (ODQ, 12.5
µM; ICN Pty Ltd.) (37, 38). The
effect of NO was determined 10 min after this treatment.
The analog output of the transducer was amplified (MacLab Bridge
Amplifier; Analog Digital Instruments, Sydney, Australia), converted to
a digital recording (MacLab Analog to Digital Converter; Analog Digital
Instruments) and stored on computer (Apple MacIntosh LC, running Chart
Recorder V3.2; Analog Digital Instruments). Area under the curve (A)
and contraction frequency were calculated for selected regions of each
recording, and pretreatment (t0) and posttreatment (t1) values were
directly compared for each strip. Changes in contractility (
C) were
quantified as the difference between pretreatment
(At0) and posttreatment
(At1) areas divided by the pretreatment area
(At0) and expressed as a percentage. For percent
stimulation,
C = [(At1 -
At0)/At0]·100. For
percent relaxation,
C = [(At0 -
At1)/At0]·100). Zero
indicated no change.
Data analysis
Data from nongravid and gravid myometrium are always presented
together in the same figure (
Figs. 15![]()
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). Nongravid data are presented
in the top half of the figure, and gravid data in the
bottom half. Specific examples of contractile activity (raw
traces) occupy the left side of the figure, and data for all
animals (histograms pooled for stage of pregnancy) occupy the
right side. Comparisons within and between strips and
animals were done by factorial repeated-measure ANOVA, and P
values of less than 0.05 were considered significant. Quantitative data
(contraction frequency or integrated area under the curves) are
presented as means ± SEM.
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| Results |
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Mesotocin (0.14 nM) initiated contractions in quiescent
gravid myometrium, with significant increases in responsiveness
occurring over the last 4 days of gestation (ANOVA, P
< 0.001, see Fig. 2D
). On days 25 and
26, the last days of gestation, MT sensitivity reached a maximum and
induced contractions of large amplitude. A typical recording from day
25 gravid myometrium is shown in Fig. 2C
. Sensitivity decreased
dramatically in postpartum tissue (Fig. 2D
). At higher concentrations
(1.4 nM), MT induced larger responses in gravid
myometrium (data not shown) and obscured stage-specific changes in
sensitivity that were present at lower doses (responses did not vary
significantly, P > 0.05). Nongravid myometrium was
relatively insensitive to low concentrations of MT (Fig. 1B
), with a
small increase in responses occurring on the day of parturition. Higher
concentrations of MT (1.4 nM) produced a more
substantial increase in nongravid myometrial contractility (data not
shown). At both concentrations, the response of nongravid strips
differed significantly from that of gravid tissue (P <
0.001).
NO completely inhibited MT-stimulated (1.4 nM MT)
contractions in gravid myometrium, with activity resuming approximately
60 sec after treatment (Fig. 3C
). In
contrast, nongravid tissue was relatively insensitive to NO (Fig. 3A
),
responding with a small decrease in the frequency and amplitude of
contractions. The sensitivity of gravid myometrium to NO remained
approximately constant throughout late pregnancy and on the day of
parturition (Fig. 3D
) and did not vary significantly at any stage of
pregnancy (P >> 0.05). Similarly, nongravid responsiveness (Fig. 3B
)
did not change significantly during the period examined (P >> 0.05).
The marked difference in NO-induced relaxation between gravid and
nongravid myometrium was significant (P < 0.001).
The inhibitor of cyclic guanylyl cyclase (ODQ) blocked the effect of NO
on gravid tissue (Fig. 4
), as evidenced
by a significant reduction in the relaxation induced by NO after
treatment (P < 0.001). In contrast, the minimal NO
responsiveness of nongravid tissue was not altered by ODQ (P
>> 0.05). Furthermore, the NO responsiveness of gravid myometrium
after ODQ treatment was reduced to levels that were statistically
indistinguishable from those of either treated or untreated nongravid
tissue (P > 0.05).
The cGMP analog, 8-b-cGMP, reduced MT-stimulated contractility in both
gravid and nongravid myometrium (Fig. 5
, A and C, top recordings). The effect had a long latency,
producing marked relaxation over a 20-min period. Activity in parallel
gravid and nongravid control strips remained constant over the same
time period (Fig. 5
, A and C, bottom recordings).
Responsiveness to 8-b-cGMP varied significantly with stage of pregnancy
in both gravid (ANOVA, P < 0.05) and nongravid (ANOVA,
P < 0.05) myometrium. Gravid tissue was most sensitive
on days 23 and 24 pregnancy, with reduced responses on days 25 and 26
and post partum (Fig. 5D
). Nongravid myometrial sensitivity was lowest
on days 25 ands 26 pregnancy but rose to a maximum post partum (Fig. 5B
). The relaxation seen overall in gravid uteri was slightly, but
significantly, higher than in nongravid uteri (P <
0.05) and probably reflects the greater MT-induced activation of the
gravid myometrium.
| Discussion |
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In eutherian mammals, changes in myometrial contractility during pregnancy and at the time of parturition are effected by the regulation of multiple pathways in uterine smooth muscle. The electrophysiology of muscle cells is dramatically altered during pregnancy, to limit excitability (16, 18); and elements of the signal transduction pathways for stimulatory factors are down-regulated, whereas those for inhibitory pathways are emphasized (19). These changes are reversed at parturition, so that stimulatory influences dominate, myometrial contractions ensue, and fetal expulsion occurs (18). Oxytocin receptors increase dramatically at the end of pregnancy, preparing this important stimulatory pathway for the initiation of parturition (human, 39 ; sheep, 40 ; rat, 41). In the tammar, MT receptors are also up-regulated in gravid myometrium at the end of pregnancy (10, 14), suggesting that similar mechanisms may be operating in this species.
Mesotocin receptors in gravid myometrium increase progressively from day 23 of pregnancy to term, whereas they remain low in nongravid tissue (10, 14). These receptor profiles are reflected in the pattern of MT sensitivity reported in the current study. During this period of increasing responsiveness of gravid myometrium, however, spontaneous activity remains low (7, 8), suggesting that inhibitory influences must be operating in vivo. In eutherian species, the smooth muscle relaxant NO provides a paracrine inhibition of uterine contractions during pregnancy (21). The complete inhibition of contractions of the gravid myometrium during late pregnancy, reported in this study, suggests a similar role in the tammar.
In eutherians, NO induces smooth muscle relaxation by stimulating the activity of cGC. This increases intracellular levels of cGMP and leads to subsequent relaxation of the muscle (33). In tammars, relaxation of gravid myometrium was induced by a cGMP analog, and blocking cGC with ODQ blocked NO-induced relaxation. These manipulations clearly indicate the presence of a classic NO/cGMP relaxation system in the tammar gravid myometrium. In contrast, although the nongravid myometrium relaxed in response to cGMP, it was relatively insensitive to NO during the period examined. Thus, NO sensitivity specific to gravid tissue seems to be regulated at the level of cGC, which is active in gravid myometrium and inactive or absent in nongravid tissue. Similarly, in eutherian mammals, pregnancy is associated with the induction of NO sensitivity in gravid myometrium (human, 25 ; rat, 24), resulting in increased levels of cGMP in the tissue (25).
Just before parturition in humans (25) and rats (24), sensitivity of the myometrium to NO and synthesis of NO by uterine tissues decreases (28, 32). Decreases in both NO sensitivity and NO production contribute to the increased myometrial contractility at parturition. In the tammar, sensitivity to relaxation induced by cGMP was highest in gravid myometrium on days 23 and 24, declining on the last days of pregnancy (days 25 and 26) and post partum. This pattern was reflected less markedly by gravid myometrial sensitivity to NO, suggesting down-regulation of the relaxation response system at parturition. However, the observed changes were small, with decreases of 20% and 10% for cGMP and NO, respectively. In contrast, human myometrial sensitivity to NO decreases by 85% at term (25). Withdrawal of myometrial quiescence at parturition in the tammar may thus depend on reductions in NO production. The construction of NO and cGMP dose-response curves for gravid myometrium (see 24) and an analysis of NO production by the uterus during pregnancy would be required to clarify this issue.
In physiological systems, NO rapidly reacts with water to form nitrites and nitrates and so, must be produced within 100150 µm of target cells to be effective (42). The inducible, CA2+-insensitive form of NOS (iNOS) has been implicated in the regulation of myometrium contractility in eutherian mammals. In humans (32) and rats (28), iNOS levels are high in myometrial smooth muscle cells during pregnancy, and the levels decline at parturition. In the rabbit, iNOS in the decidua of the endometrium may represent the source of NO for myometrial relaxation (30). In this study, we showed that NO is a potent inhibitor of contractility in the gravid uterus, but the source of NO was not identified. However, the specific induction of NO sensitivity in gravid tissue only, potentially via up-regulation of cGC, suggests a physiological role during pregnancy. The production of NO within the uterine environment of the tammar is thus an area for further study. In addition, the NO sensitivity of myometrium from both uteri during the nonpregnant cycle should be examined to determine the specific role of the fetus and its placenta vs. systemic and/or pregnancy-specific ovarian factors (9, 14, 43).
In late pregnancy in the tammar, the nongravid uterus is ipsilateral to a maturing Graafian follicle and is exposed via the unilateral uteroovarian vasculature to locally elevated levels of estradiol (12, 44) and other factors involved in ovulation and the postpartum estrus (discussed in 42). The gravid uterus, in contrast, is ipsilateral to an active CL and is exposed to locally elevated levels of progesterone and relaxin. It is also exposed to hormones and other factors derived from the fetus and placenta, such as cortisol (45) and PGs (46, 47). These unilateral endocrine and paracrine influences must be responsible for the differences between nongravid and gravid tissue reported here. Estradiol, which regulates myometrial contractility in the tammar (7, 8), is most likely responsible for spontaneous activity in the nongravid uterus during late pregnancy. However, it does not regulate contractility of the gravid uterus at the time of parturition (48). Relaxin is present in high levels in the tammar CL in late pregnancy (49), and porcine relaxin suppresses uterine contractions in vitro (8). Relaxin may be involved in maintaining quiescence of the gravid myometrium in vivo. Sensitivity to MT and NO in gravid tissue, and its regulation during late pregnancy and at the time of parturition, may rely on fetal and placental factors, rather than ovarian steroids, because progesterone withdrawal is not necessary for successful birth (50).
The two separate uteri of the tammar are clearly under differential control during late pregnancy. Results of this study, reporting differences in spontaneous contractility and sensitivity to MT and NO between gravid and nongravid myometrium, provide new evidence for this phenomenon. Such differential regulation must rely on local influences rather than systemic ones (which would affect both uteri) and allows the responses of the two separate uteri of these unique mammals to be matched to the unilateral requirements of their concurrent reproductive programs: pregnancy and parturition in the gravid uterus and ovulation and fertilization in the contralateral, nongravid uterus.
| Acknowledgments |
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| Footnotes |
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2 Present address: Sobell Department of Neurophysiology, Institute of
Neurology, Queen Square, London, WC1N 3BG, United Kingdom. ![]()
Received July 24, 2000.
| References |
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on uterine activity,
and concentrations of 13,14-dihydro-15-keto-PGF2
in peripheral
plasma during parturition in the tammar wallaby. J Reprod Fertil 69:429436
and LH in early
pregnancy of the tammar wallaby, Macropus eugenii. J Reprod
Fertil 83:185191
and its metabolite by endometrium and yolk sac
placenta in late gestation in the tammar wallaby Macropus
eugenii. Biol Reprod 60:611614This article has been cited by other articles:
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A. L. Siebel, H. M. Gehring, and L. J. Parry Effects of Fetectomy on Oxytocin Receptors in the Myometrium of the Tammar Wallaby Biol Reprod, October 1, 2002; 67(4): 1242 - 1249. [Abstract] [Full Text] [PDF] |
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A. L. Siebel, H. M. Gehring, C. D. Nave, R. A.D. Bathgate, C. E. Borchers, and L. J. Parry Up-Regulation of Mesotocin Receptors in the Tammar Wallaby Myometrium Is Pregnancy-Specific and Independent of Estrogen Biol Reprod, May 1, 2002; 66(5): 1237 - 1243. [Abstract] [Full Text] |
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