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Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Maryland School of Medicine, Baltimore, Maryland 21201
The mechanisms by which pregnancy redistributes
cardiac output in an organ-specific manner are poorly understood. We
propose that it is consequential to estrogen-mediated alterations in G protein-mediated signal transduction. Aortas and uterine (UAs) and
mesenteric arteries (MAs) were obtained from late-pregnant, nonpregnant, or ovariectomized guinea pigs chronically treated with
17
-estradiol. High-affinity GTPase activity was assayed enzymatically. The cGMP generated in response to the
endothelium-dependent agonist ACh was measured in UAs incubated with or
without cholera toxin (CTX, which inhibits Gs
).
Pregnancy significantly decreased UA but not aorta or MA GTPase
activity. 17
-Estradiol decreased UA GTPase activity compared with
untreated ovariectomized animals. ACh increased cGMP in pregnant but
not nonpregnant UAs. Pretreatment of nonpregnant UAs with CTX increased
ACh-induced cGMP levels similar to pregnancy. Thus pregnancy and
estradiol decrease the GTPase activity of a CTX-sensitive G
protein in UAs, increasing receptor-dependent cGMP release. This
alteration in receptor-mediated G protein coupling in UAs may
contribute to the characteristic cardiovascular adaptation to pregnancy.
G proteins; nitric oxide; acetylcholine; estrogen
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