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Am J Physiol Heart Circ Physiol 287: H126-H134, 2004. First published February 19, 2004; doi:10.1152/ajpheart.00046.2003
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Angiotensin II mediates uterine vasoconstriction through {alpha}-stimulation

Blair E. Cox, Timothy A. Roy, and Charles R. Rosenfeld

Department of Pediatrics, The University of Texas Southwestern Medical Center at Dallas, Dallas, Texas 75390

Submitted 17 January 2003 ; accepted in final form 17 February 2004

Intravenous angiotensin II (ANG II) increases uterine vascular resistance (UVR), whereas uterine intra-arterial infusions do not. Type 2 ANG II (AT2) receptors predominate in uterine vascular smooth muscle; this may reflect involvement of systemic type 1 ANG II (AT1) receptor-mediated {alpha}-adrenergic activation. To examine this, we compared systemic pressor and UVR responses to intravenous phenylephrine and ANG II without and with systemic or uterine {alpha}-receptor blockade and in the absence or presence of AT1 receptor blockade in pregnant and nonpregnant ewes. Systemic {alpha}-receptor blockade inhibited phenylephrine-mediated increases in mean arterial pressure (MAP) and UVR, whereas uterine {alpha}-receptor blockade alone did not alter pressor responses and resulted in proportionate increases in UVR and MAP. Although neither systemic nor uterine {alpha}-receptor blockade affected ANG II-mediated pressor responses, UVR responses decreased >65% and also were proportionate to increases in MAP. Systemic AT1 receptor blockade inhibited all responses to intravenous ANG II. In contrast, uterine AT1 receptor blockade + systemic {alpha}-receptor blockade resulted in persistent proportionate increases in MAP and UVR. Uterine AT2 receptor blockade had no effects. We have shown that ANG II-mediated pressor responses reflect activation of systemic vascular AT1 receptors, whereas increases in UVR reflect AT1 receptor-mediated release of an {alpha}-agonist and uterine autoregulatory responses.

angiotensin receptors; autoregulation; pregnancy; uterine blood flow; blood pressure



Address for reprint requests and other correspondence: B. E. Cox, Dept. of Pediatrics, The Univ. of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9063 (E-mail: blair.cox{at}utsouthwestern.edu).




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