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Perinatal Research Centre, Departments of 1 Obstetrics and Gynecology and of 2 Physiology, University of Alberta, Edmonton, Alberta, Canada T6G 2S2
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ABSTRACT |
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Recent evidence suggests oxytocin
(OT) may regulate vascular tone. OT and its receptor (OTR) have been
identified in the rat heart and great vessels. Expression of OT and OTR
is increased in some tissues during pregnancy. We hypothesized that the
OT/OTR system may be a physiological regulator of vascular tone and
mediate the decreased vascular resistance noted during pregnancy. Using a wire myograph system, we measured changes in vascular tone in response to OT in small mesenteric arteries, uterine arcuate arteries, and thoracic aorta from nonpregnant and pregnant rats. Additionally, we
used reverse transcriptase-polymerase chain reaction (RT-PCR) to
measure mRNA for OTR in these vascular tissues. Although OTR mRNA was
identified by RT-PCR, OT did not elicit a vasodilatory effect in any of
the vessels studied. High concentrations of OT (>10
8 M)
caused vasoconstriction that was eliminated by a specific vasopressin
V1a receptor antagonist. Although it may have an indirect effect in regulation of peripheral resistance, we conclude that OT is
unlikely to play a direct role in the physiological regulation of
vascular tone.
oxytocin receptor; vascular smooth muscle; peripheral resistance; vasopressin V1a receptor
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INTRODUCTION |
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RECENT STUDIES HAVE demonstrated the presence of oxytocin (OT) and its receptor (OTR) in tissues from the major conduit vessels and the heart (10, 12, 19, 20, 22, 23, 38, 41, 42). OT stimulates release of atrial natriuretic peptide (19) from cardiac tissues and nitric oxide from human umbilical vein endothelial cells in culture (42). These findings have led to the suggestion that OT may be an important mediator of vascular function (20). Pregnancy is a physiological state where vasodilation is necessary to accommodate a 40-50% increase in blood volume required to meet the oxygen and nutritional requirements of the growing uterus and developing fetuses (18, 43). This is accompanied by an attenuated responsiveness of maternal vessels to pressor agents (17, 29, 30, 39, 40, 45) and an enhanced response to vasodilators (28, 31). The mechanisms underlying these vascular changes are not clearly understood.
Because pregnancy is known to induce the expression of OTR in uterine tissues (14, 15, 35-37), we hypothesized that OT acting through OTR may be an important vasodilator and may mediate the decreased vascular resistance characteristic of the pregnant state. The objective of this study was to determine and compare the direct effects of OT on vascular tone in small mesenteric and uterine arcuate vessels from nonpregnant and pregnant rats. In addition, we sought to determine whether mRNA for OTR was present in these vascular beds.
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MATERIALS AND METHODS |
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Animals. All animal protocols were in accordance with the guidelines issued by the Canadian Council on Animal Care and were accepted by the University of Alberta Animal Welfare Committee. Three-month-old female nonpregnant and late pregnant Sprague-Dawley rats were used in these protocols. Pregnant rats (usual day of delivery is day 22 of gestation) were used on day 19 of gestation. On the day of experiment, the rats were euthanized with pentobarbital sodium (50 mg/kg body wt). The small mesenteric arteries and uterine arcuate arteries were collected. These vessels were chosen because they represent the small "resistance" arteries with diameter in the range of <0.5 mm that appear to be important mediators of total peripheral vascular resistance (9). We have used mesenteric vessels previously to study pregnancy adaptations (13). Additionally, there appear to be differences in the adaptations to pregnancy between the mesenteric and uterine vascular beds (5, 12). Vascular tissues were cleanly dissected from adherent connective and adipose tissues before being used in the wire myograph system or snap-frozen for subsequent reverse transcriptase-polymerase chain reaction (RT-PCR). Aortic rings also were collected and examined for comparison to previous data in the literature.
Materials. Phenylephrine, methacholine, and OT were purchased from Sigma Aldrich Canada (Oakville, Ontario, Canada). The arginine vasopressin (AVP) V1a receptor antagonist d(CH2)5[Tyr(Me)2,Dab5]AVP (7) was a kind gift from Dr. Maurice Manning from the Medical College of Ohio (Toledo, OH). HEPES-buffered physiological saline solution (142 mM NaCl, 4.7 mM KCl, 1.17 mM MgSO4, 1.56 mM CaCl2, 1.18 mM K2HPO4, 10 mM HEPES, and 5.5 mM glucose, pH 7.4) and 140 mM KCl were prepared before experimentation and stored at 4°C.
Myographic studies.
Vascular responses to OT were studied using an isometric myograph
system. Small mesenteric arteries, uterine arcuate arteries (averaging
250 µm in diameter), and thoracic aorta (for comparative purposes)
from pregnant and nonpregnant Sprague-Dawley rats were placed in a
vessel bath containing 5.0 ml of HEPES buffer maintained at 37°C and
mounted on the wire myograph system. Vessels were then given a 30-min
recovery period and replenished with fresh HEPES buffer every 10 min.
Four baths in the myograph system allowed for parallel experiments to
be conducted on four arteries from the same animal. Cumulative doses of
phenylephrine (1 to 50 × 10
6 M) were administered
to all arteries to determine individual EC50 concentrations
for each preparation. The vessels were then given another 30-min
recovery period.
14 to
10
6 M). Two vessel types were studied each day (2 small
mesenteric arteries and 2 uterine arcuate arteries), allowing for a
time control and an experimental vessel for each vessel type.
Experimental vessels and time control vessels were preconstricted with
their EC50 concentration of phenylephrine to establish a
baseline from which subsequent relaxation or constriction responses
could be measured. The amount of force produced from the
EC50 dose of phenylephrine was set as 100%, and subsequent
responses were normalized to this. After completion of the OT
concentration-response curve and a 30-min recovery period, the time
control vessel from the previous experiment became the experimental
vessel, and vice versa.
The studies involving the vasopressin V1a receptor
antagonist were performed using small mesenteric vessels and a
crossover experimental design. One vessel of the pair was preincubated
with the specific AVP V1a receptor antagonist
(10
6 M) for 20 min while the control received only HEPES
buffer. Both vessels were then preconstricted to their EC50
dose of phenylephrine, and cumulative doses of OT (10
14
to 10
6 M) were administered to produce a
concentration-response curve. After completion of the OT
concentration-response curve and a 30-min recovery period, the OT
control vessel from the previous experiment became the experimental
vessel, and vice versa.
To ensure all vessels had intact endothelial layers, a bolus dose of
methacholine (10
6 M) was administered to each vessel, and
relaxation responses were documented. At the end of each experiment,
5.0 ml of 140 mM KCl were administered to the vessels to ensure their
ability to constrict.
RT-PCR.
Total RNA was isolated from frozen tissues using TRIzol from GIBCO
(Rockville, MD) according to the manufacturer's standard protocol. RNA
aliquots were stored at
80°C before use.
-actin as an internal control. The PCR mix was initially heated to 50°C for 2 min
and then denatured at 95°C for 10 min, followed by 40 cycles of
90°C for 30 s, 60°C for 60 s, and 72°C for 30 s,
with an extension cycle at 72°C for 10 min. PCR products were then
run on a 2% agarose gel treated with ethidium bromide and photographed
under ultraviolet light.
Statistical analyses.
Data are presented in graphs as means ± SE. Changes in arterial
tension in response to OT were analyzed by one-way ANOVA followed, for
P
0.05, by Dunnett's multiple comparison post hoc test
to determine at what concentrations significant changes in tone
occurred. A two-way ANOVA was used to compare the vascular responses
between arteries from pregnant and nonpregnant animals and to compare vascular response to OT in the presence and absence of the
V1a antagonist.
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RESULTS |
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There was no vasorelaxation observed in response to OT in the rat
small mesenteric artery (Fig. 1). A
significant vasoconstrictor response was observed in mesenteric
arteries from both nonpregnant and pregnant rats at OT concentrations
>10
8 M. The vasoconstrictor response in the vessels from
pregnant animals was significantly greater than in vessels from the
nonpregnant group. In the uterine arcuate artery (Fig.
2) there was no vasorelaxation response
but a vasoconstrictor response at OT concentrations >10
9
M. There was no significant difference between vessels from the nonpregnant and pregnant animals. There was no response to OT in the
aorta from the nonpregnant animals (Fig.
3). There was a statistically significant
vasoconstrictor response in the aorta from the pregnant animals at the
highest concentration of OT. By two-way ANOVA, there was no
statistically significant difference in the responses between the
aortas from the nonpregnant and pregnant animals.
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In the experiments using coincubations of OT with a specific
vasopressin V1a receptor antagonist with mesenteric vessels
from nonpregnant rats, the significant vasoconstrictor response at the
highest concentration of OT was completely blocked by the vasopressin
V1a antagonist (Fig. 4).
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Arteries from three to five animals were pooled to isolate RNA from the vascular beds. mRNA for OTR was detected in nonpregnant small mesenteric artery, uterine arcuate artery, and thoracic aorta (see insets in Figs. 1-3). Because of the small amounts of RNA isolated from these tissues, the yield of RNA could not be quantified, and no attempt has been made to make quantitative comparisons after RT-PCR.
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DISCUSSION |
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This is the first systematic study of the effects of OT in
concentrations that encompass the physiological range (at least in
plasma) and compares relevant vascular beds in pregnant and nonpregnant
females. Although we have demonstrated the presence of mRNA for OT in
resistance-sized arteries from both pregnant and nonpregnant animals,
OT failed to elicit a vasorelaxation response in any of the vessels
studied. This is in agreement with earlier observations using a
pressurized myograph system with mesenteric arteries from male rats
(38) or small uterine resistance arteries from nonpregnant
rats (8). Similar observations were made using a wire
myograph system with guinea pig uterine vessels (26).
However, in these previous studies, only high concentrations of OT
(>10
10 M) were used. Circulating concentrations of OT in
either the pregnant or nonpregnant state are less than
10
10 M in both rat (21) and human (16,
44). In our studies, there was no vasorelaxant response at any
concentration as low as 10
14 M. In other studies (data
not shown), we measured no effect of OT with concentrations as low as
10
25 M.
Several in vitro studies have provided support for a possible direct vasorelaxation response to OT. Thibonnier et al. (42) demonstrated binding of radiolabeled OT to cultured human umbilical vein endothelial cells and confirmed, using pharmacological and molecular biological approaches, that this binding was mediated by specific OT receptors on these cells. Furthermore, they showed that OT stimulated phosphatidylinositol turnover, mobilization of intracellular Ca2+, activation of the cGMP pathway, and increased production of nitric oxide. Using an isometric muscle bath preparation with strips of vessel wall from term human umbilical artery and vein, Altura et al. (2) found only a vasoconstrictor effect. In isolated canine cerebral vessels, OT causes a vasorelaxation response that appears to be mediated through vasopressin V1a receptors and is endothelium dependent (27). Our inability to demonstrate a vasodilatory response to OT in the small mesenteric and uterine arcuate arteries may reflect the marked variation of responses to vasoactive substances in different vascular beds (1, 5, 12).
Subcutaneous or intravenous administration of OT to rats causes a brief increase in mean arterial pressure accompanied by bradycardia and decreased cardiac output leading to a prolonged decrease in blood pressure (32-34). With intracerebroventricular injection of OT, the initial increase in blood pressure was not observed (32). This could be explained by an initial peripheral effect of OT on the vasculature causing hypertension followed by a slower central nervous system effect causing a decreased blood pressure. Oxytocinergic neurons project from the paraventricular nucleus into areas known to be important for cardiovascular control, and electrical stimulation of these nuclei decreased blood pressure through the inhibition of sympathetic preganglionic neurons (46). Although only a small fraction of systemically administered OT crosses the blood-brain barrier, this could be sufficient to stimulate a central response causing reduced blood pressure (24).
Jankowski and colleagues (22, 23) have suggested another potential mechanism through which OT may act. They have identified OT synthesis and OT binding sites in the rat aorta and vena cava and demonstrated the presence of mRNA for OT and OTR in the rat aorta, vena cava, and the pulmonary vasculature (22, 23). They also demonstrated that OT can be produced and secreted by cardiac myocytes and that treatment of these cells with OT stimulates release of atrial natriuretic peptide that could decrease the force and rate of cardiac contraction and decrease mean arterial pressure (19). Additionally, physiological doses of OT that enhance glomerular filtration rate induce natriuresis (11), and this could contribute to lowering of blood pressure.
Our finding of a vasoconstrictor response in the small mesenteric and uterine arcuate vessels with high concentrations of OT is similar to previous reports (8, 26, 38). In our studies, the ability of the vasopressin V1a antagonist to completely block this effect strongly suggests the vasoconstrictive actions were mediated through the V1a receptor rather than OTR. This is in keeping with previous findings using rat aorta (38) and uterine artery from rat (8) or guinea pig (26). The sensitivity of these vessels to vasopressin was two to three orders of magnitude greater than to OT. Additionally, a specific OT receptor antagonist failed to counteract the vasoconstrictor effect of OT (8, 38). In our experiments using the V1a antagonist (Fig. 4), the constriction response to OT appeared to be a log dose weaker than in the other experimental protocols. However, this may have resulted from the crossover design wherein the OT-treated artery in the second arm had been exposed to the V1a antagonist in the first arm of the protocol. It is possible that the antagonist had not been completely removed in the intervening 30-min washout period. Alternatively, the apparent shift in sensitivity to OT could be a result of V1a receptor internalization (3) during the first "control" period.
A significant decrease in vascular response to pressor agents during pregnancy is well documented (17, 29, 30, 39, 40, 45). Our finding of an increased vasoconstrictor responsiveness to OT in the small mesenteric arteries from pregnant compared with nonpregnant animals is interesting. This would be in agreement with the studies of Jovanovic et al. (25) who noted an increased endothelium-dependent vasoconstrictor response to vasopressin in uterine arteries from pregnant compared with nonpregnant guinea pigs. However, they also found a decreased responsivenes to OT in similar preparations even though they concluded that the OT effect was mediated through vasopressin V1a receptors. Using a pressurized myograph system, St-Louis et al. (39) demonstrated a decreased responsiveness of rat mesenteric vessels to vasopressin during pregnancy. The reason for these discrepancies is not clear but may be related to differences in species, in vascular beds (1, 5, 12), or in methodologies. In any case, it is likely that this response is pharmacological and of little physiological relevance.
Our RT-PCR results confirm the findings of Jankowski et al. (23) in the aorta and also demonstrate the presence of mRNA for OTR in the mesenteric and uterine vessels of the rat. Because of the small amount of tissue in these latter vessels, we were unable to measure OTR protein levels. However, the findings of others suggest that functional OTR are present in vascular tissues (4, 19, 22, 41, 42). Our results suggest they are not responsible for a direct physiological effect on vascular tone in the mesenteric or uterine arterial systems.
In conclusion, our results indicate that OT does not have a direct physiologically significant effect on vascular tone in the resistance-sized vessels from nonpregnant or pregnant rats. If OT is an important mediator of vascular control, these data suggest that its actions are indirect. We have confirmed the presence of mRNA for OTR in the rat aorta and have demonstrated its presence in resistance-sized vessels including the small mesenteric and uterine arteries. Its physiological function, if any, remains unknown. Future studies are required to determine a role of OT or its receptor in maternal adaptation to pregnancy.
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ACKNOWLEDGEMENTS |
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We acknowledge Dr. Maurice Manning from the Medical College of Ohio (Toledo, OH) for the gift of the specific vasopressin V1a antagonist.
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FOOTNOTES |
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10.1152/ajpheart.00774.2001
We also are grateful to the Canadian Institutes for Health Research [Grants 12225 (to B. F. Mitchell) and 13404 (to S. T. Davidge)], The Alberta Heritage Foundation for Medical Research, and the University of Alberta Perinatal Research Centre for financial support of this project.
Address for reprint requests and other correspondence: B. F. Mitchell, Perinatal Research Centre, 227 HMRC, Univ. of Alberta, Edmonton, Canada T6G 2S2 (E-mail: brymitch{at}ualberta.ca).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
Received 29 August 2001; accepted in final form 6 December 2001.
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