ACTH-induced preterm labour in the ewe is associated with increased mRNA and protein levels of myometrial gap junction protein, connexin-43.

The myometrial gap junction protein, connexin-43, is thought to be critical to the development of synchronous, high-amplitude contractions of the myometrium during labour. The purpose of this study was to determine the relationship between the temporal expression of myometrial connexin-43 mRNA and protein, the contractile patterns of the uterus and the changes in maternal plasma oestrogen and progesterone. On day 127 chronically catheterized fetal sheep were randomized to receive either ACTH (1 microgram over 15 min every 2 h) or saline (control) infusions. Using this model, ACTH induces labour in 110 +/- 5 h and produces similar endocrine profiles and changes in myometrial activity to that of term spontaneous labour. Myometrial tissue was obtained during autopsy at: 0 h (127 days: no infusion), 72 h saline, 72 h ACTH, 120 h saline, and during ACTH-induced labour (n = 4/group). Northern analysis demonstrated a significant (P < 0.05) increase in connexin-43 transcripts during labour (2.21 +/- 0.39; mean +/- S.E.M. relative to 18S) compared with 0 h (0.67 +/- 0.17) and 72 h ACTH (0.41 +/- 0.11). Connexin-43 protein (as determined by Western analysis) showed a similar pattern to that of the transcripts. These changes in myometrial connexin-43 expression were associated with significant increases in the rate of rise of intrauterine pressure, frequency and maximum amplitude of uterine contractions and the maternal plasma oestrogen to progesterone ratio. No changes in connexin-43 expression, contractile parameters or endocrine profiles occurred in control animals.(ABSTRACT TRUNCATED AT 250 WORDS)

Catecholamines and uterine activity rhythms in the pregnant rhesus macaque.

This study was designed to examine the relationship between uterine contractile rhythms with maternal plasma and amniotic fluid catecholamine concentrations in the pregnant rhesus macaque. Six chronically catheterized rhesus macaques were maintained in a vest and tether system and exposed to a 12L:12D cycle. Continuous uterine activity recordings demonstrated a contractile pattern with peak activity at 2200 h (p less than 0.05). Paired maternal plasma and amniotic fluid samples were collected at 3-h intervals for 24 h between Days 131 and 148 of gestation. Samples were analyzed for norepinephrine, epinephrine, and dopamine by HPLC. Maximum plasma concentrations across the 24-h periods for norepinephrine (633 +/- 230; mean pg/ml +/- SEM) and dopamine (378 +/- 110) were observed at 2100 h and epinephrine (408 +/- 95) at 1200 h, but these values were not significant. The maximum amniotic fluid values were 378 +/- 126, 267 +/- 190, and 556 +/- 87 pg/ml for norepinephrine, epinephrine and dopamine, respectively. However, concentrations across 24 h did not differ. Neither maternal plasma nor amniotic fluid catecholamine concentrations were correlated with uterine activity rhythms. Therefore, we conclude that the nocturnal uterine activity in the rhesus macaque is not related to maternal arterial or amniotic fluid catecholamine concentrations.

Circadian uterine activity in the pregnant rhesus macaque: do prostaglandins play a role?

Eight rhesus macaques between 127 and 132 days of gestation had catheters implanted into maternal femoral vessels and the amniotic fluid cavity and were placed in a vest-and-tether system for chronic catheter maintenance. Uterine activity was continuously recorded, and paired maternal arterial blood and amniotic fluid samples were collected at 0900 h (AM) and 2100 h (PM) until delivery and analyzed for prostaglandin metabolites (PGFM and PGEM-II). A circadian pattern in uterine contractility was observed, with peak activity occurring between 1900 and 0100 h (p less than 0.001). No significant AM-PM differences were observed in maternal plasma PGFM (240 +/- 24 AM vs. 273 +/- 35 PM) or PGEM-II (537 +/- 41 AM vs. 484 +/- 34 PM) or amniotic fluid PGFM (360 +/- 72 AM vs. 287 +/- 70 PM) or PGEM-II (1626 +/- 383 AM vs. 1771 +/- 431 PM). All values represent mean +/- SEM, pg/ml. Additional samples were collected at 3-h intervals for 24 h at selected times during the study. This more intensive sampling protocol also failed to reveal any significant time trends in maternal plasma or amniotic fluid prostaglandins. Despite the lack of AM-PM differences, amniotic fluid PGFM and PGEM-II increased significantly as delivery approached (p less than 0.01). It appears that circadian uterine activity is not related to changes in maternal plasma or amniotic fluid prostaglandins. Although prostaglandins are responsible for the progression of labor, other factors may be involved in the generation of uterine activity rhythms prior to the initiation of labor.