Effects of progesterone on the adrenergic mechanisms of the genital tract

Progestagen nuclear binding sites in the male genital tract of the mouse, studied by autoradiography

Autoradiograms were prepared after injection of 125I progestagen (sp. act. 2200 Ci/mmol) to prepubertal and young adult mice. Nuclear concentration of radioactivity was found in smooth muscle cells at the beginning and the end of the deferent duct and in fibroblasts around the fusion of the deferent duct with the urethra. Nuclear labeling was enhanced in adult animals pretreated with oestradiol-valerate. In prepubertal mice nuclear labeling was more abundant than in adult mice and found in all smooth muscle cells of the deferent duct. No nuclear labeling was observed in other accessory sex organs. Nuclear labeling was prevented by injection of excess of unlabeled R5020. The presence of progestin receptors in smooth muscle cells of the deferent duct suggests a regulatory effect of progestin on contractions in analogy to progestin effects on oviductal and uteral smooth muscle cells. The presence of nuclear progestin receptors in the periurethral region may indicate an involvement of progestins in the etiology and regulation of benign prostate hyperplasia.

Characterization of enzymes of catecholamine synthesis and metabolism in human fetal membranes at birth

We looked for the presence of the enzymes monoamine oxidase, catechol-O-methyltransferase, and phenylethanolamine-N-methyltransferase in human fetal membranes at term. The activity of all three enzymes was detected via highly sensitive and selective radiometric enzyme assays. The most novel finding was the extremely high level of monoamine oxidase activity in the chorion compared with that in the amnion. The other enzyme of catecholamine metabolism, catechol-O-methyltransferase, did not show any difference in activity between the two layers. In addition, we observed that the enzyme phenylethanolamine-N-methyltransferase, which is primarily located in the adrenal medulla, was also present in appreciable levels in the two layers of fetal membranes. These results suggest that fetal membranes, like the placenta, possess the enzymatic machinery to metabolize catecholamines and have the capacity to synthesize epinephrine.

Age-related changes of the noradrenergic innervation of the uterine vasculature: a fluorescence histochemical study

Age-related changes in the density of the noradrenergic perivascular plexus supplying the uterine artery and its intrauterine branches were studied in rats 4, 12 and 24 months old using the glyoxylic acid fluorescence technique. Moreover, uterine noradrenaline levels were determined by means of high pressure liquid chromatography with electrochemical detection. No changes in the density of noradrenergic innervation or in uterine noradrenaline levels were noticeable in 12 month in comparison with 4 month rats. In contrast, a significant decrease in the density of the noradrenergic perivascular plexus of uterine artery and of its intrauterine branches as well as decrease in noradrenaline concentrations of uterine horns and cervix were observed in 24 month rats. The above findings indicate an age-related impairment of uterine noradrenergic innervation.

Structural studies of innervation on nonpregnant rat uterus

Whole-mount preparations of the uterus and mesentery from nonpregnant rats were examined after staining with glyoxylic acid or acetylcholinesterase to demonstrate the innervation. Some uterine tissues were also evaluated by electron microscopy. Glyoxylic acid fluorescent nerves were present in the mesentery, mesometrium, and uterine wall exclusively around blood vessels. Acetylcholinesterase positive nerve fibers from Frankenhäuser's plexus (cervical ganglia) were associated with blood vessels and muscle in the uterine wall but not in the mesentery. Electron microscopy revealed nerve varicosities with granular vesicles associated with blood vessels and varicosities with agranular vesicles located near blood vessels and muscle cells. Treatment of animals for 3 days with 5- and 6-hydroxydopamine, respectively, increased granular size and damaged the varicosities with granular vesicles but did not change nerves with agranular vesicles or induce the presence of gap junctions. The results of this study suggest that blood vessels in the uterus are highly innervated by both adrenergic and other types of nerves that probably control blood flow. Nonadrenergic but not adrenergic nerves may also directly control myometrial contractility.

Quantitative pharmacological characterization of beta-receptors and two types of alpha-receptors mediating sympathomimetic smooth muscle response in the human Fallopian tube at various cyclic stages

The dissociation constants for adrenoceptor-antagonist complexes (KB) were determined in vitro in circular and longitudinal smooth musculature from the ampullary and isthmic regions of the human Fallopian tube. High extracellular potassium concentrations were used to eliminate the spontaneous contractile activity. Neuronal and extraneuronal amine uptake mechanisms were blocked. The parallel shift of the log dose-response curves was secured in Arunlakshana-Schild plots. KB for the beta-receptor, mediating sympathomimetic relaxation, were determined during alpha-receptor blockade: the values for propranolol were the same (approximately 10(-6) M) in all preparations and at all cyclic stages, as determined from plasma estradiol and progesterone levels. KB for the complex between the alpha-receptor (mediating contraction) and phentolamine were determined during beta-receptor blockade. The values were the same in all types of smooth musculature, but varied with cyclic stage: they were around 7 x 10(-8) M when plasma estradiol and progesterone were both minimum, and around 2 x 10(-7) M when these steroid levels were moderate to high, suggesting that the properties of the contractile receptors of the human Fallopian tube are modified during the menstrual cycle.

Enzymes for epinephrine synthesis and metabolism in the myometrium, endometrium, red blood cells, and plasma of pregnant human subjects

The enzyme phenylethanolamine-N-methyl transferase (PNMT) converts norepinephrine (NE) to epinephrine (E), and cathechol-O-methyl transferase (COMT) and monoamine oxidase (MAO) both metabolize NE and E. We were able to measure the activity of these enzymes in myometrial and endometrial samples obtained from 27 pregnant women between 32 and 40 weeks' gestation at the time of cesarean section. In addition, these enzymes were measured in red blood cells and plasma obtained from 45 normal pregnancies between 10 and 40 weeks' gestation. PNMT activity was significantly higher in myometrium than in endometrium. During labor myometrial and red blood cell PNMT activity is significantly lower than in specimens from patients at term not in labor, while myometrial PNMT activity is significantly elevated in patients with dystocia. Under these conditions no significant alterations in myometrial, red blood cell, or plasma COMT or myometrial MAO activities were observed. This study identifies for the first time the presence of PNMT in myometrium, endometrium, and red blood cells and provides the necessary step for the conversion of NE to E, a concept previously limited to the adrenal bland, brain, and heart. This could provide an important physiologic mechanism for the control of uterine activity during pregnancy and parturition.

The relationship of changes in mammary blood flow and plasma progesterone at the time of parturition in the ewe

Previous studies indicate that there is a fall in maternal plasma progesterone and a marked increase in mammary blood flow (MBF) at the time of parturition in ewes. In this experiment the role of progesterone as a cause of this increase in MBF was investigated. Progesterone was infused (9.9 mcg. per minute) into a branch of the mammary artery in five sheep during the induction of premature labor by fetal dexamethasone infusion (1 mg. per 24 hours) to prevent the normal fall in concentration of local mammary artery progesterone. Five ewes used as controls received a mammary artery infusion of cholesterol (9.9 mcg. per minute). In the cholesterol-infused group MBF increased significantly from baseline after 13 +/- 4 hours (mean +/- standard error) to a peak flow of 235 +/- 9 ml. per minute. In the group receiving the progesterone the increase in MBF was delayed to 35 +/- 7 hours, reaching only 161 +/- 22 ml. per minute. These results were significantly different from control group results (p less than 0.01). This study suggests that the fall in maternal plasma progesterone which occurs at the time of parturition may play a role in the increase in MBF that occurs prior to the onset of labor, delivery, and lactogenesis.