The effect of pregnancy and lactation on the mesometrium of the rat

Transuterine relocation of pregnant uterine horn segment in an exploratory rat model with implications for tubal ectopic pregnancy

Ectopic pregnancy affects ~ 2% of pregnancies annually in the United States, with no current treatments allowing for the continuation of the pregnancy. Thus, this study sought to initiate an investigation into the potential design of a surgical technique, in an animal model, that could serve as a foundation for future research into the potential of relocating an ectopic embryo into the uterus at the human level. Female Long-Evans rats were randomly assigned to one of two groups: Embryo Relocation (ER; n = 12; underwent embryo relocation surgery) and Normal Pregnancy (NP; n = 12; carried a normal pregnancy; no surgery). Eight rats/group were allowed to carry their pregnancy to term and deliver, while four had their uteri collected at the end of gestation. Briefly, for the ER group, a uterine horn containing 1-2 embryos was translocated to the contralateral horn, which had been incised and cleared of its contents, prior to being wrapped around the relocated horn. Rat weight, food consumption and vaginal impedance of the mothers were measured throughout the experiment. Ultrasounds were performed and fetal heart rates measured on day 20-21 of gestation. Additionally, rat weight of all offspring was measured at adulthood. Our findings indicate that, in the ER group, 15/15 (100%) of the relocated embryos had detectable heart rates at the end of gestation (within the normal range), 14/15 (93%) were delivered vaginally, and 12/14 (86%) survived until adulthood. A significant decrease in rat weight and food consumption was observed only on the day following surgery. Fertility, as measured by vaginal impedance, was minimally impacted by surgery. Moreover, there was no significant difference between groups in average body weight of offspring at adulthood. Histological analysis indicated a thicker placenta in the ER group, attributable to the fetal part of the placenta, potentially indicating compensatory mechanisms. Our findings reflect a successful transuterine embryo relocation followed by vaginal birth and survival of offspring to adulthood, in a rat model. Such findings lay the foundation for future preclinical research in higher animals, with potential implications on a procedure relevant to human ectopic embryo relocation.

An update on pacemaking in the myometrium

Timely and efficient contractions of the smooth muscle of the uterus - the myometrium - are crucial to a successful pregnancy outcome. These episodic contractions are regulated by spontaneous action potentials changing cell and tissue electrical excitability. In this short review we will document and discuss current knowledge of these processes. Those seeking a conclusive account of myometrial pacemaking mechanisms, or indeed a definitive description of the anatomical site of uterine pacemaking, may be disappointed. Rather, after almost a century of investigation, and in spite of promising studies in the last decade or so, there remain many gaps in our knowledge. We review the progress that has been made using recent technologies including in vivo and ex vivo imaging and electrophysiology and computational modelling, taking evidence from studies of animal and human myometrium, with particular emphasis on what may occur in the latter. We have prioritized physiological studies that bring us closer to understanding function. From our analyses we suggest that in human myometrium there is no fixed pacemaking site, but rather mobile, initiation sites produce the connectivity for synchronizing electrical and contractile activity. We call for more studies and funding, as physiological understanding of pacemaking gives hope to being better able to treat clinical conditions such as preterm and dysfunctional labours.

Pregnancy-induced long-term uterine vascular remodeling in the rat

Despite the available research investigating uterine physiology during and immediately following pregnancy, including at the vascular and muscular levels, knowledge of the potential long-term timeline of such changes is limited. Thus, our study sought to investigate the potential long-term changes in uterine vasculature and horn length in the postpartum rat, following delivery and weaning. Female Long-Evans rats (n = 9-11 rats/group/timepoint) were divided into two groups: a pregnant group and an age-matched virgin control group. Rat weight, food consumption and vaginal impedance measurements were recorded throughout the experiment. Rats in the pregnant group were bred and pregnancy was confirmed using ultrasound imaging. The uterus and its vasculature were collected at various timepoints following weaning: 3 (week of weaning), 8-9 and 13 weeks postpartum, and at age-equivalent timepoints in the virgin group, and the diameters of the main uterine artery and vein, and lengths of the mesometrial segmental vessels (MSV) and uterine horns were recorded. The results indicated a significant difference between the previously-pregnant and virgin rats in both internal and external arterial diameters (but not arterial wall thickness), as well as the uterine horn length, 3 weeks postpartum, but not 8-9 and 13 weeks postpartum. Significant differences were observed in both venous diameter and MSV length at all timepoints measured. Placental scars were also observed in previously-pregnant rats at all timepoints measured. Our study highlights the long-term impact of pregnancy on the uterine vasculature and the necessity for consideration of such changes on subsequent pregnancies, as well as pregnancy-related vascular pathologies.

Stretch-induced enhancement of contractions in uterine smooth muscle of rats

1. We studied the effect of servo-controlled stretch of smooth muscle strips from rat uterus on tension and intracellular Ca2+ concentration ([Ca2+]i, using fura-2 as an indicator) at 30 degrees C. 2. When quiescent uterine muscle strips were stretched at a ramp time of 0.5 s by multiples of 5% of the resting muscle length (L0) up to 40%, forty-two out of sixty muscle strips responded with a transient active contraction and a [Ca2+]i increase. The minimum excursion of stretch required for contraction was 26.3 +/- 7.5% of L0 (mean +/- S.D.). The peak response had an all-or-none property and was almost independent of the duration of stretch. 3. Stretches of 30 or 35% of L0 induced contraction in most cases when rapidly applied in 0.2-0.5 s, but slowly applied stretch (ramp duration of 5-10 s) rarely induced contraction. 4. The stretch-induced response was inhibited by the removal of extracellular Ca2+ or by the addition of 10 nM nicardipine. However, it was unaffected by 1 microM tetrodotoxin, 1 microM atropine or by 10 microM cyclopiazonic acid, an inhibitor of Ca2+-ATPase in intracellular Ca2+ stores. 5. When a stretch of 15-35% of L0 was applied during the relaxation phase of 10 nM oxytocin-induced rhythmic contractions, the first contraction after the stretch occurred earlier than that expected from the control rhythm. However, the frequency of the subsequent rhythm returned to almost the control level even during continued application of stretch, although the half-width of rhythmic contractions was increased during stretch. 6. The present study demonstrates that stretch of uterine muscle induces a transient contraction due to Ca2+ influx, which is myogenic and dependent on the excursion and velocity of stretch. The all-or-none property of the stretch-induced contractions suggests initiation of Ca2+ spikes. Furthermore, stretch modulates the oxytocin-induced rhythmic contractions.

Mechanogenetic regulation of transcription

In many biological systems mechanical forces regulate gene expression: in bacteria changes in turgor pressure cause a deformation of the membrane and induce the expression of osmoregulatory genes; in plants gravity regulates cell growth ('geotropism'); in mammals stretching a muscle induces hypertrophy which is accompanied by qualitative changes in protein synthesis. Consequently, the term 'mechanogenetic control' seems to be a suitable common name for all these processes. The mechanism by which mechanical factors modulate transcriptional activity is still unknown. The purpose of this review is to bring together data from different fields in order to obtain a better understanding of the mechanogenetic control of cell growth.

The costo-uterine muscle of the rat. Fluorescence-histochemical and electron microscope studies during growth, pregnancy and oestrogen-treatment

The costo-uterine muscle provides a skeletal attachment to the longitudinal myometrial layer of the uterine horn. In this study we investigated the possibility that the muscle is responsive to sex steroid hormones. In rats of 4 weeks of age, injected with oestradiol for 5 days, the cross-sectional area of nucleated muscle cell profiles was significantly increased. A significant increase in the sectional area of muscle cells was also demonstrated in the costo-uterine muscle of 16-week-old rats, on the 20th day of gestation, compared with non-pregnant rats in dioestrus and of the same age. In oestrogen-treated and in pregnant rats, there was also an increase in muscle cell length. As to the innervation of the costo-uterine muscle, in glyoxylic acid-treated whole-mount and cryostat preparations, we found not only perivascular nerve fibres, but also a few nerve fibres innervating the muscle proper. The pattern of innervation was unchanged after oestrogen treatment and during pregnancy. In the electron microscope, axonal varicosities were observed in the proximity of both vascular and non-vascular muscle cells.

Activation of nuclear chromatin in stretch-dependent growth of tissues

The growth of connective tissue cells can be controlled both by mechanical extension and by diffusion gradients. We have used nuclear fluorescence with acridine orange (AO) as a measure of nuclear activation, to study growth control in vivo in rat mesometrium and mouse spine. Frozen sections of spinal muscle taken from animals after two h exercise, revealed nuclear activation in peripheral cells. The number of active muscle nuclei decreased drastically with age. During mesometrial growth in pregnancy, AO fluorescence showed that activated cell nuclei occurred mainly near the capillaries. The width of the zone of activated nuclei was within 20 microns from the capillary walls. AO appears to be a sensitive stain for tracing gradients of growth in intact connective tissue.

Hypertrophic smooth muscle. V. Collagen and other extracellular materials. Vascularization

In adult guinea-pigs, oral to a partial obstruction to the flow of ingesta in the ileum there is a marked increase in the diameter of the intestine and a hypertrophy of the muscle coat. The features of the intramuscular blood vessels and of the extracellular materials were studied by electron microscopy. There is a small increase in the amount of intercellular space measured morphometrically. The basal lamina surrounding the hypertrophic muscle cells is more prominent than in controls. In the intercellular space between muscle cells, in addition to collagen fibrils, there is abundant amorphous material of medium electron density and streak-like, electron-dense material often similar to thickened basal laminae. The total amount of stroma (intercellular materials) present in a unit length of intestine is greatly increased in hypertrophy; a role of the muscle cells in the production of new collagen and other extracellular elements is suggested by the present observations. Many new intramuscular blood vessels (mainly capillaries, some of which are fenestrated) are formed during hypertrophy of the intestinal wall, so that the circular muscle layer remains as well vascularized in the hypertrophic intestine as in the controls. Blood vessels are not formed within the longitudinal muscle layer.

The collagen fibrils in the collapsed and the chronically stretched intestinal wall

A partial and progressive obstruction of the ileum (stenosis) was produced by surgery in adult rats and guinea pigs. Oral to the stenosis the accumulation of ingesta imposed a condition of chronic stretch on the intestinal wall: the lumen was much distended and the wall increased in thickness, mainly by hypertrophy of the mucosa and muscle coat. The submucosa too increased in volume and its collagen fibrils showed marked ultrastructural changes: in the rat the collagen fibrils (which were of rather uniform diameter in the control submucosa, mean 87 nm) varied greatly in size and formed two distinct populations: large fibrils (similar to those of controls) and small fibrils (4-5 nm in diameter). The latter were probably newly formed fibrils and their number increased in the more advanced stages of hypertrophy. The small fibrils were usually gathered into groups of 15-60 but were found throughout the entire thickness of the collagen bundles. Aboral to the stenosis the intestine was collapsed. In the submucosa there was a widening of the range of fibril sizes, a small increase in the average size and the occurrence of very large and irregular fibrils. Similar changes occurred in the guinea pig; however, the size of the control collagen fibrils (57 nm) was smaller than in the rat, and in the condition of chronic stretch small and large fibrils could not be clearly separated into distinct populations.