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RAPID REPORT |
1 Department of Anaesthesiology, Division of Molecular Medicine
2 Department of Molecular & Medical Pharmacology
3 Department of Physiology
4 Brain Research Institute, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA 90095-1778, USA
The 5-hydroxytryptamine (5-HT) type 2 receptor family is involved in multiple physiological functions in smooth muscle including proliferation, differentiation and contraction. In myometrium, 5-HT2 receptors not only play a role in contraction but also regulate the activity of hypertrophic genes during pregnancy. Here we investigated whether 5-HT2A receptors were up-regulated during gestation and whether changes in expression could be correlated with changes in 5-HT-induced contractions in late pregnant myometrium. 5-HT tension dose–response curves showed that 5-HT-induced myometrial contractility is drastically increased in late pregnancy when compared to non-pregnant conditions. The 5-HT maximum tension (% of 80 mM KCl contracture) increased from 17 ± 2% in non-pregnant to 54 ± 7% in late pregnant myometrium. This tension increase took place without significant changes in the 5-HT sensitivity as EC50 values were similar in non-pregnant and late pregnant myometrium (0.11 ± 0.03 µM and 0.17 ± 0.02 µM, respectively). The increased 5-HT-induced contraction at the end of pregnancy was associated with up-regulation of 5-HT2A transcript (
5-fold) and protein (
6-fold) levels. These functional and biochemical studies provide evidence that myometrium remodelling during pregnancy is in part associated with up-regulation of 5-HT2A transcript and protein levels resulting in higher 5-HT-induced contractile responses. We conclude that the higher 5-HT-induced contractile response results from a higher density of 5-HT2A receptors having the same properties as in non-pregnant myometrium.
(Received 1 February 2007;
accepted after revision 21 March 2007;
first published online 29 March 2007)
Corresponding author E. Stefani: David Geffen School of Medicine at UCLA, Department of Anaesthesiology, BH-520A CHS Box 957115, Los Angeles, CA 90095-7115, USA. Email: estefani{at}ucla.edu
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