PROPRANOLOL-BLOCKADE OF VASOPRESSIN INDUCED INCREASE IN PLASMA PROGESTERONE IN EARLY HUMAN PREGNANCY

1971 ◽  
Vol 66 (2) ◽  
pp. 283-288 ◽  
Author(s):  
Petter Fylling

ABSTRACT Following continuous dilation of the uterine cervix or intravenous infusion of vasopressin during the first trimester of human pregnancy, a marked increase in the peripheral plasma progesterone levels was observed. This effect was blocked by simultaneous administration of propranolol (Inderal®), a β-blocking agent. It is suggested that both these stimulating and inhibiting effects might be related to 3′, 5′-adenosine monophosphate (cyclic AMP). The results indicate the existence of β-receptors in steroid producing tissues.

1973 ◽  
Vol 72 (3) ◽  
pp. 569-572 ◽  
Author(s):  
Petter Fylling

ABSTRACT Following continuous intravenous infusion of vasopressin or theophyllamine during the first trimester of human pregnancy, a marked increase in the peripheral plasma progesterone levels was observed. By simultaneous administration of propranolol the vasopressin effect was blocked, but not that of theophyllamine. When dexamethasone was infused, the incremental response of both vasopressin and theophyllamine was blocked or reduced. The present results may indicate that propranolol exerts its inhibitory effect on the steroidogenesis at the β-adrenergic receptor sites. Dexamethasone, on the other hand, seems to act distal to the β-receptors probably by direct interference with steroidogenesis.


1972 ◽  
Vol 69 (4) ◽  
pp. 602-607 ◽  
Author(s):  
Petter Fylling

ABSTRACT The effect of dexamethasone on the peripheral plasma levels of progesterone was investgated in pregnant women during the first trimester. Neither oral treatment (2.5 mg × 4 for two days) nor intramuscular injection (24–64 mg) had any depressant effect in otherwise untreated women. The incremental response in the plasma progesterone levels consistently seen in women subjected to continuous dilation of the uterine cervix or vasopressin infusions, was markedly reduced by dexamethasone treatment.


1971 ◽  
Vol 66 (2) ◽  
pp. 273-282 ◽  
Author(s):  
Petter Fylling

ABSTRACT Vasopressin, adrenaline and theophyllamine infusions administered to pregnant women in the first trimester had a marked stimulating effect on the progesterone* level of peripheral plasma. The effect was dose-dependent within the range tested, and the vasopressin effect was potentiated when theophyllamine was added to the infusion medium. Vasopressin infusion, however, had no effect on the human chorionic gonadotrophin (HCG) level in peripheral blood. Oxytocin had only a slight effect on the progesterone levels as compared with a control group receiving only saline infusion. 3′,5′-adenosine monophosphate (cyclic AMP) infusion given over a period of 40 minutes (0.4 mg/kg/min) to one pregnant woman resulted in a moderate increase in the progesterone level.


1970 ◽  
Vol 65 (2) ◽  
pp. 293-301 ◽  
Author(s):  
Petter Fylling ◽  
Nils Norman

ABSTRACT Dilation of the uterine cervix for 16 hours as a preliminary to the induction of legal abortion during the first trimester of human pregnancy resulted in a marked increase in the plasma level of both progesterone and human chorionic gonadotrophin (HCG). In a control group (with the dilating instrument taped on the medial side of the upper thigh) no increase in progesterone occurred. The increase in the plasma level of HCG was more pronounced than that of progesterone, the mean increase being 80 and 50 per cent respectively. Following the termination of the pregnancy, the half life (t½) of endogenous HCG in peripheral plasma could be calculated, and was found to be about 7 hours.


1972 ◽  
Vol 71 (4) ◽  
pp. 765-772 ◽  
Author(s):  
Tore H:son Holmdahl ◽  
Elof D. B. Johansson

ABSTRACT Peripheral plasma levels of 17α-hydroxyprogesterone* were measured during normal human pregnancy. During the first trimester measurements of peripheral plasma progesterone were also included. Five cases of early pregnancies were followed with frequent blood-sampling until the 14th week of gestation. In one of the women daily blood samples were collected from 10 days prior to conception until the beginning of the 6th week. From the 18th week on, a total of 173 blood-samples were obtained from individual patients. During the 7th week the average plasma levels of 17α-hydroxyprogesterone reached a maximum of 3.7 ng per ml followed by a gradual decline. From week 14 to week 34 the mean level was around 0.5 ng per ml. Thereafter an increase towards term was noted with a mean plasma level of 17α-hydroxyprogesterone of about 2 ng per ml in week 40. Peripheral plasma progesterone decreased from a mean level of 27.0 ng per ml in week 5 to reach a nadir of 16.0 ng per ml in weeks 8 and 9 followed by a gradual increase. No correlation between the plasma levels of 17α-hydroxyprogesterone and the clinical outcome of pregnancy could be demonstrated.


1968 ◽  
Vol 58 (3) ◽  
pp. 481-496 ◽  
Author(s):  
Poul Hjortkjær Pedersen ◽  
Jørgen Falck Larsen

ABSTRACT The ultrastructure of granulosal lutein cells of 13 corpora lutea in early human pregnancy was studied. The predominant cytoplasmic element was the smooth endoplasmic reticulum. No convincing signs of degeneration of the lutein cells could be demonstrated within the first 14 weeks of pregnancy, as the mitochondria as well as the rough and smooth endoplasmic reticulum were well preserved. However, lysosomes may be slightly more numerous in older specimens and the subendothelial space increases with the age of gestation. A particular type of multilaminated structure one to five micron in diameter was observed, particularly in the earliest specimens. The possible intracellular location of steroid synthesis is discussed.


1977 ◽  
Vol 86 (3) ◽  
pp. 634-640 ◽  
Author(s):  
Emma Florensa ◽  
Robert Harrison ◽  
Michael Johnson ◽  
Ezat Youssefnejadian

ABSTRACT The peripheral plasma levels of 20α-dihydroprogesterone (20α-DHP), progesterone (P) and 17-hydroxyprogesterone (17-OHP) were measured by radioimmuoassay techniques in 440 samples during normal human pregnancy between weeks 4 and 41. The levels of 20α-DHP in plasma from the 4th to the 6th week were between 6.0 and 6.6 ng/ml. From then until the 21st week the average plasma 20α-DHP concentrations remained at the same level between 4.0 and 6.3 ng/ml; they then rose significantly to and beyond term, levels reaching over 40 ng/ml. The range of mean plasma concentration of P during the first trimester of pregnancy fell to a nadir in the 9th week (170 ng/ml) then rose with increased gestation until the 39th week (190.4 ng/ml) followed by a slight and not significant drop. Single measurements of plasma 17-OHP from the 4th to the 6th week of pregnancy gave value between 2.8 and 3.6 ng/ml, but from the 7th week the mean plasma 17-OHP levels gradually declined, then from week 30 the 17-OHP concentration increased to reach a mean level of 7.63 ng/ml in the 41st week. The ratio P/20α-DHP increased from the 4th (3.5:1) to the 24th week (15.6:1) and then decreased from the 25th week (7.9:1) towards term (3.2:1).


1971 ◽  
Vol 110 (5) ◽  
pp. 630-632 ◽  
Author(s):  
A.I. Csapo ◽  
E. Knobil ◽  
H.J. van der Molen ◽  
W.G. Wiest

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