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Influence of labor and oxytocin on in vitro leukotriene release by human fetal membranes and uterine decidua at term gestation

  • Author Footnotes
    a From the Clinica Ostetrica e Ginecologica, II University of Rome
    Nino Pasetto
    Correspondence
    Reprint requests: Nino Pasetto, MD, Clinica Ostetrica e Ginecologica, II University of Rome, Policlinico Nuovo S. Eugenia, P. le Umanesimo, 00144 Roma EUR, Rome, Italy.
    Footnotes
    a From the Clinica Ostetrica e Ginecologica, II University of Rome
    Affiliations
    Rome, Italy
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  • Author Footnotes
    b General Pathology, Department of Experimental Medicine, University “La Sapienza.”
    Alessandra Zicari
    Footnotes
    b General Pathology, Department of Experimental Medicine, University “La Sapienza.”
    Affiliations
    Rome, Italy
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  • Author Footnotes
    a From the Clinica Ostetrica e Ginecologica, II University of Rome
    Emilio Piccione
    Footnotes
    a From the Clinica Ostetrica e Ginecologica, II University of Rome
    Affiliations
    Rome, Italy
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  • Author Footnotes
    b General Pathology, Department of Experimental Medicine, University “La Sapienza.”
    Luisa Lenti
    Footnotes
    b General Pathology, Department of Experimental Medicine, University “La Sapienza.”
    Affiliations
    Rome, Italy
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  • Author Footnotes
    b General Pathology, Department of Experimental Medicine, University “La Sapienza.”
    Giuseppe Pontieri
    Footnotes
    b General Pathology, Department of Experimental Medicine, University “La Sapienza.”
    Affiliations
    Rome, Italy
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  • Author Footnotes
    b General Pathology, Department of Experimental Medicine, University “La Sapienza.”
    Carlo Ticconi
    Footnotes
    b General Pathology, Department of Experimental Medicine, University “La Sapienza.”
    Affiliations
    Rome, Italy
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  • Author Footnotes
    a From the Clinica Ostetrica e Ginecologica, II University of Rome
    b General Pathology, Department of Experimental Medicine, University “La Sapienza.”
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      OBJECTIVE: The purpose of this study was to determine whether labor and oxytocin influence in vitro leukotriene release by human fetal membranes and uterine decidua at term gestation.
      STUDY DESIGN: All women (N = 21) were studied in an academic clinical research environment. They were delivered either vaginally or before labor by cesarean section. Tissues were incubated with calcium ionophore A23187 alone or with calcium ionophore A23187 after preincubation with either oxytocin, BW755c, or cycloheximide. Leukotrienes in culture medium were determined by high-performance liquid chromatography. Statistical analysis was performed with analysis of variance.
      RESULTS: Tissues obtained after vaginal delivery released significantly higher (p<0.05) quantities of leukotrienes LTB4, LTD4, and Δ-6-trans-LTB4 than did tissues obtained during cesarean section. Leukotriene release was stimulated by oxytocin and was inhibited by both BW755c and cycloheximide.
      CONCLUSION: These results suggest an activation of the arachidonate lipoxygenase pathway in these tissues during labor. Oxytocin could play a regulatory role in this process.

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