Human Reproduction, Vol. 14, No. 8, 2116-2119,
August 1999
© 1999 European Society of Human Reproduction and Embryology
Nitric oxide synthesis is increased after dehydroepiandrosterone sulphate administration in term human pregnancy
1 Departments of Obstetrics and Gynecology and 2 Physiology, Shimane Medical University, 891 Enya, Izumo 693-8501 and 3 Department of Perinatology, Kagawa Medical University, Kagawa, Japan
The purpose of this study was to evaluate the role of nitric oxide in the vasodilative effect of dehydroepiandrosterone sulphate (DHEA-S) in term pregnant women. Circulating nitrite, nitrate and oestradiol concentrations were measured on 10 normal full-term pregnant women before (30 min) and after (10, 30, 60, 90 and 120 min) administration of a 200 mg i.v. dose of DHEA-S dissolved in 20 ml of 5% dextrose (DHEA-S group). Ten normal full-term pregnant women received 20 ml of 5% dextrose as controls (control group). Maternal blood pressure and heart rate were also recorded. The median oestradiol concentration increased significantly after the infusion in DHEA-S group (P < 0.001), whereas there was no significant change in plasma oestradiol in the control group. In the DHEA-S group, plasma circulating nitrate and nitrite increased significantly at 10 and 30 min after DHEA-S administration respectively (P < 0.05). In the control group, there was no change in plasma nitric oxide (NO) metabolites. No change was found in heart rate or mean arterial blood pressure in the control or DHEA-S groups. These results suggest there may be a link between increased NO and increased oestrogen after DHEA-S injection but their peak values did not coincide. Both may be associated with vasodilation in term pregnant women.
Key words: dehydroepiandrosterone sulphate/nitric oxide/oestrogen/term pregnancy/vasodilative effect
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