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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

Atsushi Manabe1,4, Toshiyuki Hata3, Toshihiro Yanagihara3, Michio Hashimoto2, Yohko Yamada1, Shingo Irikoma1, Showa Aoki1, Sumio Masumura2 and Kohji Miyazaki1

1 Departments of Obstetrics and Gynecology and 2 Physiology, Shimane Medical University, 89–1 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

4 To whom correspondence should be addressed


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