2015
DOI: 10.4238/2015.september.9.25
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Responsivity to PGE2 labor induction involves concomitant differential prostaglandin E receptor gene expression in cervix and myometrium

Abstract: ABSTRACT. Prostaglandin E2 (dinoprostone) is largely used for labor induction. However, one-third of patients do not respond to treatment. One cause of this poor response may be associated with changes in regulation of prostaglandin E receptors (EP1-4). In this study, we investigated EP mRNA expression in the uterine cervix and lower uterine segment myometrium for term births. Biopsies were obtained from women with successful (responders) and failed (non-responders) dinoprostone labor induction, while women th… Show more

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Cited by 10 publications
(6 citation statements)
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“…Prostaglandins are involved in sex hormone signaling, and sex-dependent differential PGE 2 production, response and receptor expression has previously been reported [45-47], so differences between male and female PGE 2 levels are not unexpected. This provides a possible explanation for our result showing significantly lower PGE 2 concentrations in female, but not male RRMS subjects, compared to HC and SPMS.…”
Section: Discussionmentioning
confidence: 99%
“…Prostaglandins are involved in sex hormone signaling, and sex-dependent differential PGE 2 production, response and receptor expression has previously been reported [45-47], so differences between male and female PGE 2 levels are not unexpected. This provides a possible explanation for our result showing significantly lower PGE 2 concentrations in female, but not male RRMS subjects, compared to HC and SPMS.…”
Section: Discussionmentioning
confidence: 99%
“…For example, expression of EP2 receptor (smooth muscle relaxant receptors) in myometrium is maintained throughout the pregnancy, contributing to quiescence, but reduced at term in labor. EP3 receptors (smooth muscle contractile receptors), on the other hand, are increased leading to labor at term and mobilized more toward the lower segment myometrium, contributing to smooth muscle contractions during labor (38,51,52). The binding constant for PGE 2 to EP3 receptors is about 1 nM (53).…”
Section: "Inflammatory" Lipid Mediator and Receptor Sufficiency Yet mentioning
confidence: 99%
“…Myometrial/endometrial EP3 and FP expressions controlling myometrial activity have been presented in previous studies (Palliser et al, 2006;Ma et al, 1999;Konopka et al, 2015). Nevertheless undetect- able or extremely low level of EP1 has not been taken into consideration either in spontaneous or dexamethasone-induced parturition (Ma et al, 1999;Konopka et al, 2015). Significant upregulation of cotyledonary FP, EP1 and EP3 expressions in AG ewes could be the reason for decreased pathologies during parturition.…”
Section: Discussionmentioning
confidence: 95%
“…The clinical efficiency of aglepristone having less parturition pathology in pregnancy toxemia could associate with cotyledonary expression of prostaglandin receptors. Myometrial/endometrial EP3 and FP expressions controlling myometrial activity have been presented in previous studies (Palliser et al, 2006;Ma et al, 1999;Konopka et al, 2015). Nevertheless undetect- able or extremely low level of EP1 has not been taken into consideration either in spontaneous or dexamethasone-induced parturition (Ma et al, 1999;Konopka et al, 2015).…”
Section: Discussionmentioning
confidence: 99%