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Academic Division of Obstetrics and Gynecology, Derby City General Hospital, University of Nottingham (B.C., B.M.-B., A.T., R.N.K.), Derby, United Kingdom DE22 3NE; Academic Division of Obstetrics and Gynecology, Queens Medical Center, University of Nottingham (G.R., F.B.-P.), Nottingham, United Kingdom NG7 2UH; and Academic Division of Obstetrics and Gynecology, St. Georges Hospital Medical School, University of London (S.A.), London, United Kingdom SW17 0RE
Address all correspondence and requests for reprints to: Dr. Raheela N. Khan, Academic Division of Obstetrics and Gynecology, University of Nottingham, Clinical Sciences Building, Derby City General Hospital, Uttoxeter New Road, Derby, United Kingdom DE22 3NE. E-mail: raheela.khan{at}nottingham.ac.uk.
A considerable body of evidence exists suggesting that the ß2-adrenergic receptor (ß2-AR) mediates uterine relaxation. However, little information exists on the localization, distribution, or expression of ß2-ARs in the human myometrium during the nonpregnant to labor transition. We have used immunochemical methods to investigate ß2-AR localization and expression in the nonpregnant, term pregnant, and term parturient uterus. Myometrial biopsies were obtained from 1) nonpregnant, menstruating women undergoing hysterectomy; 2) singleton term pregnant women undergoing elective cesarean section before the onset of labor; or 3) singleton term pregnant women undergoing emergency cesarean section after spontaneous labor. Tissues were processed for immunohistochemistry, immunofluorescence, and Western blotting and a primary polyclonal antibody specific to the human ß2-AR to identify immunoreactive myometrial ß2-AR. Protein levels were subsequently quantified by densitometry relative to rat brain protein. Immunohistochemistry and immunofluorescence demonstrated the presence of ß2-AR predominantly at the plasma membrane and also in the cytosol of myometrial cells. A 2-fold decrease in protein levels of the ß2-AR was apparent in the myometrium of labor compared with that of nonpregnant and pregnant nonlaboring women (P < 0.05). These results demonstrate that down-regulation of ß2-AR protein with labor may constitute a contributory mechanism by which uterine quiescence is removed at term.
This work was supported by the Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Thailand (to B.C.).
Abbreviations: ß2-AR, ß2-Adrenergic receptor; HBSS, Hanks balanced salt solution.
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