Abstract

Prostanoids modulate the activity of human pregnant myometrium and their functional role can be appreciated through characterisation of prostanoid receptors and tissue concentration of prostanoids. We have applied a lipidomic approach to elucidate the profile of prostanoids in human non-labouring and labouring myometrium. We have identified a total of nineteen prostanoids including prostacyclin, thromboxanes, prostaglandins and dihydro-prostaglandins. Prostacyclin was the predominant prostanoid in both non-labouring and labouring myometria, with PGD 2 and PGF 2 α being the second most abundant. Although the total amount of prostanoids was increased in the labouring tissue, PGE 2 and 13,14-dihydro-15-keto-PGE 2 were the only prostanoids to increase significantly at early and late labour ( p≤0.001). Our data suggest that PGF 2 α plays an important role in parturition, whilst the increase in PGE 2 could occur to facilitate cervical dilation and relaxation of the lower myometrium during labour. Although the elevation in TXA 2 was less marked than expected, in terms of translation to function even a relatively small increase in the level of this potent spasmogen may have significant effects.

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