Regional changes in structural and functional integrity of myometrial adrenergic nerves in pregnant guinea‐pig, and their relationship to the localization of the conceptus

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Abstract
Pregnancy is accompanied by a reduction in uterine noradrenaline [norepinephrine]. Structural and functional integrity of the sympathetic nerves in the organ associated with pregnancy were investigated. The formaldehyde-induced fluorescence of adrenergic nerves was studied in different uterine regions before and after in vitro incubation or injection with .alpha.-methyl-noradrenaline in pregnant and puerperal guinea pig uterus at 6 time periods from early pregnancy (about 20 days post coitum) to 3 mo. post partum. The changes were related to the position of the fetuses, which were often present in only 1 of the 2 uterine horns. There was a drastic loss of fluorescent adrenergic nerves in myometrial tissue from horns distended by fetuses. Attempts to restore this fluorescence by incubation or injection with .alpha.-methyl-noradrenaline were essentially ineffective. Tissues from uterine regions outside and not distended by fetuses in the case of early pregnancy from horns devoid of fetuses in the case of unilateral pregnancy and from the cervix also lost their noradrenaline-fluorescent nerves, but this occurred at a much later stage of pregnancy. After treatment with .alpha.-methyl-noradrenaline, a fluorescent plexus of sympathetic nerves could be restored to a considerable extent in these latter tissues. In puerperal animals the horn that was devoid of fetuses regained its endogenous fluorescence much faster and the uptake of .alpha.-methyl-noradrenaline was more efficient than in the horn which had contained fetuses. In this latter horn clear signs of restoration of endogenous adrenergic fluorescence and a clear uptake capacity was not found until 3 mo. after delivery. In the tubal end of the uterus, the reduction in the number of fluorescent nerves was only insignificant and the region thus clearly differed from the rest of the uterus. There are clear regional differences with regard to the disappearance of the noradrenaline transmitter in the uterus. This disappearance in early pregnancy is related to the position of the conceptus. The changes involve de- and regenerative phenomena as well as alterations in transmitter levels of intact neurons.
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