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Abstract
It has been suggested that ineffective constriction in response to an increase in
P02 is the primary cause for delayed closure of the ductus arteriosus in preterm infants.
The isometric contractile effects of increased P02 and prostaglandin synthetase inhibitors (indomethacin and tranylcypromine) were studied
on isolated rings of lamb ductus arteriosus from animals of two gestational ages (87–110
days and 135–150 days, term is 150 days). Rings from animals less than 110 days have
a significantly smaller oxygen-induced contraction (2.5 ± .3 g/mm2, n=16) when compared with rings from animals near term (4.6 ± .7 g/mm2, n=9).Oxygen-contracted rings from both gestational age groups contract further upon
addition of either prostaglandin synthetase inhibitor. Rings from animals less than
110 days have a significantly larger indomethacin-induced contraction (1.10 ± 1.7
g/mm2, n=16) than vessels near term (0.52 ± .12 g/mmm2, n=9). In addition, arachidonic acid produces a greater relaxation in the immature
oxygen contracted ring (42 ± 9%, n=10) than in the vessel near term (6 ± 2%, n=4).
This is consistent with the hypothesis that, early during gestation, endogenous prostaglandins
inhibit the vessel's ability to contract in response to oxygen. These observations
are also consistent with the ability of indomethacin to constrict the patent ductus
arteriosus in preterm infants.
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References
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© 1978 Published by Elsevier Inc.