Vascular responses of umbilical-placental circulation to vasodilators in fetal lambs

Am J Physiol. 1991 Jul;261(1 Pt 2):H9-14. doi: 10.1152/ajpheart.1991.261.1.H9.

Abstract

It has been suggested that the umbilical-placental circulation is maximally vasodilated under normal conditions. To test this hypothesis, we investigated the effect of vasodilators on umbilical-placental vascular resistance. In nine chronically instrumented fetal lambs, catheters were placed in the descending aorta, umbilical artery, umbilical vein, and inferior vena cava. Umbilical-placental blood flow was measured by an electromagnetic flow probe placed around the common umbilical artery. Forskolin and nitroglycerin both dilated the umbilical-placental circulation, causing a dose-dependent decrease in umbilical-placental resistance to approximately 80% of baseline, indicating that the umbilical-placental circulation has some dilatory reserve. Both the adenosine 3',5'-cyclic monophosphate and the guanosine 3',5'-cyclic monophosphate mechanisms, which are directly stimulated by forskolin and nitroglycerin, respectively, are functional in the umbilical-placental circulation. However, the vasodilators prostacyclin and adenosine, which act through specific cell membrane receptors, have no effect on the umbilical-placental resistance. The inability of these agents to dilate the umbilical-placental circulation could be due to a lack of the appropriate receptors in the umbilical-placental vasculature.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adenosine / pharmacology
  • Animals
  • Blood Pressure / drug effects
  • Colforsin / pharmacology
  • Epoprostenol / pharmacology
  • Fetus / physiology*
  • Nitroglycerin / pharmacology
  • Placenta / blood supply*
  • Regional Blood Flow / drug effects
  • Sheep
  • Umbilical Cord / blood supply*
  • Vascular Resistance / drug effects
  • Vasodilator Agents / pharmacology*

Substances

  • Vasodilator Agents
  • Colforsin
  • Epoprostenol
  • Nitroglycerin
  • Adenosine