PMID- 21458623 OWN - NLM STAT- MEDLINE DCOM- 20110628 LR - 20211020 IS - 1097-6868 (Electronic) IS - 0002-9378 (Print) IS - 0002-9378 (Linking) VI - 204 IP - 4 DP - 2011 Apr TI - Endothelin type A receptor antagonist attenuates placental ischemia-induced hypertension and uterine vascular resistance. PG - 330.e1-4 LID - 10.1016/j.ajog.2011.01.049 [doi] AB - OBJECTIVE: We sought to determine the effect of an endothelin type A receptor antagonist (ETA) on uterine artery resistive index (UARI) and mean arterial pressure (MAP) in a placental ischemia rat model of preeclampsia produced by reduction in uterine perfusion pressure (RUPP). STUDY DESIGN: UARI was assessed by Doppler velocimetry in RUPP and normal pregnant controls (NP) on gestational days (GD) 12, 15, and 18. UARI was also determined on GD 18 in NP and RUPP pregnant dams after pretreatment with ETA. MAP was recorded on GD 19. RESULTS: The RUPP group had a higher MAP and UARI on GD 15 and 18 than the NP group. Pretreatment with ETA attenuated both the MAP and GD-18 UARI in the RUPP group without affecting these parameters in the NP group. CONCLUSION: The improvement in UARI could be one potential mechanism for the reduction in MAP in response to ETA in pregnant dams with ischemic placentas. CI - Copyright (c) 2011 Mosby, Inc. All rights reserved. FAU - Tam Tam, Kiran B AU - Tam Tam KB AD - Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, MS 39216, USA. FAU - George, Eric AU - George E FAU - Cockrell, Kathy AU - Cockrell K FAU - Arany, Marietta AU - Arany M FAU - Speed, Joshua AU - Speed J FAU - Martin, James N Jr AU - Martin JN Jr FAU - Lamarca, Babbette AU - Lamarca B FAU - Granger, Joey P AU - Granger JP LA - eng GR - P01 HL051971/HL/NHLBI NIH HHS/United States GR - P01 HL051971-16/HL/NHLBI NIH HHS/United States GR - HL-51971/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Am J Obstet Gynecol JT - American journal of obstetrics and gynecology JID - 0370476 RN - 0 (Endothelin Receptor Antagonists) RN - 0 (Pyrrolidines) RN - V6D7VK2215 (Atrasentan) SB - IM MH - Animals MH - Atrasentan MH - Blood Flow Velocity/drug effects/physiology MH - Blood Pressure/drug effects/physiology MH - Disease Models, Animal MH - *Endothelin Receptor Antagonists MH - Female MH - Hypertension/*drug therapy/physiopathology MH - Ischemia/drug therapy/physiopathology MH - Placenta/*blood supply/drug effects/physiopathology MH - Pregnancy MH - Pyrrolidines/pharmacology MH - Rats MH - Rats, Sprague-Dawley MH - Ultrasonography MH - Uterine Artery/diagnostic imaging/*physiopathology MH - Vascular Resistance/*drug effects/physiology PMC - PMC3072697 MID - NIHMS280580 EDAT- 2011/04/05 06:00 MHDA- 2011/06/29 06:00 PMCR- 2012/04/01 CRDT- 2011/04/05 06:00 PHST- 2010/11/23 00:00 [received] PHST- 2011/01/19 00:00 [revised] PHST- 2011/01/24 00:00 [accepted] PHST- 2011/04/05 06:00 [entrez] PHST- 2011/04/05 06:00 [pubmed] PHST- 2011/06/29 06:00 [medline] PHST- 2012/04/01 00:00 [pmc-release] AID - S0002-9378(11)00142-6 [pii] AID - 10.1016/j.ajog.2011.01.049 [doi] PST - ppublish SO - Am J Obstet Gynecol. 2011 Apr;204(4):330.e1-4. doi: 10.1016/j.ajog.2011.01.049.