PMID- 7039321 OWN - NLM STAT- MEDLINE DCOM- 19820527 LR - 20190615 IS - 0002-9378 (Print) IS - 0002-9378 (Linking) VI - 142 IP - 7 DP - 1982 Apr 1 TI - Prostacyclin production during pregnancy: comparison of production during normal pregnancy and pregnancy complicated by hypertension. PG - 817-22 AB - We investigated prostacyclin (PGI2) biosynthesis during pregnancy by measuring urinary excretion of 2,3-dinor-6-keto-prostaglandin F1 alpha (dinor) and 15-keto-13,14-dihydro-2,3-dinor-6-keto-prostaglandin F1 alpha (15 kd dinor) with the use of specific gas chromatography-mass spectrometry assays. Nine normotensive nonpregnant women, five normotensive women in the mid-trimester of pregnancy, eight normotensive women in the third trimester of pregnancy, and six women who developed hypertension during the third trimester provided 24-hour samples of urine. Normal pregnant women had a fivefold increase in urinary excretion of dinor in comparison to nonpregnant women (253 +/- 21 ng dinor/gm creatinine for controls vs. 1,224 +/- 110 and 1,127 +/- 152 for second and third trimesters) (mean +/- SEM). Pregnant subjects with hypertension had a significant (50%) reduction in urinary dinor excretion in comparison to normotensive pregnant subjects (561 +/- 105 ng dinor/gm creatinine). In subjects selected from each group, the ratio of dinor to 15 kd dinor remained constant. We conclude that PGI2 biosynthesis is increased during normal pregnancy, and that this increase is less in pregnancy-induced hypertension. This raises the possibility that PGI2 helps mediate hemodynamic changes during normal pregnancy, and that a relative decrease in production might be related to the pathogenesis of pregnancy-induced hypertension. FAU - Goodman, R P AU - Goodman RP FAU - Killam, A P AU - Killam AP FAU - Brash, A R AU - Brash AR FAU - Branch, R A AU - Branch RA LA - eng GR - GM07569/GM/NIGMS NIH HHS/United States GR - HD05797/HD/NICHD NIH HHS/United States GR - HL14192/HL/NHLBI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Am J Obstet Gynecol JT - American journal of obstetrics and gynecology JID - 0370476 RN - 0 (Prostaglandins) RN - 0 (Prostaglandins A, Synthetic) RN - AYI8EX34EU (Creatinine) RN - DCR9Z582X0 (Epoprostenol) SB - IM MH - Adult MH - Creatinine/urine MH - Epoprostenol/*biosynthesis MH - Female MH - Gas Chromatography-Mass Spectrometry MH - Humans MH - Hypertension/*etiology/urine MH - Pregnancy MH - Pregnancy Complications, Cardiovascular/*etiology/urine MH - Pregnancy Trimester, Second MH - Pregnancy Trimester, Third MH - Prostaglandins/*biosynthesis MH - Prostaglandins A, Synthetic/urine EDAT- 1982/04/01 00:00 MHDA- 1982/04/01 00:01 CRDT- 1982/04/01 00:00 PHST- 1982/04/01 00:00 [pubmed] PHST- 1982/04/01 00:01 [medline] PHST- 1982/04/01 00:00 [entrez] AID - S0002-9378(16)32525-X [pii] AID - 10.1016/s0002-9378(16)32525-x [doi] PST - ppublish SO - Am J Obstet Gynecol. 1982 Apr 1;142(7):817-22. doi: 10.1016/s0002-9378(16)32525-x.