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Molecular Human Reproduction, Vol. 6, No. 11, 1041-1048, November 2000
© 2000 European Society of Human Reproduction and Embryology


Pregnancy

Changes in the expression of nitric oxide synthase in the human uterine cervix during pregnancy and parturition

Marie-Anne Ledingham1, Andrew J. Thomson, Anne Young, Lena M. Macara, Ian A. Greer and Jane E. Norman

Department of Obstetrics and Gynaecology, University of Glasgow, 10 Alexandra Parade, Glasgow G31 2ER, Scotland, UK

Abstract

Nitric oxide (NO) has been proposed as a mediator of cervical ripening. We investigated the expression, using Western blotting, and localization, using immunohistochemistry, of the nitric oxide synthase (NOS) enzymes, inducible NOS (iNOS), endothelial NOS (eNOS) and neuronal NOS (bNOS) in the human cervix during pregnancy and parturition. Cervical biopsies were obtained from non-pregnant women, women in the first trimester of pregnancy, and pregnant women at term before and after the onset of labour. Each of the NOS isoforms was localized in the cervices of both non-pregnant and pregnant subjects using immunohistochemistry. iNOS expression was significantly greater in early pregnancy compared with the non-pregnant state (P < 0.005). iNOS expression was up-regulated further in samples obtained in the third trimester compared with the first trimester. bNOS expression was greater in samples from the first trimester of pregnancy than in non-pregnant samples (P < 0.005), but showed no additional increase in late pregnancy or with the onset of labour. eNOS expression was increased in samples obtained in the third trimester both before (P = 0.002) and after the onset of labour (P < 0.002) when compared with non-pregnant samples. The increased expression of NOS isoforms in late pregnancy supports the hypothesis that NO is involved in the process of cervical ripening.

cervical ripening/cervix/nitric oxide/NOS/pregnancy

Notes

1 To whom correspondence should be addressed at: Department of Obstetrics and Gynaecology, University of Glasgow, 10 Alexandra Parade, Glasgow G31 2ER, UK. E-mail: ml50y{at}udcf.gla.ac.uk


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