Estrogen Receptors and Estrogen-Induced Uterine Vasodilation in Pregnancy

Normal pregnancy is associated with dramatic increases in uterine blood flow to facilitate the bidirectional maternal-fetal exchanges of respiratory gases and to provide sole nutrient support for fetal growth and survival. The mechanism(s) underlying pregnancy-associated uterine vasodilation remain incompletely understood, but this is associated with elevated estrogens, which stimulate specific estrogen receptor (ER)-dependent vasodilator production in the uterine artery (UA). The classical ERs (ERα and ERβ) and the plasma-bound G protein-coupled ER (GPR30/GPER) are expressed in UA endothelial cells and smooth muscle cells, mediating the vasodilatory effects of estrogens through genomic and/or nongenomic pathways that are likely epigenetically modified. The activation of these three ERs by estrogens enhances the endothelial production of nitric oxide (NO), which has been shown to play a key role in uterine vasodilation during pregnancy. However, the local blockade of NO biosynthesis only partially attenuates estrogen-induced and pregnancy-associated uterine vasodilation, suggesting that mechanisms other than NO exist to mediate uterine vasodilation. In this review, we summarize the literature on the role of NO in ER-mediated mechanisms controlling estrogen-induced and pregnancy-associated uterine vasodilation and our recent work on a "new" UA vasodilator hydrogen sulfide (H2S) that has dramatically changed our view of how estrogens regulate uterine vasodilation in pregnancy.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

International journal of molecular sciences - 21(2020), 12 vom: 18. Juni

Sprache:

Englisch

Beteiligte Personen:

Bai, Jin [VerfasserIn]
Qi, Qian-Rong [VerfasserIn]
Li, Yan [VerfasserIn]
Day, Robert [VerfasserIn]
Makhoul, Josh [VerfasserIn]
Magness, Ronald R [VerfasserIn]
Chen, Dong-Bao [VerfasserIn]

Links:

Volltext

Themen:

31C4KY9ESH
Estrogen receptors
Estrogens
Hydrogen sulfide
Journal Article
Nitric Oxide
Nitric oxide
Preeclampsia
Pregnancy
Receptors, Estrogen
Review
Uterine artery
Vasodilatation

Anmerkungen:

Date Completed 15.02.2021

Date Revised 23.02.2022

published: Electronic

Citation Status MEDLINE

doi:

10.3390/ijms21124349

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM311495214