Reduced beta 2-adrenoceptor sensitivity in normal pregnancy but not in pregnancy-induced hypertension

Gynecol Obstet Invest. 1988;25(4):262-7. doi: 10.1159/000293796.

Abstract

beta 2-Adrenoceptors on lymphocytes from healthy nonpregnant and pregnant women and patients with pregnancy-induced hypertension (PIH) were studied in vitro by a radioligand binding technique (125I-hydroxybenzylpindolol) and related to in vivo responses to infused adrenaline. Healthy pregnant women had significantly fewer beta 2-adrenoceptor binding sites than nonpregnant controls (47.1 +/- 5.6 vs. 73.6 +/- 10.5 fmol X mg-1 protein), PIH patients displaying intermediate values. Adrenaline-induced increases in plasma cyclic AMP (a beta 2-mediated in vivo response) also tended to be reduced during normal pregnancy. The systemic vasodilatation evoked by intravenously infused adrenaline and the density of lymphocyte beta 2-adrenoceptor binding sites were positively related in the nonpregnant controls (r = 0.50), but inversely related in both the pregnant controls (r = -0.40) and the PIH patients (r = -0.70). These regression lines differed significantly. The present results indicate a reduction of beta 2-adrenoceptor function during normal pregnancy, which is less pronounced in PIH, as well as an altered relationship between beta 2-mediated vasodilator responses and densities of beta 2-adrenoceptors on lymphocytes during pregnancy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Centrifugation, Density Gradient
  • Cyclic AMP / blood
  • Epinephrine / blood
  • Female
  • Humans
  • Hypertension / blood*
  • Lymphocytes / metabolism*
  • Pregnancy / blood*
  • Pregnancy Complications, Cardiovascular / blood*
  • Radioligand Assay
  • Receptors, Adrenergic, beta / blood*

Substances

  • Receptors, Adrenergic, beta
  • Cyclic AMP
  • Epinephrine