Haemodynamic responses to an angiotensin II receptor antagonist (GR 117289) in maternal and fetal sheep

Exp Physiol. 1995 Mar;80(2):285-98. doi: 10.1113/expphysiol.1995.sp003848.

Abstract

An AT1-specific angiotensin II receptor antagonist (GR117289; 1 mg/kg I.V. bolus) was administered daily to ten chronically catheterized, normotensive ewes during late pregnancy (from 126 +/- 1 days) until parturition (139 +/- 1 days); five control animals received an equivalent volume of vehicle solution. Following drug administration, mean maternal blood pressure decreased from 87 +/- 1 mmHg to a minimum of 79 +/- 1 mmHg at 0.5 h (P < 0.05; n = 10) and remained low for 4-6 h without any concomitant change in fetal blood pressure or maternal and fetal heart rates. In animals fitted with flow probes, uterine blood flow decreased from 443 +/- 21 to 363 +/- 27 ml/min at 0.5 h post-drug (P < 0.05; n = 6); this change was positively correlated with the reduction in maternal blood pressure. The mean decrements in uterine and umbilical blood flows measured by steady-state infusion of tritiated water were -611 +/- 171 ml/min at 4-6 h (P < 0.05; n = 5) and -71 +/- 19 ml/min at 0.5-1 h (P < 0.05; n = 5), respectively. Significant reductions (P < 0.05; n = 10) in fetal arterial oxygen tension (-1.6 +/- 0.4 mmHg), saturation (-6.6 +/- 1.6%) and content (-0.3 +/- 0.1 mumol/ml) were evident at 0.5 h post-drug and were maintained for 6-12 h. Umbilical oxygen delivery decreased at 0.5-1 h following drug administration (P < 0.01; n = 5), but was unaccompanied by any significant change in fetal oxygen consumption. Chronic decreases in daily fetal pH and blood oxygen content occurred in GR117289-treated ewes. There were no significant differences in gestational length or neonatal outcome between vehicle- and GR117289-treated groups of ewes with single fetuses.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angiotensin Receptor Antagonists*
  • Animals
  • Blood Gas Analysis
  • Blood Pressure / drug effects
  • Female
  • Fetal Viability / drug effects
  • Fetus / blood supply
  • Fetus / physiology*
  • Gestational Age
  • Heart Rate / drug effects
  • Hemodynamics / drug effects*
  • Injections, Intravenous
  • Nicotinic Acids / pharmacology*
  • Pregnancy
  • Regional Blood Flow / physiology
  • Sheep / embryology
  • Sheep / physiology*
  • Tetrazoles / pharmacology*
  • Uterus / blood supply

Substances

  • Angiotensin Receptor Antagonists
  • Nicotinic Acids
  • Tetrazoles
  • GR 117289