2001
DOI: 10.1113/eph8602186
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Oxytocin Antagonists: Clinical and Scientific Considerations

Abstract: Preterm delivery is the largest cause of perinatal mortality and morbidity, yet the treatment of preterm labour has not been demonstrated to improve outcome. The reasons are numerous and complex, but they include a failure to understand the mechanism(s) of preterm labour, the multitude of different causes, the difficulty in diagnosis and the problems of outcome measurement in clinical trials. Recently, an oxytocin antagonist (atosiban) has been introduced into clinical practice in Europe. Although it may be an… Show more

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Cited by 34 publications
(21 citation statements)
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“…The results of this study show that atosiban, a peptidic compound used in the management of preterm labor because of its antagonistic activity on uterine contractility (9,12,27), can also inhibit cell growth by acting as a selective agonist of OTR/G i coupling. This effect is indeed mediated by OTRs as it was only observed in MDCK and HEK293 cells stably transfected with human receptors but not in OTR-negative parental MDCK and HEK293 cells.…”
Section: Discussionmentioning
confidence: 96%
See 1 more Smart Citation
“…The results of this study show that atosiban, a peptidic compound used in the management of preterm labor because of its antagonistic activity on uterine contractility (9,12,27), can also inhibit cell growth by acting as a selective agonist of OTR/G i coupling. This effect is indeed mediated by OTRs as it was only observed in MDCK and HEK293 cells stably transfected with human receptors but not in OTR-negative parental MDCK and HEK293 cells.…”
Section: Discussionmentioning
confidence: 96%
“…In myometrial and breast myoepithelial cells, OTR coupling to G q is responsible for phospholipase C (PLC) activation followed by inositol phosphate (InsP) and diacylglycerol production, increased intracellular calcium, and increased contractility (8). Accordingly, selective oxytocin analogues capable of blocking this pathway are employed in the treatment of preterm labor (9). The physiological role played by OTRs coupled to G i in myometrial cells is far less clear, although it was shown some years ago to also lead to an increase of cell contractility (10).…”
Section: S-labeled Guanosine 5-3-o-(thio) Trisphosphate ([ 35 S]gtp␥smentioning
confidence: 99%
“…At present, the use of tocolytics to delay preterm labor is often contraindicated due to significant maternal and fetal side effects (14,15). A new FP receptor ligand, THG113, corresponding to a peptide derived from the sequence of the second extracellular loop of FP receptor (Fig.…”
mentioning
confidence: 99%
“…In contrast, if VP contributes to the regulation of uterine contractility, this is probably an endocrine effect. The role of OT and VP in the mechanisms of labour, both preterm and at term, is still not fully understood (Thornton et al 2001). It is unclear whether the onset of labour is caused by an increased amount of OT in circulating blood in both human and rat (Leake et al 1981, Higuchi et al 1985, Thornton et al 1992.…”
Section: Discussionmentioning
confidence: 99%
“…Although VP has been much less studied than OT in pregnancy, the foetus secretes VP during labour (Chard et al 1971) and the peptide may also be involved in stimulating uterine contractions. VP has been identified in the human myometrium during pregnancy (Thornton et al 2001), but local presence of VP mRNA has not been reported.…”
Section: Introductionmentioning
confidence: 96%