Effect of morphine on the reduced uteroplacental perfusion model of pre-eclampsia in rats

Eur J Obstet Gynecol Reprod Biol. 2013 Jun;168(2):161-6. doi: 10.1016/j.ejogrb.2013.01.008. Epub 2013 Feb 9.

Abstract

Objectives: To investigate the effect of morphine on the reduced uteroplacental perfusion pressure (RUPP) model of pre-eclampsia in rats.

Study design: The abdominal aorta and ovarian arteries of pregnant rats were isolated and clipped on gestational day 14. The chronic morphine treatment group received naltrexone 5 mg/kg 1h before each dose of morphine. L-nitromonomethylarginine 2 mg/kg was administrated in the same pattern. The control group received saline 10 ml/kg. Systolic blood pressure, blood urea nitrogen (BUN), creatinine, creatinine clearance, urinary protein, urinary nitrite/nitrate excretion, and fetal and placental weights were determined.

Results: Morphine significantly reduced systolic blood pressure, fetal and placental weights, plasma BUN, creatinine and urinary protein in RUPP rats compared with control rats. Urinary nitrite/nitrate excretion and creatinine clearance were significantly increased in response to morphine treatment.

Conclusion: Morphine reduced blood pressure and improved renal function in the RUPP model of pre-eclampsia, but this was associated with reduced fetal and placental weights.

MeSH terms

  • Animals
  • Antihypertensive Agents / adverse effects
  • Antihypertensive Agents / antagonists & inhibitors
  • Antihypertensive Agents / therapeutic use*
  • Disease Models, Animal*
  • Enzyme Inhibitors / pharmacology
  • Female
  • Fetal Development / drug effects
  • Kidney / drug effects
  • Kidney / metabolism
  • Kidney / physiopathology
  • Morphine / adverse effects
  • Morphine / antagonists & inhibitors
  • Morphine / therapeutic use*
  • Narcotic Antagonists / pharmacology
  • Nitrates / urine
  • Nitric Oxide / metabolism*
  • Nitric Oxide Synthase / antagonists & inhibitors
  • Nitrites / urine
  • Placental Circulation / drug effects*
  • Placentation / drug effects
  • Pre-Eclampsia / drug therapy*
  • Pre-Eclampsia / metabolism
  • Pre-Eclampsia / physiopathology
  • Pregnancy
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Opioid, mu / agonists*
  • Receptors, Opioid, mu / antagonists & inhibitors
  • Renal Insufficiency / etiology
  • Renal Insufficiency / prevention & control
  • Up-Regulation / drug effects

Substances

  • Antihypertensive Agents
  • Enzyme Inhibitors
  • Narcotic Antagonists
  • Nitrates
  • Nitrites
  • Receptors, Opioid, mu
  • Nitric Oxide
  • Morphine
  • Nitric Oxide Synthase