Increases in placental nitric oxide, but not nitric oxide-mediated relaxation, underlie the improvement in placental efficiency and antihypertensive effects of hydrogen sulphide donor in hypertensive pregnancy

Clin Exp Pharmacol Physiol. 2018 Nov;45(11):1118-1127. doi: 10.1111/1440-1681.13000. Epub 2018 Jul 25.

Abstract

Dysregulation of hydrogen sulphide (H2 S) producing enzymes has been related to hypertensive pregnancy, and H2 S donor, sodium hydrosulphide (NaHS) exerts antihypertensive effects, modulates angiogenic factors production and acts as an antioxidant. Moreover, reduction in nitric oxide (NO) bioavailability is related to hypertensive pregnancy and H2 S may interact with NO, modulating its production. We aimed to investigate the NaHS effects in hypertension-in-pregnancy and also in feto-placental parameters. Female Wistar rats (200-250 g) were mated and desoxycorticosterone acetate injections followed by replacement of water by 0.9% saline solution were used to induce hypertensive pregnancy. Rats were divided into four groups: normal pregnant (Norm-Preg), pregnant + NaHS (Preg+NaHS), hypertensive pregnant (HTN-Preg) and HTN-Preg+NaHS. Systolic blood pressure was increased in HTN-Preg and this increase was blunted in HTN-Preg+NaHS. Fetal and placental weights were decreased in HTN-Preg animals, while fetal growth restriction was improved in HTN-Preg+NaHS. Placental weight was lower in HTN-Preg+NaHS than in HTN-Preg; however, placental efficiency was re-established in HTN-Preg+NaHS rats. We observed that a partial contribution of placental NO, but not changes in anti-angiogenic factors may mediate the increases in placental efficiency in HTN-Preg+NaHS. HTN-Preg presented thoracic aorta hyperreactivity to phenylephrine while NaHS treatment blunted this hyperreactivity, which seems not to be related to NO-mediated relaxation induced by acetylcholine. Therefore, changes in vascular responsiveness promoted by NaHS treatment may underlie the beneficial effects in systolic blood pressure and feto-placental parameters in our study.

Keywords: hydrogen sulphide; hypertenstion in pregnancy; nitric oxide; vascular reactivity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antihypertensive Agents / pharmacology
  • Antihypertensive Agents / therapeutic use
  • Aorta / drug effects
  • Aorta / physiopathology
  • Blood Pressure / drug effects
  • Female
  • Fetal Weight / drug effects
  • Hydrogen Sulfide / metabolism*
  • Hypertension, Pregnancy-Induced / drug therapy*
  • Hypertension, Pregnancy-Induced / metabolism
  • Hypertension, Pregnancy-Induced / physiopathology
  • Malondialdehyde / metabolism
  • Neovascularization, Physiologic / drug effects
  • Nitrates / metabolism
  • Nitric Oxide / metabolism*
  • Nitrites / metabolism
  • Placenta / drug effects*
  • Placenta / metabolism
  • Pregnancy
  • Rats
  • Rats, Wistar
  • Sulfides / pharmacology*
  • Sulfides / therapeutic use
  • Vasodilation / drug effects*

Substances

  • Antihypertensive Agents
  • Nitrates
  • Nitrites
  • Sulfides
  • Nitric Oxide
  • Malondialdehyde
  • sodium bisulfide
  • Hydrogen Sulfide