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β-LIPOTROPHIN AND β-ENDORPHIN PLASMA LEVELS DURING PREGNANCY
Authors:A. R. GENAZZANI  F. FACCHINETTI  D. PARRINI
Affiliation:Department of Obstetrics and Gynaecology, University of Siena, Italy
Abstract:
β-lipotrophin (β-LPH) and β-endorphin (β-EP) plasma levels were measured by radioimmunoassay after glass powder extraction and Sephadex G-75 column chromatography in plasma samples from controls (ten healthy males and twenty-six young women in early follicular phase), from eighty-two pregnant women in weeks 9–40 after their last menstrual period, from nine women just after delivery and the cord blood of their neonates, in fifteen mixed cord blood samples and in seven amniotic fluid samples obtained by amniocentesis. No sex differences were found in β-LPH (120·6 ± 8·5 pg/ml) or β-EP (31·1 ± 2·4 pg/ml) plasma levels or in their molar ratio (1·34 ± 0·09) (MR). β-LPH plasma levels increased in early pregnancy (13–16 weeks) (185·0 ± 27·1 pg/ml) and remained high until weeks 21–24, then declining to levels similar to those of controls. β-EP plasma levels were significantly depressed in weeks 9–12 (20·7 ± 5·3 pg/ml), subsequently increasing to a maximum at weeks 36–37 (42·7 ± 6·8 pg/ml). β-LPH/β-EP molar ratio was about double normal in early pregnancy and decreased to normal in the second half. The present data indicate that β-LPH and β-EP present different patterns throughout pregnancy and that β-EP levels increase progressively, reaching the highest concentrations at term. At delivery, both β-LPH and β-EP showed maximum values (β-LPH: 230·2 ± 20·4 pg/ml; β-EP: 78·0 ± 7·4 pg/ml) and a MR of 1·02 ± 0·10 indicating that stressful situations, such as labour, stimulate a simultaneous rise in β-LPH and β-EP plasma levels. Cord blood specimens showed a wide range of values (β-LPH:75–347 pg/ml; β-EP: 16–287 pg/ml) with a MR of 1·21 ± 0·14. Amniotic fluid samples obtained late in the third trimester of pregnancy were characterized by β-LPH levels of 119·4 ± 26·4 pg/ml and β-EP levels of 29·6 ± 7·5 pg/ml.
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