Abstract
Objective
Spontaneous motility of the human oviduct is an important factor in the regulation of fertility that can be influenced by a variety of substances. In this study we examined the effects of several antiepileptic drugs on spontaneous contractions of isolated human oviducts.
Methods
The isolated ampullar and isthmic segments of Fallopian tubes, taken from 34 patients with extensive uterine fibroids, were exposed to carbamazepine, lamotrigine, valproic acid, phenobarbital, diazepam and lorazepam.
Results
Carbamazepine and lamotrigine produced concentration-dependent inhibition of spontaneous contractions of both ampullar and isthmic isolated preparations, while the other investigated substances did not exhibit any effect. The effective concentrations of carbamazepine and lamotrigine fall within the range of their therapeutic serum concentrations.
Conclusion
When choosing antiepileptics for women of reproductive age, the effects of the drug on motility of the Fallopian tubes should also be considered.
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References
Vizza E, Correr S, Muglia U, Marchiolli F, Motta PM (1995) The three-dimensional organization of the smooth musculature in the ampulla of the human fallopian tube: a new morpho-functional model. Hum Reprod 10:2400–2405
Vizza E, Muglia U, Macchiarelli G, Baschieri L, Pasetto N, Motta PM (1991) Three-dimensional architecture of the human myosalpinx isthmus. Scanning electron microscopy after NaOH digestion and ultrasonic microdissection. Cell Tissue Res 266:219–221
Muglia U, Motta PM (2001) A new morpho-functional classification of the Fallopian tube based on its three-dimensional myoarchitecture. Histol Histopathol 16:227–237
Daniel EE, Lucien P, Posey VA, Paton DM (1975) A functional analysis of the myogenic control systems of the human Fallopian tube. Am J Obstet Gynecol 121:1046–1053
Nadasy GL, Laszlo A, Monos E, Zsolnai B (1988) Spontaneous periodic contraction of the ampullar segment of the human fallopian tube in vitro. Acta Physiol Hung 72:13–21
Helm G, Owman C, Sjoberg NO, Walles B (1982) Motor activity of the human Fallopian tube in vitro in relation to plasma concentration of oestradiol and progesterone, and the influence of noradrenaline. J Reprod Fertil 64:233–242
Helm GH, Hakanson R, Leander S, Owman C, Sjoberg NO, Sporrong B (1982) Neurogenic relaxation mediated by vasoactive intestinal polypeptide (VIP) in the isthmus of the human fallopian tube. Regul Pept 3:145–153
Ekerhovd E, Brannstrom M, Weijdegard B, Norstrom A (1999) Localization of nitric oxide synthase and effects of nitric oxide donors on the human fallopian tube. Mol Hum Reprod 5:1040–1047
Laszlo A, Nadasy GL, Monos E, Zsolnai B (1988) Effect of pharmacological agents on the activity of the circular and longitudinal smooth muscle layers of human fallopian tube ampullar segments. Acta Physiol Hung 72:123–133
Jankovic SM (2003) Pharmacology and toxicology, 1st edn. Medical Faculty, Kragujevac
Magnus R (1904) Versuche am überlebenden Dunndarm von Säugetieren. I. Mittheilung. Pflügers Archiv 102:123–151
Bowman WC, Rand MJCh (1980) Principles of drug action. In: Bowman WC, Rand MJ (eds) Textbook of pharmacology. Blackwell, Oxford, pp 1–46
Kenakin TP (1984) The classification of drugs and drug receptors in isolated tissues. Pharmacol Rev 36:165–222
Isojarvi JI, Tauboll E, Herzog AG (2005) Effect of antiepileptic drugs on reproductive endocrine function in individuals with epilepsy. CNS Drugs 19:207–223
Kaplan PW (2004) Reproductive health effects and teratogenicity of antiepileptic drugs. Neurology 63(10 Suppl 4):S13–S23
Morrell MJ, Montouris GD (2004) Reproductive disturbances in patients with epilepsy. Cleve Clin J Med 71(Suppl 2):S19–S24
Jankoviæ SM (2005) The control mechanisms of oviduct motility. Iugoslav Physiol Pharmacol Acta 41:21–28
Morris RG, Lee MY, Cleanthous X, Black AB (2004) Long-term follow-up using a higher target range for lamotrigine monitoring. Ther Drug Monit 26:626–632
Moreno J, Belmont A, Jaimes O, Santos JA, Lopez G, Campos MG, Amancio O, Perez P, Heinze G (2004) Pharmacokinetic study of carbamazepine and its carbamazepine 10,11-epoxide metabolite in a group of female epileptic patients under chronic treatment. Arch Med Res 35:168–171
Katzung BG (2004) Basic and clinical pharmacology, 9th edn. McGraw-Hill, Boston
Fernandez del Pozo B, Perez-Vizcaino F, Fernandez C, Zaragoza F, Tamargo J (1997) Effects of several class I antiarrhythmic drugs on isolated rat aortic vascular smooth muscle. Gen Pharmacol 29:539–543
Crawford P (2005) Best practice guidelines for the management of women with epilepsy. Epilepsia 46(Suppl 9):117–124
Acknowledgement
This study was partially financed by a grant from the Serbian Ministry of Science and Ecology, No 145005.
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Jankovic, S.M., Jankovic, S.V., Kostic, J. et al. Inhibitory effects of selected antiepileptics on spontaneous motility of isolated human oviducts. Eur J Clin Pharmacol 62, 707–712 (2006). https://doi.org/10.1007/s00228-006-0172-5
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DOI: https://doi.org/10.1007/s00228-006-0172-5