Inhibition of prostaglandin synthesis and contractility in the rabbit and rat uterus by ibuprofen

Sixty uterine strips were excised from 8 pregnant and 7 post partum rabbits andstimulated electrically in vitro until they developed maximum isometric tension. The non-steroidal anti-inflammatory agent, Ibuprofen, at concentrations of 125, 250 and 500 μg/ml, signidicantly reduced tension of the 55 experimental uteri (P<0.001) within 7.5 minutes, in comaparison with the pretreatment value. Tension in 15 solvent-treated controls remained stable during the same observation period. The reduction in tension was greater in the post partum than the pregnant uteri (P<0.05). Sixteen additional uterine strips, excised from 4 preganant and 4 post partum rabbits were treated either with 500 μg Ibuprofen or solvent for 7.5 minutes. Radioimmunoassay showed that Ibuprofen significantly reduced the uterine levels of PGE (P<0.001) and PGE (P<0.001 post partum; P<0.05 pregnant) and again the effect was greater in the post partum unteri. These findings suggest that the suppression of uterine function by Ibuprofen is mediated by inhibition of PG-synthesis.In a subsequent study, 36 rats were treated with Ibuprofen on days 20 and 21 of pregnancy, at the ineffective dose level of 4 mg/day and the effective levels of 12, 20 and 30 mg/day, In comparison with the first group. Spontaneous labor was significantly delayed in the other three groups (P<0.05, P<0.01 and P<0.001, respectively). In addition, 7 rats were treated with 30 mg/day Ibuprofen and 7 with solvent on days 19 and 20 of pregnancy. In day 21, the Ibuprofen-treated rats showed a significant (P<0.001) reduction in the uterine PGF and PGE concentrations, indicating that the prolongation of pregnancy is mediated by an inhibition of uterine PG-synthesis.