1. Effect of Tocolytics on Surfactant Secretion When Administered with Betamethasone: An in Vitro Study
- Author
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Ziad A. Haidar, David R. Cool, Shamili Sammohi, William C. Grunwald Jr., Baha M. Sibai, Jiri Sonek, and David S. McKenna
- Subjects
Tocolytic agent ,food.ingredient ,Nifedipine ,Indomethacin ,education ,Pharmacology ,Betamethasone ,Lecithin ,Cell Line ,Magnesium Sulfate ,food ,Pulmonary surfactant ,Lecithins ,medicine ,Humans ,Pulmonary surfactant-associated protein B ,Glucocorticoids ,Lung ,Pulmonary Surfactant-Associated Protein B ,business.industry ,digestive, oral, and skin physiology ,Obstetrics and Gynecology ,In vitro ,Sphingomyelins ,stomatognathic diseases ,Tocolytic Agents ,Pediatrics, Perinatology and Child Health ,Sphingomyelin ,business ,medicine.drug - Abstract
Objective To analyze the amount of surfactant protein (SP)-B and lecithin/sphingomyelin (L/S) ratio in response to betamethasone (BMS) alone as compared with magnesium sulfate (Mg 2+ ), indomethacin (Indo), and nifedipine (Nif) with or without BMS. Study design NCI-H441 human lung cells were grown and distributed into eight plates. BMS and tocolytics were added and the final plates were: control, BMS only, and each tocolytic ± BMS. Cells were stained with SP-B antibodies and relative fluorescence was measured. Lipids were also extracted, identified, and examined for relative densities. The L/S ratio was calculated. Results Nine independent measurements were obtained for each plate. The protein analysis revealed that among all eight plates, SP-B levels were highest among BMS only. There was a nonsignificant decrease in SP-B in each of the combinations of tocolytics + BMS as compared with BMS only. Compared with BMS only, L/S ratio was decreased in Mg 2+ + BMS ( p = 0.041), Indo + BMS ( p = 0.042), and Nif + BMS ( p = 0.025). Conclusion In our in vitro human lung cell model, SP-B and L/S ratio increased in response to BMS administration alone. The addition of tocolytics to BMS resulted in no increase in L/S ratio and no changes seen in SP-B production compared with BMS alone.
- Published
- 2015
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