β2-Adrenoceptors on lymphocytes from healthy nonpregnant and pregnant women and patients with pregnancy-induced hypertension (PIH) were studied in vitro by a radioligand binding technique (125I-hydroxybenzylpindolol) and related to in vivo responses to infused adrenaline. Healthy pregnant women had significantly fewer β2-adrenoceptor binding sites than nonpregnant controls (47.1 ± 5.6 vs. 73.6 ± 10.5 fmol × mg––1 protein), PIH patients displaying intermediate values. Adrenaline-induced increases in plasma cyclic AMP (a β2-mediated in vivo response) also tended to be reduced during normal pregnancy. The systemic vasodilatation evoked by intravenously infused adrenaline and the density of lymphocyte β2-adrenoceptor binding sites were positively related in the nonpregnant controls (r = 0.50), but inversely related in both the pregnant controls (r = ––0.40) and the PIH patients (r = ––0.70). These regression lines differed significantly. The present results indicate a reduction of β2-adrenoceptor function during normal pregnancy, which is less pronounced in PIH, as well as an altered relationship between β2-mediated vasodilator responses and densities of β2-adrenoceptors on lymphocytes during pregnancy.

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