Following incubation, media was discarded and the formazan crysta

Following incubation, media was discarded and the formazan crystals were solubilized by adding 200 μL DMSO and the absorbance measured at A560 nm. The percentage toxicity was calculated as A phage library displaying random 7-residue peptides was

panned against (His)6-DevR protein. Five rounds of panning were RG7422 performed (three rounds with (His)6-DevR immobilized on Ni2+ NTA magnetic agarose beads and two rounds with (His)6-DevR coated on a well in a polystyrene ELISA plate) to select DevR binders and to exclude bead and plastic binding phages. Selective enrichment of DevR binding phages was achieved using this approach as demonstrated by approximately fourfold more efficient binding to DevR of the phages derived from the fifth round of panning compared to the unpanned phage pool. Furthermore, the enriched phage did not bind to either BSA or plastic (Fig. 1a). A total of 194 phage clones from DevS~P and glycine elutions from the final round of panning were individually amplified and screened by ELISA to select DevR binding phages. Nineteen phage clones were selected for sequencing based on their binding selectivity to DevR (not shown). The sequence ‘TLHLHHL’ was repeated 15 times and a 7-mer peptide, DevRS1, bearing this sequence was synthesized and further characterized. In an ELISA performed with purified full-length N-terminal-tagged

glutathione-S-transferase [GST]-DevR (Bagchi et al., 2005) and its individual PF-562271 N- and C-terminal domains, DevRS1 sequence displaying phage clone

G43 bound relatively more efficiently to the DevR C-terminal domain (DevRC, containing 144–217 amino acids of DevR expressed with a N-terminal tag of GST) as compared to the N-terminal domain of DevR (DevRN, containing 1–144 amino acids of DevR expressed with a N-terminal GST tag) and poorly to GST alone or to BSA or plastic (Fig. 1b). The binding specificity of DevRS1 was confirmed by a competition ELISA wherein the peptide DevRS1 inhibited the binding of TLHLHHL-displaying phage (G43) to (His)6-DevR but not of nonspecific binder phage (Fig. 1c). The effect of DevRS1 peptide on gene expression and viability of M. tb was examined next. Exposure to DevRS1 peptide at 5 mM concentration resulted in ~ 55–60% inhibition of Rv3134c promoter activity (a DevR-regulated Epothilone B (EPO906, Patupilone) promoter, Fig. 2a, black bars) with respect to DMSO control under both aerobic and hypoxic conditions. The observed inhibition of promoter activity in the aerobic set up is ascribed to the development of hypoxia in standing cultures (Chauhan & Tyagi, 2008a). The activity of the constitutively expressed sigA promoter was not affected under identical conditions (Fig. 2a), indicating the target specificity of the peptide. It is expected that inhibition of Rv3134c promoter activity would be associated with the inhibition of other regulon promoters as observed by Gupta et al.

[3, 4] On February 26, CDC and BCHD personnel began to assist the

[3, 4] On February 26, CDC and BCHD personnel began to assist the ship’s medical staff to ensure isolation of cases; find additional

cases of measles and rubella, which included implementation of active surveillance for rash illness among crew members; notify passengers of the potential risk of rubella or measles exposure onboard; and identify and vaccinate susceptible crew during the limited time (1 d) that the ship was in port. Shipboard case-finding measures consisted selleck chemicals llc of retrospective review of the crew and passenger medical logs for rash illnesses or diagnoses of measles or rubella; active surveillance for rash illness among crew members whose supervisors queried them daily about the presence of fever or rash; and passive surveillance by ship’s medical staff for rash illnesses among crew members and passengers presenting to the ship’s infirmary. These surveillance activities were continued for two incubation periods of measles (ie, 36 d) after the last identified measles patient was isolated on March 4. Notices about measles and rubella exposure risks were distributed to approximately 30,000 passengers Epacadostat clinical trial who either sailed on the ship during the cases’ infectious periods or who

planned to sail during one incubation period (18 d) after isolation of the last measles case, with a recommendation to self-monitor over for symptoms if nonimmune and information on measles, mumps, and rubella (MMR) vaccine and risks to pregnant women. Embarking passengers who said they were pregnant were counseled by the ship’s medical staff about risks of rubella infection during pregnancy. Pan American Health Organization (PAHO) and US state and local health departments were also notified of potential

rubella and measles transmission on this cruise ship. Because up to 50% of rubella cases may occur without rash or other symptoms yet be infectious,[5] all 1,197 crew members were considered potential contacts based on the congregate nature of their social (ie, shared cabins, social gatherings) and work environments. They were all assessed for immunity to measles and rubella by interview and review of medical records for proof of immunity (ie, vaccination or documented immunity by serology). Serologies for measles and rubella were drawn on persons with contraindication to the MMR vaccine (eg, pregnancy). The Council of State and Territorial Epidemiologists case definitions for measles and rubella were used.[6] Because no international standards for assessment of proof of immunity existed, the US Advisory Committee on Immunization Practices recommendations were applied.

Two recording sequences were made at each test intensity, and for

Two recording sequences were made at each test intensity, and for each motor unit investigated, but the same test pulse intensity was not tested in two successive sequences. Because changing the test intensity affects the test peak size (Devanne et al., 1997), the influence of both parameters was tested with the two protocols. However, to make GSK126 solubility dmso the distinction between the two protocols, the results of Protocol 1 were grouped according to the test peak size, and those of Protocol 2 to the test intensity. This corresponds to the two methods commonly used to set

the test pulse in the paired pulse paradigm, either the amplitude of the test response or the intensity of the test pulse. PSTHs were constructed for 40 ms (acquisition window) starting 15 ms after test TMS (15–55 ms), i.e. for a window larger than the duration of TMS-induced peaks in FDI PSTH (20–35 ms; Day et al., 1989). Peaks were first identified visually in the control PSTH (single test pulse; see Figs 2A,D and G, and 4A,D and G), and the analysis was limited to the first three adjacent bins in the peak (i.e. the first 1.5 ms). These three bins were then tested using a χ2 test to ensure that the increase in motor unit firing rate at this latency was significant (e.g. 25, 25.5, 26 ms in click here Fig. 2; the first bin in the peak is indicated by the dotted

vertical arrow). Given an interval between the component waves in the corticospinal volley of 1.5 ms (see Hallett, 2007; Reis et al., 2008), the analysis was thus limited to a single corticospinal EPSP. It is worth noting that the first three bins corresponded to the peak rising

phase, and included the largest bin in the peak (Figs 2 and 4). Sometimes, at low test intensity, it was difficult to determine visually the beginning of the peak (Fig. 4A). In such a case, the analysis window was determined for higher intensities, which evoked larger Stem Cells inhibitor peaks in the PSTH (Fig. 4G). The conditioned PSTH (after paired pulse TMS) was analysed within the same window as the test peak, to compare the peak size after SICI (conditioned peak) with that evoked by single test pulse (test peak). In Protocol 1, we grouped the data according to the size of the test peak, and for close TMS intensities, the size of the peak could be similar. For inter-individual comparisons, the recording sequences giving rise to test peaks < 30, 30–60 and > 60% of the maximal test peak size were summed for each motor unit. We thus compared three sizes of test peak for each motor unit. The number of stimuli was about 100 for each test peak size (Fig. 2J). In Protocol 2, the two recording sessions performed at similar test intensity were added, and the number of stimuli was 100 for each intensity. However, when the test intensity was 0.95 RMT, TMS evoked an MEP in FDI EMG on ∼25% of occasions. The corresponding counts were thus deleted, and this was taken into account in the PSTH normalization.

In a randomized African study, babies born to mothers presenting

In a randomized African study, babies born to mothers presenting at delivery received single-dose nevirapine or single-dose nevirapine Staurosporine molecular weight and 1 week of zidovudine. Of those HIV negative at birth, 34 (7.7%) who received nevirapine plus zidovudine and 51 (12.1%) who received nevirapine alone were infected (P = 0.03): a protective efficacy of 36% for the dual combination [255]. However, in two other randomized African studies where the mothers received short-course ART, for infants uninfected at birth there was no significant difference in transmission rate at 6 weeks for dual

vs. monotherapy short-course regimens to the infant: zidovudine plus lamivudine vs. nevirapine [256]; or zidovudine plus nevirapine vs. nevirapine [257]. PEP for the infant of an untreated mother should be given as soon as possible after delivery. There are no studies of time of initiation of combination PEP, but in a US cohort study a significantly reduced risk of transmission was only observed in infants commenced on zidovudine when this was started within 48 h of birth [138]. For this reason, infant PEP should only be started where a mother is found to be HIV positive after

delivery if it is within 48–72 h of birth. NSHPC data from the UK and Ireland 2001–2008 demonstrate how the clinical practice of combination PEP in neonates has increased over time [258]. In total, 99% of 8205 infants received any PEP, and for the 86% with data on type of PEP, 3% received dual and 11% triple. The use of triple PEP increased significantly over this period, from 43% see more to 71% for infants born to untreated women, and from 13% to 32% where mothers were viraemic despite HAART. HIV infection status was known for 89% of infants with information on PEP; 14.7% of infants who received no PEP were infected (five of 34, all born vaginally to untreated mothers), PTK6 compared to 1% of those who received any PEP (72 of 7286). Among infants born vaginally to untreated mothers, those who received PEP were significantly less likely to be infected than those who did not [8.5% (four of 47) vs. 45.5% (five of 11), P = 0.002]. However, in this cohort study, because of

the overall low rate of transmission and selective use of triple PEP for infants at higher risk of HIV, it was not possible to explore the association between type of PEP and infection status. 8.1.3. Three-drug infant therapy is recommended for all circumstances other than Recommendation 8.1.1 where maternal VL at 36 weeks’ gestation/delivery is not <50 HIV RNA copies/mL. Grading: 2C Delivery with a detectable maternal VL (>50 HIV RNA copies/mL) is not uncommon. The virus may never have been suppressed due to: premature delivery; poor adherence; very high starting maternal VL (>100 000 HIV RNA copies/mL); or late commencement of HAART; or there may have been viral rebound during gestation due to poor adherence or development of resistance.

1b) The back-projections suggest some evidence of an increase in

1b). The back-projections suggest some evidence of an increase in HIV incidence in the late 1990s, but a plateau at around 40 HIV infections per year in the 2000s. The models estimate that a total of 1050 people were infected with HIV solely through IDU in Australia to the end of 2006, of whom 12% (95% CI 9%, 15%) are estimated to have remained undiagnosed (Table 2). The number of new HIV diagnoses for which exposure to HIV was attributed to heterosexual contact increased from 775 in 1997–2001 to 914 in 2002–2006, accounting

for 20% of the total Lapatinib mouse HIV diagnoses (Annual Surveillance Report, 2007). Consistent with these results, back-projec-tion analyses suggest steady increases in new infections attributed to heterosexual mTOR inhibitor exposure to HIV (men and women) since the mid-1990s (Fig. 1c and d, respectively). The model estimates that a total of 1492 men and 1119 women were infected through heterosexual exposure, of whom 23% (95% CI 21%, 25%) and 22% (95%

CI 19%, 25%), respectively, are yet to be diagnosed with HIV infection (Table 2). In the absence of accurate tests for biological markers that can be used to determine the duration of infection in individuals, it is important to use all data available to estimate trends in HIV incidence over time. One of the advantages of our model for estimating HIV incidence is its ability to utilize the long history of HIV and for AIDS surveillance data while adjusting for changes in ‘testing behaviours’. AIDS surveillance data

were only used in the analysis for HIV incidence until 1987, just prior to the first antiretroviral drug becoming available. Overall, our results suggest that recent increases in HIV diagnoses in MSM in Australia do reflect an increasing trend in underlying HIV incidence over recent years. Similar increases in HIV diagnoses have been seen in MSM in virtually all developed countries [9]. Deterministic mathematical models suggest that reported increases in unprotected anal intercourse in MSM, and importantly increases in other sexually transmissible infections acting as co-factors for HIV transmission, can explain increases in HIV incidence in Australia [10]. According to our results, the rate of HIV transmission through IDU is currently relatively flat in Australia after an increase in incidence during the late 1990s. The increase in HIV incidence in the late 1990s coincided with an increase in the number of injecting drug users, and with an increase in the incidence of hepatitis C virus (HCV) infection [11]. It is widely acknowledge that, since 2001 in Australia, there has been a reduction in the heroin supply, resulting in some reduction in IDU, and also an estimated decline in HCV incidence [12].

9 kDa GlnR protein in the mutant strain compared with the wild ty

9 kDa GlnR protein in the mutant strain compared with the wild type (Supporting information, Fig. S2). A phenotypic http://www.selleckchem.com/products/gsk1120212-jtp-74057.html growth effect was observed by OD and CFU mL−1 for WT M. smegmatis cells grown in nitrogen-limiting media when compared with nitrogen-excess media (Fig. 1a and b). At the time of external nitrogen run-out, as determined by Aquaquant analysis (Fig. 1e), a reduction in growth rate between the two conditions is evident (Fig. 1a and b). Growth rate in the nitrogen-limiting media was restored to

the same rate as the nitrogen-excess media with the addition of an exogenous nitrogen source to the nitrogen-limiting media at this time point (Fig. 1a and b); no effect on growth rate was seen when exogenous nitrogen was added to the nitrogen-excess

media (data not shown). Further confirmation that our media was nitrogen-limiting and inducing a nitrogen-stress response in WT M. smegmatis cells was obtained by analysing the transcriptomic levels of genes known to be up-regulated in conditions of nitrogen limitation: amt1, amtB and glnA1 (Amon et al., 2008). The transcript levels Ponatinib purchase of amt1, amtB and glnA1 were all significantly induced in the nitrogen-limiting media, but not induced in the nitrogen-excess conditions at 13 h, 2 h after nitrogen run-out in the limiting media (Fig. 2). We therefore confirmed that our nitrogen-limiting conditions were stimulating a genetic response to nitrogen limitation in M. smegmatis. Growth kinetics of the M. smegmatis mutant strains in nitrogen-limiting before and nitrogen-excess medium were performed. Although the M. smegmatis strains grew similarly in nitrogen-excess conditions (data not shown), the GlnR and GlnR_D48A mutants exhibited a reduced growth

rate when compared with the wild type under nitrogen-limiting conditions (Fig. 1c and d). However, no major growth defect was noted for either mutant strain; this is intriguing, suggesting that the M. smegmatis GlnR-mediated transcriptomic response is not essential for growth during nitrogen limitation. Another interesting observation was the reduced uptake of ammonium from the medium by both mutants. Two ammonium transporters (amtB and amt1) have previously been shown to be up-regulated under nitrogen limitation by GlnR (Amon et al., 2008). The inability of the GlnR mutant strains to induce expression of ammonium transporters could explain the observed reduction in growth rate, suggesting ammonium uptake in these mutants is by diffusion alone. The transcriptomic response of the wild type and mutants during nitrogen limitation was therefore investigated further.

A

significant difference in the level of ERα mRNA in the

A

significant difference in the level of ERα mRNA in the medial amygdala between high and low social interaction mice was also observed. These results support the hypothesis that variations of estrogen receptor levels are associated with differences in social interaction through the OT and AVP systems, by upregulating gene expression for those peptides and their receptors. “
“A high percentage of patients with Parkinson’s disease suffer from depression in addition to their motor disabilities. However, the etiology of this depression learn more and its relation to Parkinson’s disease are unknown. Within the framework of the monoamine deficiency hypothesis of depression, we propose that the dopaminergic and serotonergic systems are coupled by the lateral habenula, and argue that altered basal ganglia activity leads to lateral habenula hyperactivity, which in turn down-regulates the serotonergic system, resulting in depressive symptoms in patients with Parkinson’s disease. We tested this hypothesis using the unilateral 6-hydroxydopamine hemiparkinsonian rat model of Parkinson’s disease. Behavior was assessed using the novelty suppressed feeding and forced swim tests, and the effective connectivity of the serotonergic system was estimated by manganese-enhanced

magnetic resonance imaging of the raphe nuclei. The results show depression-like behaviors www.selleckchem.com/products/abt-199.html and reduced raphe connectivity with the lateral habenula, dentate gyrus of the hippocampus, thalamus and hypothalamus in the 6-hydroxydopamine rat groups. More importantly, partial restoration of the raphe connectivity and partial normalization of behavior were achieved by dopamine replacement therapy (apomorphine, 10 mg/kg, s.c. daily). Furthermore,

nearly complete behavioral normalization was reached after a bilateral electric lesion of the lateral habenula. These findings provide a plausible link between Parkinson’s disease and depression and open up avenues for new therapeutic interventions in depression and possibly in Parkinson’s disease. “
“Much work has ZD1839 price focused on determining the consequences of cocaine self-administration on specific neurotransmitter systems, thus neglecting the global changes that occur. Previous imaging studies have focused on the effects of cocaine self-administration in the presence of high blood levels of cocaine, but have not determined the functional effects of cocaine self-administration after cocaine has cleared. Extended-access cocaine self-administration, where animals administer cocaine for 6 h each day, results in escalation in the rate of cocaine intake and is believed to model the transition from recreational use to addiction in humans.

Although the dd-CPases are usually the most abundant PBPs in the

Although the dd-CPases are usually the most abundant PBPs in the cell, they are not essential for bacterial survival (Denome et al., 1999) and the in vivo purposes of these seemingly nonessential and redundant enzymes are mostly unknown. The

exception to the above statement is the E. coli protein PBP 5, which helps maintain the normal morphology of this organism even in the absence of seven other PBPs (Nelson & Young, 2001). In the absence of PBP 5 by itself, the cells exhibit small morphological aberrations, but as more PBPs are deleted, the cells become considerably misshapen (Nelson & Young, 2000, 2001). PBP 5 consists of two major domains, I and II, oriented almost at right angles to one another (Davies et al., 2001; Nicholas et al., 2003). The dd-CPase active Metformin site EPZ5676 research buy is located in domain I and is responsible for maintaining normal cell shape (Nelson et al., 2002; Ghosh & Young, 2003). Domain II is composed mostly of β-sheets and may lift the enzymatic domain away from the inner membrane and into the periplasm toward the peptidoglycan

substrate (Nelson et al., 2002; Ghosh & Young, 2003). At its extreme carboxyl terminus, at the base of domain II, PBP 5 has a short 18-amino acid (Jackson & Pratt, 1987) amphipathic helix that tethers the protein to the outer face of the inner membrane (Nelson et al., 2002; Ghosh & Young, 2003). The closest homologue to PBP 5 from any organism is PBP 6, from E. coli itself. Interestingly, PBP 6, although ∼65% identical to PBP 5, cannot restore normal shape to aberrant cells, as can PBP 5 (Ghosh & Young, 2003). Domain swap and mutagenesis experiments indicate that the relevant differences

between the two enzymes localize to domain I, and, in fact, to a small stretch of 20 amino acids that surrounds the canonical KTG motif of the active site (Nelson et al., 2002; Ghosh & Young, 2003). For convenience, we will refer to this 20-amino acid segment as the ‘morphology maintenance domain’ (MMD) (Ghosh & Young, 2003) (Fig. 1). When PBP 6 is engineered so that its MMD is replaced by that from PBP 5, the mosaic protein (PBP 656) complements the shape defects of the E. coli mutants as well as wild-type PBP 5 (Ghosh Erastin mouse & Young, 2003). Conversely, replacing the MMD of PBP 5 with that from PBP 6 (generating PBP 565) eliminates the ability to complement. PBPs 5 and 6 differ by seven residues in this peptide fragment, but only two, Asp 218 and Lys 219, seem to be necessary to confer on PBP 656 the complementation attributes of PBP 5 (Ghosh & Young, 2003) (Fig. 1). However, mutation of these two amino acids does not eliminate the ability of PBP 5 to complement shape defects, suggesting that other structural features blunt the effects of these changes in the wild-type protein.

2 kb cinA transcript alone and the other corresponded to ~ 24 kb

2 kb cinA transcript alone and the other corresponded to ~ 2.4 kb cinA-recA transcript (Fig. 1b). No transcripts were identified in SmuCinA mutant cells grown in the presence of CSP (negative control) and also when UA159 was grown in the absence of CSP. In UA159 cells without CSP supplementation, it was likely that we

could not detect bands due to the low abundance of the transcripts without added CSP. To validate that cinA and recA were indeed co-transcribed, we further probed CSP-supplemented RNAs with a recA probe, which resulted in a single transcript corresponding to a size representing the cinA-recA transcript (Fig. 1b). Hence, these results suggested that cinA and recA were co-transcribed under conditions favoring DNA uptake, and that cinA this website was likely to produce transcripts in excess of recA when CSP was added. In S. pneumoniae, the cinA and recA orthologs belong to the ComX-activated “late competence” regulon (Masure et al., 1998; Mortier-Barriere et al., 1998). Our search of the cinA promoter in S. mutans revealed a putative ComX binding site (Fig. 1), suggesting that cinA and recA were perhaps part of the

CSP-inducible ComX regulon (Peterson et al., 2004; Rathsam et al., 2005). To test this, we examined cinA and recA expression using cDNAs derived from S. mutans Verteporfin supplier UA159 grown in the absence or presence of CSP. In CSP-supplemented UA159 cells, the expression of cinA and recA were increased by 5.5- and 2.4-fold, respectively, relative to the no-CSP control (Fig. 2). Without added CSP, fold-expression of recA was reduced by 63% (i.e. ~ 0.37) relative to that in UA159, suggesting

a polar effect on recA transcription by cinA mutagenesis (Fig. 2). Supplementing the SmuCinA strain with CSP increased recA expression to 0.64, which still reduced recA transcription by 36% compared with wild type levels. Taken together, these results can be used to summarize that CinA is independently and highly driven by its own promoter, likely in the presence of CSP, and that the recA is co-transcribed with cinA, but not transcribed independently. Phospholipase D1 To understand the regulatory role of ComX on cinA and recA expression, we also performed qRTPCR using cDNAs isolated from a comX-deficient mutant (SmuComX) and its wild type parent grown in the presence of CSP. Compared with UA159 supplemented with CSP, we could not detect cinA and recA transcripts in the comX mutant (Fig. 2). These results are in accordance with previous finding by Okinaga et al. (2010), which suggested that the alternate sigma factor ComX was necessary for transcription of cinA and recA in the presence of CSP. As shown in Fig. 1a, a conserved com-box sequence was identified in the cinA promoter, suggesting that ComX directly binds to the cinA promoter for transcriptional regulation, although more research is warranted to validate this finding.

The increased generation of ROS at the tissue level induces a wid

The increased generation of ROS at the tissue level induces a wide range of biological SCH772984 activity such as lipid peroxidation, protein denaturation,

inactivation of enzymes and decomposition of cellular DNA.[70] In this way, ROS may cause cellular and tissue damage. These unwanted effects of ROS may cause impairment of ova or sperm function. Bacterial endotoxin-induced increase in ROS production may also cause caspase-mediated apoptosis.[69] This apoptosis-inducing effect of ROS may result in endometrial or tubal epithelial damage, and impairment in fertilization and sperm motility.[62, 63] We now know that innate immunity plays an important role in the initiation of immune response in the pelvic environment. A number of

widely accepted mechanisms involved in the development or pathogenesis of endometriosis are summarized and shown in Figure 3. The production of pro-inflammatory cytokines and growth of endometriosis in the pelvic selleckchem environment can be regulated by the innate immune system. We proposed for the first time a new concept ‘bacterial contamination hypothesis’ in endometriosis and involvement of LPS/TLR4 cascade in the growth regulation of endometriosis. Our results suggest that a substantial amount of endotoxin in peritoneal fluid due to reflux of menstrual blood is involved in pelvic inflammation and may promote TLR4-mediated growth of endometriosis. Targeting bacterial endotoxin, TLR4 or NF-κB could be useful as a therapeutic strategy to suppress pelvic inflammation and growth of endometriosis with consequent improvement in the quality of life and fertility rate of women who suffer from this enigmatic disease. Our ongoing study to find evidence of a subclinical infection within the vaginal cavity of women with endometriosis may hold new Tobramycin therapeutic potential in addition to conventional estrogen-suppressing agent. A complete understanding of the mechanisms of the innate immunity and TLR system will be helpful for the future development of innovative

therapies for the manipulation of endometriosis and other reproductive diseases. We thank Miss Kazumi Hayashida and Miss Kyoko Ishida, Department of Obstetrics and Gynecology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan, for their excellent technical assistance. This work was supported by Grants-in-Aid for Scientific Research (no. 16591671 and 18591837) from the Ministry of Education, Sports, Culture, Science and Technology of Japan (to K. N. K.). None declared. “
“Shakuyaku-kanzo-to, a Kampo medicine composed equally of shakuyaku and kanzo, is an antispasmodic drug that can inhibit contraction of uterine smooth muscles in pregnant women and rats. We aimed to test the inhibitory effects of water- and lipid-soluble extracts of shakuyaku-kanzo-to, shakuyaku, and kanzo in order to identify the fraction responsible for inhibiting uterine smooth muscle contraction in pregnancy.