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Study 14 of 14Carbetocin literaturebiorxiv-preprint · Observational2024

Increasing matrix metalloproteinase-2 (MMP-2) activity by treatment of ovine cervical explants with a long-acting analogue of oxytocin (Carbetocin) at the expected time of artificial insemination.

Carbetocin treatment increased MMP-2 activity in cervical explants from sheep, but the clinical significance of this finding is unclear.

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Where it sits

this study against the rest of the carbetocin corpus
2
Preclinical
9
Observational · this one
0
Open-label
2
Randomised
1
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Summary and findings

The study measured the effect of Carbetocin on cervical collagenolysis in synchronized ewes. Five ewes were treated with varying doses of Carbetocin and their cervical explants were analyzed for matrix metalloproteinase-2 (MMP-2) activity. The results indicated increased MMP-2 activity at specific doses of Carbetocin.

How much of this paper we could read: full text read (0.70). We had a clear abstract, so the summary below closely tracks the paper. What this means →
A MMP-2 activity was higher in 32 ng/mL Cb treated samples than in untreated samples (P < 0.03).2024

Abstract

The authors’ words, as biorxiv-preprint supplied them

<title>Abstract</title> <p>The aim was to study the effect of long-acting analogue of oxytocin (Carbetocin, Cb) on cervical collagenolysis of MAP-eCG synchronized ewes. At the expected time of artificial insemination, five ewes were slaughtered (n = 5) and their cervical explants (100–200 mg) were incubated during 12 h with MEM supplemented with 0, 8, 16, 32 and 64 ng/mL of Cb. Activities of activated (A) and latent (L) forms of matrix metalloproteinases-2 and − 9 (MMP-2 and MMP-9, respectively) in the supernatant were determined by a SDS-PAGE zymography and PGE2 concentration immunoassay. Data were analyzed by Welch's ANOVA test. The MMP-9 activity was detected weakly and sporadically. The activity of A MMP-2 was higher in 32 ng/mL Cb treated samples than in untreated samples (P < 0.03). The activity of L MMP-2 tended to be higher in 32 ng/mL than in 8 ng/mL Cb treated samples (P = 0.0784). The A/L ratio of MMP-2 tended to be higher in 64 ng/mL Cb treated samples than in untreated samples (P = 0.0955). PGE2 concentration was not affected by Cb dose. The data show that Cb treatment of cervical explants induces an increase in MMP-2 activity by PGE2-independent mechanisms, suggesting Cb as a potential inducer of cervical dilation in sheep.</p>

Elsewhere in the Carbetocin corpus

BHeat-stable carbetocin vs. oxytocin for the prevention of postpartum hemorrhage: a cost-effectiveness analysis based on real-world data from a pilot implementation in Indiabiorxiv-preprint · 2026 · HSC saved approximately US$473 per DALY averted.HumanBEfficacy of Carbetocin versus Conventional Uterotonic Regimens in Reducing Postpartum Blood Loss: A Comparative Study in Low-Risk Vaginal and Cesarean Deliveriesbiorxiv-preprint · 2026 · 100 mL primary blood loss with carbetocin vs. 150 mL with triple-drug regimen, P < 0.001.HumanBComparative Effectiveness of Uterotonic Agents for Postpartum Hemorrhage Prevention after Vaginal Delivery: A Retrospective Analysis of a Multicenter Prospective Cohort in Koreabiorxiv-preprint · 2026 · Not reported in abstract.HumanBCarbetocin vs Oxytocin in Emergency Cesarean Delivery: Bleeding Outcomes Within 24 Hoursbiorxiv-preprint · 2026 · Additional uterotonic use occurred in 24.0% (36/150) of the carbetocin group and 33.3% (50/150) of the oxytocin group (p=0.074).HumanBSequential oxytocin reduces contractile responsiveness, whereas carbetocin preserves it in human pregnant myometriumbiorxiv-preprint · 2026 · Sequential oxytocin administration significantly reduced contraction frequency (p < 0.05).HumanDPrevention of postpartum haemorrhage: from evidence to implementation at scale.Lancet (London, England) · 2026