Original Contributions |
From the Perinatal Research Centre, Departments of Ob/Gyn and Physiology, University of Alberta, Edmonton, AB Canada T6G 2S2.
Correspondence to Sandra T. Davidge, PhD, 220 Heritage Medical Research Centre, University of Alberta, Edmonton, AB Canada T6G 2S2. E-mail sandra.davidge{at}ualberta.ca
| Abstract |
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Key Words: estrogen, vascular endothelium nitric oxide prostaglandin
| Introduction |
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A major regulation of vascular tone is through release of endothelium-derived vasoactive agents, such as nitric oxide (NO) and prostaglandin H synthase (PGHS)-dependent products.2 NO is a potent vasorelaxant that also inhibits platelet aggregation,3 4 whereas PGHS-dependent products act as relaxing and contracting factors as well as regulators of platelet aggregation.5 6
NO is synthesized by oxidation of a guanidino nitrogen of L-arginine in a reaction catalyzed by the enzyme NO synthase.3 4 Reports of elevated protein levels of endothelial NO synthase as well as increased NO production in response to 17ß-estradiol have led to the speculation that the beneficial effects of estrogen are probably due to NO.7 8 However, the effect of estrogen to be cardioprotective is likely more complex and involves numerous regulatory systems.
PGHS-dependent products are known to have important physiological and pathophysiological roles in vascular function. PGHS is the enzyme that converts arachidonic acid to prostaglandin endoperoxide H2 (PGH2). There are 2 known PGHS isoforms, PGHS-1 and PGHS-2, with both being reported in endothelial cells.9 Cell-specific isomerization or reduction of PGH2 then occurs, yielding the major biological eicosanoids, such as prostacyclin and thromboxane (Tx).5 6 The functional effect of estrogen regarding the PGHS-dependent pathway is not clear, with reports of no effect10 11 12 or of a vasorelaxer component13 that modulates adrenergic vasoconstriction. In addition, the influence of NO on the PGHS pathway is still emerging. In cultured endothelial cells, we have reported that NO activates PGHS.14 Another study has reported an in vivo regulation of PGHS-2 by NO.15 Consequently, the effect of estrogen on the NO pathway may have a role in increasing PGHS-dependent relaxation, thereby conferring a protective action on the vascular system.
Our hypothesis for the present study was that removal of ovarian steroids would decrease endothelium/NO-dependent relaxation responses but that estrogen replacement would increase NO and PGHS activity, leading to increased vasodilation.
| Materials and Methods |
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Vessel Preparation
A section of the mesentery 5 to 10 cm distal to the pylorus was
rapidly removed and placed in ice-cold HEPES-buffered PSS (HEPES-PSS).
Mesenteric arteries averaging <250 µm in diameter were
dissected free from surrounding adipose tissue, cut into 1.8-mm
lengths, and threaded onto 20-µm wires. These wires were attached to
2 polyacrylamide blocks in an isometric myograph system (Kent
Scientific Corp). The blocks rested in 5-mL glass-jacketed organ baths
with HEPES-PSS solution kept at 37°C. Four separate baths were used
to study arterial segments simultaneously.
Force production was recorded on a data acquisition system
(Workbench, Strawberry Tree Inc).
Resting Length-Tension Curve
After mounting, the arteries were stretched to
0.2 mN per
millimeter vessel length (1 mN=102 mg) and allowed to equilibrate for 1
hour in HEPES-PSS buffer. The arteries were then given a conditioning
stretch of
0.6 mN. A resting length tension curve was generated for
each vessel. The arterial circumference that was used to
perform the dose-response curves was obtained by using Laplace's law.
With this equation, L100 is calculated from the
exponential curve fit of tension versus circumference.
L100 is defined as the circumference the vessel
would have at a transmural pressure of 100 mm Hg. We have found
from our previous studies that the point on the dose-response curve
obtained at 0.8 L100 provides maximum active
force generation with minimum passive tension.
Solutions and Drugs
The HEPES-PSS solution used in these experiments contained
(mmol/L) sodium chloride 142, potassium chloride 4.7, magnesium sulfate
1.17, calcium chloride 1.56, potassium phosphate 1.18, HEPES 10, and
glucose 5.5. The HEPES-PSS solution was maintained at a pH of 7.4.
Stock solutions of phenylephrine
(L-phenylephrine hydrochloride), methacholine
(acetyl-ß-methylcholine chloride) (both from Sigma Chemical Co), and
meclofenamate (Warner Lambert, Ann Arbor) were prepared in water at a
concentration of 10 mmol/L for each experiment. Stock solutions of
10 mmol/L SQ-29548, valeryl salicylate, NS-398, U-51605,
arachidonic acid, U-46619, prostaglandin
E2 (PGE2), and
PGH2 (all from Cayman Chemical Co) were prepared
in ethanol. Appropriate dilutions of all stocks were obtained using
HEPES-PSS.
Experimental Design
Mesenteric arteries were studied from the 3 groups of rats (n=5
or 6 rats per group) for each experimental protocol. Cumulative doses
of phenylephrine (0.3 to 10 µmol/L) were
administered. The data from the dose-response curves were fitted to the
Hill equation, from which a straight line was generated by linear least
squares regression analysis. The mean effective concentration
that produced a 50% constriction (EC50) was
determined from this line for each individual artery. The
EC50 of phenylephrine was used to
constrict arteries in order to achieve a baseline from which subsequent
relaxation responses were measured. After completion of each
dose-response curve, a 30-minute recovery period was allowed, during
which the baths were changed every 10 minutes with fresh HEPES-PSS.
Cumulative doses of the muscarinic agonist, methacholine (0.01 to
1 µmol/L) were administered to assess
endothelium-dependent relaxations. To determine whether
the responses to methacholine were dependent on the
endothelium, one segment of a divided artery was
denuded of its endothelium before the methacholine
dose-response curve. Endothelium removal was performed
mechanically using a human hair threaded through the lumen of the
artery and rubbed back and forth.16
To determine the role for endogenous vascular prostaglandins in modulating the relaxation responses, methacholine dose-response curves were repeated in the absence or presence of the specific blockers in the PGHS cascade. The studies performed involving the absence and presence of inhibitors were conducted sequentially on the same artery. The reproducibility of repeating curves for these experiments was determined in a preliminary set of experiments designed to test for tachyphylaxis. Meclofenamate (1 µmol/L) was administered to block cyclooxygenase conversion of arachidonic acid. Valeryl salicylate (3 mmol/L) and NS-398 (10 µmol/L) were administered to preferentially inhibit PGHS-1 and PGHS-2, respectively. U-51605 (10 µmol/L) was used to inhibit TxA2 synthase; SQ-29548 (1 µmol/L) was used to block the TxA2/PGH2 receptor. All inhibitors were preincubated with the arteries 15 minutes before the beginning of a dose-response curve.
Another series of experiments was conducted to determine the response of mesenteric arteries to an exogenous source of arachidonic acid. The response to arachidonic acid (0.01 to 5 µmol/L) was obtained after preconstricting the arteries with phenylephrine to 50% of the maximum response. After a 30-minute recovery period, one segment of the divided artery from each rat had the arachidonic acid doses repeated in the presence of specific PGHS inhibitors, valeryl salicylate, and NS-398. The arachidonic response was repeated in the presence or absence of endothelium.
Contractions to increasing concentrations of PGE2, U-46619 (TxA2 mimetic), or PGH2 were obtained in arteries absent of endothelium to determine sensitivity of the response of arteries from ovariectomized compared with estradiol-replaced rats.
Data Analysis
ANOVA was used to determine the statistical difference of the
parameters between the control and estradiol-replaced rats
shown in the Table
. A 2-way ANOVA with repeated measures
was used to compare the response to a drug before and after specific
inhibitors. Pairwise comparison was then conducted using
the Student-Newman-Keuls test. Differences among means were considered
significant at P<0.05.
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| Results |
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Vascular Responses
Before relaxation-response curves were generated, arteries were
preconstricted by their EC50 of
phenylephrine. There was no significant difference in the
EC50 of phenylephrine among the
experimental groups. There was a decreased response to methacholine in
the ovariectomized rats compared with the estradiol-replaced rats
(Figure 1A
). Chronic estrogen replacement
in the rat dose-dependently improved the relaxation response, as
evidenced by a significant decrease in the EC50
to methacholine (Figure 1A
, insert). For all groups of rats, relaxation
response to methacholine was abolished by endothelium
removal. Time-control data indicated that dose-response curves to
methacholine could be repeated at least 3 times with a variance of
<4%.
|
In the presence of meclofenamate, an inhibitor of PGHS
activity, there was no longer a significant difference among the groups
(Figure 1B
). The ovariectomized rats and the 0.15 mg/pellet
estradiolreplaced rats shifted the curves to be similar to the 0.5
mg/pellet estradiolreplaced rats, suggesting that a PGHS-dependent
vasoconstrictor modified the relaxation responses to methacholine.
Figure 2
depicts the
EC50 values for the relaxation response to
methacholine alone and methacholine in the presence of specific
inhibitors to the PGHS pathway. In the ovariectomized rats
(Figure 2A
), valeryl salicylate (PGHS-1 inhibitor), NS-398
(PGHS-2 inhibitor), or SQ-29548 (TxA2
synthase inhibitor) significantly reduced the
EC50 to methacholine (enhanced the relaxation
response), whereas U-51605 (TxA2 synthase
inhibitor) had no effect. Similar results were obtained for
the 0.15 mg/pellet estradiolreplaced rats (Figure 2B
). In the 0.5
mg/pellet estradiolreplaced rats (Figure 2C
), the PGHS pathway
inhibitors did not have a significant effect on the
relaxation response to methacholine. The PGHS pathway
inhibitors normalized the EC50 of the
ovariectomized rats and the 0.15 mg/pellet estradiolreplaced rats to
be similar to the EC50 of the 0.5 mg/pellet
estradiolreplaced rats.
|
Arachidonic Acid Response
Arteries from ovariectomized rats resulted in vasoconstriction in
response to exogenous arachidonic acid, whereas the
arteries from the estradiol-replaced rats exhibited vasodilation
(Figure 3
). There was no vascular
response to arachidonic acid in the absence of
endothelium from any of the groups of rats (data not
shown). Pretreatment with valeryl salicylate or NS-398
(inhibitors of PGHS-1 and PGHS-2, respectively) reversed
the vasoconstriction in the ovariectomized rats to a vasodilation
(Figure 4A
) but caused a further
relaxation in the 0.15 mg/pellet estradiolreplaced rats (Figure 4B
).
The PGHS inhibitors had no effect on the
arachidonic acid responses in the arteries of the 0.5
mg/pellet estradiolreplaced rats (Figure 4C
).
|
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PGE2, U-46619, and PGH2
Vasoconstrictor Responses
PGE2 induced similar vasoconstriction in
endothelium-denuded arteries from ovariectomized and
estradiol-replaced rats (Figure 5A
).
U-46619 and PGH2 evoked greater vasoconstrictor
responses in the arteries from ovariectomized compared with
estradiol-replaced rats (Figure 5
, panels B and 5C, respectively).
U-46619, but not PGH2, also induced a
significantly greater vasoconstriction from arteries of the 0.15
mg/pellet estradiolreplaced rats compared with the 0.5 mg/pellet
estradiolreplaced rats.
|
| Discussion |
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Many studies, including our own, indicate that the beneficial effect of estrogen is attributed, in part, to a direct effect on endothelium function.10 11 12 13 17 18 19 20 There are a number of reports suggesting that NO production and thus vasodilation is increased due to estrogen.10 13 17 18 19 20 In our study design, methacholine (an acetylcholine analogue) was used as an endothelium/NO-dependent relaxing agent to evaluate vascular function. We observed an increased relaxation response to methacholine in the mesenteric arteries of the estrogen-replaced rats compared with the ovariectomized rats in the absence of PGHS inhibition. These data could have been interpreted to reflect an increased endothelium/NO-dependent relaxation response. However, when PGHS activity was inhibited, the relaxation response in the arteries from the ovariectomized animals was enhanced. The extent of PGHS-dependent vasoconstriction was reduced in a dose-dependent manner with chronic estradiol replacement in the rat. These data indicate that estrogen did not increase NO-dependent vascular relaxation but that the principal effect of estrogen was to suppress a PGHS-dependent vasoconstriction.
In agreement with our data, a recent study reported that gender differences in endothelium-dependent relaxations of porcine coronary arteries did not involve the NO pathway but that PGHS-dependent vasoconstriction modified the endothelium-dependent response.21 These data provide support that PGHS-dependent vasoconstriction is important in endothelium-dependent function. However, unlike the present study, the lack of estrogen was not primarily responsible for the gender differences, since the male pigs had higher concentrations of plasma estradiol than the females. Since there are many differences in males compared with females, many studies use an ovariectomized animal model without and with estrogen replacement. Some of these previous estrogen replacement studies have also incorporated inhibition of the PGHS pathway for in vitro vascular studies. In contrast to our findings, others have observed in estrogen-replaced animals either no effect in response to PGHS inhibition10 11 12 or a response indicating an increased prostacyclin component modifying adrenergic vasoconstriction.13 In the present study, we observed in estradiol-replaced rats an enhanced endothelium-dependent relaxation response to methacholine due to a suppressed PGHS-dependent vasoconstriction. The disparity of the effect of estradiol on vascular responses may be due to the different species studied, the concentration and duration of estrogen replacement, and the vascular bed studied. In the present study, we chronically (4 weeks) treated rats with 2 doses of physiological relevant (cycling and pregnancy) levels of estrogen for rats or alternatively with the higher dose of estrogen replacement equivalent to that of hormone replacement levels in humans.
In the present study, pretreatment with valeryl salicylate or
NS-398, to inhibit PGHS-1 and PGHS-2, respectively, increased the
relaxation response in the ovariectomized rats, indicating that both
PGHS-1 and PGHS-2 are important contributors to the PGHS-dependent
vasoconstriction. Little is know regarding the regulation of activity
or expression PGHS-1 and PGHS-2 by estrogen. In agreement with our
vascular function data, it has been described that ovariectomy enhances
but that estrogen replacement inhibits PGHS-2 expression and activity
through bone marrow factors (primarily
interleukin-1
).22 In the endometrial tissue of
ewes treated with sex steroids, estrogen lowered PGHS mRNA but may have
also increased the stability of the enzyme.23 In
contrast, however, Wu et al24 recently reported
that estradiol increases PGHS-2 mRNA and protein in the myometrium of
nonpregnant sheep,24 suggesting a complexity of
estrogen regulation depending on the tissue bed, animal model, and
experimental design of the study.
In the endothelium, there is limited and contradictory data regarding estrogen and the PGHS pathway. In cell culture, estradiol has been shown to either have no effect25 or increase26 prostacyclin production in cultured human vascular endothelial cells. In vivo treatment of female rabbits with the synthetic estrogen, ethinyl estradiol, results in diminished in vivo vascular production of prostacyclin.27 These data could reflect a decrease in PGHS activity due to estrogen, which is similar to our findings. In our study, it was not possible to measure eicosanoid production released into the organ baths from the mesenteric arteries because of their size (<250 µm in diameter). We did, however, administer exogenous arachidonic acid to substantiate that the arteries from the ovariectomized rats had an increased capacity for a PGHS-dependent vasoconstriction. Furthermore, the addition of exogenous arachidonic acid should also indicate whether vascular differences in the groups of rats is due to differences in phospholipase activity that regulates the availability of arachidonic acid or to differences in cyclooxygenase activity. Previous reports on the vascular effects of exogenous arachidonic acid have been in conflict, depending on species, tissue, or the experimental model of the disease studied.28 29 30 Specific to estrogen replacement, arachidonic acid has been shown to augment endothelium-dependent contractions in rabbit aorta.31 In contrast, our data demonstrated a dose-dependent vasoconstriction only in arteries from ovariectomized rats and a vasorelaxation in the mesenteric arteries of estradiol-treated rats. The presence of a PGHS inhibitor eliminated the difference among the groups. These data further indicate that the increased vasoconstrictor response was not due to alterations of arachidonic acid availability but rather an effect at the level of PGHS-dependent products.
Comparable to the ovariectomized rat, an increase of PGHS-dependent vasoconstriction has been observed in animal models of hypertension,32 33 34 35 36 diabetes37 and oxidative stress.38 Although some reports have suggested that a deficiency of NO contributes to the pathogenesis of hypertension,39 40 there are data indicating that the release of NO is normal and that a concomitant release of a PGHS-dependent endothelium-derived contracting factor accounts for the impaired relaxation.32 33 34 35 Relevant to our study, in female compared with male spontaneously hypertensive rats, there is both an increased NO-dependent response as well as decreased PGHS-dependent vasoconstriction.36 It is possible that estrogen has a beneficial role to slow the progression of hypertension through suppression of PGHS-dependent vasoconstriction.
In the spontaneously hypertensive rat model, it has been suggested that the endothelium-derived PGHS-dependent vasoconstrictor is likely to be PGH2.33 35 Our data for the ovariectomized rats agree with the finding of a concomitant release of a PGHS-dependent endothelium-derived contracting factor. The presence of a TxA2/PGH2 receptor antagonist resulting in a response similar to PGHS inhibition indicated that the PGHS-dependent vasoconstrictor was eliciting a response through this receptor. Since TxA2 and PGH2 bind to the same receptor, the PGHS-dependent vasoconstrictor could be either TxA2 or PGH2. Inhibition of TxA2 synthase with U-51605 did not alter the relaxation response to methacholine in the ovariectomized rats, suggesting that TxA2 may not be responsible for the PGHS-dependent vasoconstriction. However, inhibition of a specific synthase may shunt the pathway to other eicosanoids produced through isomerization or reduction of PGH2.
Along with the observed increase of PGHS-dependent vasoconstriction in the ovariectomized rats, there appeared to be enhanced sensitivity of the PGH2/TxA2 receptor. The vascular constriction response to both PGH2 and the TxA2 mimetic U-46619 was enhanced, whereas there was no difference in the vascular response to PGE2 in the ovariectomized rats compared with the estradiol-replaced rats. The increased sensitivity to PGH2 in the ovariectomized rats is similar to the PGH2 hypersensitivity observed in the aortas of spontaneously hypertensive rats.35 Furthermore, a recent study reported a decrease in contractility of guinea pig coronary arteries to the TxA2 mimetic U-46619 in estrogen-replaced guinea pigs; however, unlike our data, their data indicated that NO mediated the reduced contractility.18 In our study, using endothelium-denuded mesenteric arteries from Sprague-Dawley rats, both PGH2 and U-46619 induced a vasoconstriction that was greater in ovariectomized rats compared with estradiol-replaced rats. These data suggest that estrogen has the potential to suppress a PGHS-dependent vasoconstrictor response via the PGH2/TxA2 receptor.
In summary, estrogen-replacement in an ovariectomized rat suppressed PGHS-dependent vasoconstriction. The present results provide a novel observation that may explain, in part, the vascular physiology in postmenopausal women. Furthermore, these data provide another potential mechanism for the protective effect of estrogen that should be further studied for development of alternative therapeutic approaches for cardiovascular disease in men and women.
| Acknowledgments |
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Received January 20, 1998; accepted May 21, 1998.
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J. R. Rouleau, A. Dagnault, D. Simard, B. Lavallee, A. Belanger, A. Blouin, and J. G. Kingma Jr. Effect of estrogen replacement therapy on distribution of myocardial blood flow in female anesthetized rabbits Am J Physiol Heart Circ Physiol, September 1, 2001; 281(3): H1407 - H1412. [Abstract] [Full Text] [PDF] |
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Y. Zhang, K. G. Stewart, and S. T. Davidge Estrogen Replacement Reduces Age-Associated Remodeling in Rat Mesenteric Arteries Hypertension, December 1, 2000; 36(6): 970 - 974. [Abstract] [Full Text] [PDF] |
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G. G. Geary, D. N. Krause, and S. P. Duckles Estrogen reduces mouse cerebral artery tone through endothelial NOS- and cyclooxygenase-dependent mechanisms Am J Physiol Heart Circ Physiol, August 1, 2000; 279(2): H511 - H519. [Abstract] [Full Text] [PDF] |
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K. G. Stewart, Y. Zhang, and S. T. Davidge Estrogen Decreases Prostaglandin H Synthase Products From Endothelial Cells Reproductive Sciences, November 1, 1999; 6(6): 322 - 327. [Abstract] [PDF] |
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J. Case and C. A. Davison Estrogen Alters Relative Contributions of Nitric Oxide and Cyclooxygenase Products to Endothelium-Dependent Vasodilation J. Pharmacol. Exp. Ther., November 1, 1999; 291(2): 524 - 530. [Abstract] [Full Text] |
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A. P. V. Dantas, R. Scivoletto, Z. B. Fortes, D. Nigro, and M. H. C. Carvalho Influence of Female Sex Hormones on Endothelium-Derived Vasoconstrictor Prostanoid Generation in Microvessels of Spontaneously Hypertensive Rats Hypertension, October 1, 1999; 34(4): 914 - 919. [Abstract] [Full Text] [PDF] |
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