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在长-伊文斯大鼠中,雌激素耗竭对血压的影响因年龄而异。

Estrogen depletion differentially affects blood pressure depending on age in Long-Evans rats.

作者信息

Clark John T, Chakraborty-Chatterjee Munmun, Hamblin Milton, Wyss J Michael, Fentie Ian H

机构信息

Department of Physiology, Meharry Medical College, Nashville, TN 37208, USA.

出版信息

Endocrine. 2004 Nov;25(2):173-86. doi: 10.1385/ENDO:25:2:173.

Abstract

Normotensive female rats exhibit age-related decreases in estrous cyclicity and increases in blood pressure. In spontaneously hypertensive rats, estrogens, including dietary phytoestrogens, prevent or attenuate the increased blood pressure associated with estrogen depletion. The present studies examine the effects of ovariectomy (OVX) at either 3 or 10 mo of age. Although blood pressure increases from 3 to 9 mo, OVX at 3 mo of age has no added effect--despite the fact that OVX (compared to ovary-intact) rats weighed significantly more. In contrast, aging from 10 to 16 mo is associated with a further increase in blood pressure, which is potentiated by estrogen depletion. Removal of dietary phytoestrogens exacerbated the hypertensive effects of OVX in these middle-aged rats. As in younger rats, estrogen depletion at 10 mo of age was associated with greater weight gain. Whereas estrogen depletion at 3 mo of age was without effect on fluid intake over the next 6 mo, OVX at 10 mo of age was associated with decreased fluid intake. In a final study, rats were OVX at 3 mo of age with estradiol (E2) treatment initiated at 10 mo of age. Long-term OVX ( >10 mo) was associated with increased blood pressure and mortality at 14-16 mo of age. Circulating levels of E2 were decreased by OVX. Plasma aldosterone was increased by OVX, an effect which was prevented by either E2 or phytoestrogens. Neither E2 nor aldosterone was affected by age. These data indicate that (a) the physiological effects of estrogen depletion vary with age; (b) phytoestrogens in the diet exert some protective effects; and (c) long-term OVX in the absence of hormone re-placement is associated with premature mortality. We suggest that chronic increases in aldosterone and sympathetic tone underlie the hypertensive effects of estrogen depletion.

摘要

血压正常的雌性大鼠表现出与年龄相关的发情周期减少和血压升高。在自发性高血压大鼠中,包括膳食植物雌激素在内的雌激素可预防或减轻与雌激素缺乏相关的血压升高。本研究考察了3月龄或10月龄时卵巢切除术(OVX)的影响。尽管血压从3月龄升高到9月龄,但3月龄时进行OVX并没有额外影响——尽管与保留卵巢的大鼠相比,OVX大鼠体重明显更重。相反,从10月龄到16月龄的衰老与血压进一步升高有关,雌激素缺乏会加剧这种升高。去除膳食植物雌激素会加剧这些中年大鼠中OVX的高血压作用。与年轻大鼠一样,10月龄时雌激素缺乏与体重增加更多有关。3月龄时雌激素缺乏对接下来6个月的液体摄入量没有影响,而10月龄时进行OVX与液体摄入量减少有关。在最后一项研究中,大鼠在3月龄时进行OVX,并在10月龄时开始进行雌二醇(E2)治疗。长期OVX(>10个月)与14至16月龄时血压升高和死亡率增加有关。OVX会降低E2的循环水平。OVX会使血浆醛固酮增加,E2或植物雌激素可预防这种作用。E2和醛固酮均不受年龄影响。这些数据表明:(a)雌激素缺乏的生理效应随年龄而异;(b)饮食中的植物雌激素具有一定的保护作用;(c)在没有激素替代的情况下长期进行OVX与过早死亡有关。我们认为,醛固酮和交感神经张力的慢性增加是雌激素缺乏导致高血压作用的基础。

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