García Maria P, Giménez Jose, Serna Mar, Salom Miguel G, Bonacasa Bárbara, Carbonell Luis F, Quesada Tomas, Hernández Isabel
Department of Physiology, Facultad de Medicina, Universidad de Murcia, Murcia, Spain.
Menopause. 2006 May-Jun;13(3):397-403. doi: 10.1097/01.gme.0000222472.08593.e4.
The present study evaluated whether estrogen influences the effect of angiotensin-converting enzyme inhibition in preventing the vascular remodeling induced by hypertension and also investigated the signal mechanism involved in that effect.
Ten-week-old female spontaneously hypertensive rats were ovariectomized (OVX) and randomly assigned to the groups: untreated OVX and treated with 17beta-estradiol (estradiol, 1.5 mg) and/or captopril (5 mg/kg/day). Evolution of systolic blood pressure was determined until 18 weeks. At that time, the heart and mesentery were excised. Structural changes in coronary vessels were quantified by an image analyzer. Inmunoblotting was performed on mesenteric arteries for determination of phosphorylated (ERK1/2).
Estradiol treatment enhanced the antihypertensive effect of captopril in OVX rats. Treatment with captopril slightly modified the media cross-sectional area and wall-to-lumen of myocardial arterioles from OVX spontaneously hypertensive rats, whereas coadministration of captopril and estradiol significantly reduced the media cross-sectional area, wall-to-lumen ratio, and perivascular fibrosis in OVX spontaneously hypertensive rats. Captopril alone did not significantly inhibit extracellular signal-regulated kinase 1/2 phosphorylation, whereas coadministration of captopril and estradiol significantly attenuated this parameter.
These results indicate that estrogen may enhance the angiotensin-converting enzyme inhibition-mediated improvement of vascular remodeling in hypertension, which may be partly mediated via inhibition of extracellular signal-regulated kinase 1/2.
本研究评估雌激素是否影响血管紧张素转换酶抑制在预防高血压诱导的血管重塑中的作用,并探讨该作用涉及的信号机制。
将10周龄雌性自发性高血压大鼠去卵巢(OVX),并随机分为以下几组:未治疗的OVX组、用17β-雌二醇(雌二醇,1.5毫克)和/或卡托普利(5毫克/千克/天)治疗的组。测定收缩压至18周的变化情况。此时,切除心脏和肠系膜。用图像分析仪对冠状动脉血管的结构变化进行定量分析。对肠系膜动脉进行免疫印迹以测定磷酸化的(ERK1/2)。
雌二醇治疗增强了卡托普利对OVX大鼠的降压作用。卡托普利治疗对OVX自发性高血压大鼠心肌小动脉的中膜横截面积和壁腔比有轻微改变,而卡托普利与雌二醇联合给药显著降低了OVX自发性高血压大鼠的中膜横截面积、壁腔比和血管周围纤维化。单独使用卡托普利并未显著抑制细胞外信号调节激酶1/2的磷酸化,而卡托普利与雌二醇联合给药则显著减弱了该参数。
这些结果表明,雌激素可能增强血管紧张素转换酶抑制介导的高血压血管重塑改善作用,这可能部分通过抑制细胞外信号调节激酶1/2介导。