Girouard H, Lessard A, Capone C, Milner T A, Iadecola C
Division of Neurobiology, Weill Cornell Medical College, 411 E. 69th Street, New York, NY 10021, USA.
Am J Physiol Heart Circ Physiol. 2008 Jan;294(1):H156-63. doi: 10.1152/ajpheart.01137.2007. Epub 2007 Nov 2.
Women are less susceptible to the cerebrovascular complications of hypertension, such as a stroke and vascular dementia. The mechanism of such protection may be related to a reduced vulnerability of women to the cerebrovascular actions of hypertension. To test this hypothesis, we used a model of hypertension based on infusion of angiotensin II (ANG II), an octapeptide that plays a key role in hypertension and produces cerebrovascular dysregulation. Cerebral blood flow (CBF) was monitored by laser-Doppler flowmetry in anesthetized (urethane-chloralose) C57BL/6J male and female mice equipped with a cranial window. ANG II administration (0.25 mug.kg(-1).min(-1) iv x 30-45 min) elevated arterial pressure equally in both sexes but attenuated the CBF increase induced by whisker stimulation or by the endothelium-dependent vasodilator acetylcholine (ACh) in male but not in female mice. The administration of ANG II for 7 days (2.74 mg.kg(-1).day(-1)), using osmotic minipumps, also attenuated these cerebrovascular responses in male, but not female, mice. The reduced susceptibility to the effect of ANG II in female mice was abolished by ovariectomy and reinstated by estrogen administration to ovariectomized mice. Administration of estrogen to male mice abolished the ANG II-induced attenuation of CBF responses. We conclude that female mice are less susceptible to the cerebrovascular dysregulation induced by ANG II, an effect related to estrogen. Such protection from the deleterious cerebrovascular effects of hypertension may play a role in the reduced vulnerability to the cerebrovascular complications of hypertension observed in women.
女性对高血压的脑血管并发症(如中风和血管性痴呆)的易感性较低。这种保护机制可能与女性对高血压脑血管作用的易损性降低有关。为了验证这一假设,我们使用了基于输注血管紧张素II(ANG II)的高血压模型,血管紧张素II是一种八肽,在高血压中起关键作用并导致脑血管调节异常。通过激光多普勒血流仪在配备颅窗的麻醉(乌拉坦-氯醛糖)C57BL/6J雄性和雌性小鼠中监测脑血流量(CBF)。静脉注射ANG II(0.25μg·kg-1·min-1,持续30 - 45分钟)使两性的动脉血压同等升高,但减弱了雄性小鼠而非雌性小鼠中触须刺激或内皮依赖性血管舒张剂乙酰胆碱(ACh)诱导的CBF增加。使用渗透微型泵连续7天给予ANG II(2.74mg·kg-1·天-1)也减弱了雄性小鼠而非雌性小鼠的这些脑血管反应。雌性小鼠对ANG II作用的易感性降低在卵巢切除后消失,而对去卵巢小鼠给予雌激素后恢复。对雄性小鼠给予雌激素消除了ANG II诱导的CBF反应减弱。我们得出结论,雌性小鼠对ANG II诱导的脑血管调节异常的易感性较低,这种作用与雌激素有关。这种对高血压有害脑血管作用的保护可能在女性对高血压脑血管并发症的易损性降低中起作用。