Olatunji Lawrence Aderemi, Soladoye Ayodele Olufemi
Department of Physiology, College of Health Sciences, University of Ilorin, Ilorin, Nigeria.
J Smooth Muscle Res. 2009 Dec;45(6):289-98. doi: 10.1540/jsmr.45.289.
The incidence of vascular disorders is markedly lower in cycling, pre-menopausal women and post-menopausal women receiving estrogen-progestogen therapy than in men or untreated postmenopausal women. Clinical studies demonstrate that estrogen-progestogen therapy in pre-menopausal women is associated with increased arterial vascular risk. However, the mechanism of estrogen-progestogen therapy in arterial vascular complications remain unclear. Therefore, the present study aimed at investigating whether chronic administration of combined oral contraceptive (OC) containing progestogen with androgenic property alters endothelium-dependent relaxation responses of the aorta to histamine and acetylcholine. The experiments have been studied on aortic rings obtained from vehicle-treated and OC-treated female Sprague-Dawley rats. Isometric reactivity of aortic rings was recorded with a strain gauge transducer. The maximum contractile response of the aortic rings to noradrenaline in the OC-treated group was not significantly different from that in the vehicle-treated group. Both acetylcholine and histamine caused relaxation of the noradrenaline pre-contracted aortic rings. The relaxation response to acetylcholine in rings from vehicle-treated and OC-treated rats did not differ significantly, while relaxation response to histamine was significantly attenuated in aortic rings from OC-treated rats. In conclusion, the results from the present study suggest that the increased arterial vascular risk associated with OC administration might involve altered endothelium-dependent relaxation via histaminergic-mediated mechanism, but not via muscarinergic-mediated mechanism.
与男性或未接受治疗的绝经后女性相比,骑自行车的女性、绝经前女性以及接受雌激素 - 孕激素治疗的绝经后女性血管疾病的发病率明显更低。临床研究表明,绝经前女性接受雌激素 - 孕激素治疗会增加动脉血管风险。然而,雌激素 - 孕激素治疗引发动脉血管并发症的机制仍不清楚。因此,本研究旨在调查长期服用含有具有雄激素特性孕激素的复方口服避孕药(OC)是否会改变主动脉对组胺和乙酰胆碱的内皮依赖性舒张反应。实验在从接受载体处理和OC处理的雌性斯普拉格 - 道利大鼠获取的主动脉环上进行。用应变片传感器记录主动脉环的等长反应性。OC处理组主动脉环对去甲肾上腺素的最大收缩反应与载体处理组相比无显著差异。乙酰胆碱和组胺均可使预先用去甲肾上腺素收缩的主动脉环舒张。载体处理组和OC处理组大鼠主动脉环对乙酰胆碱的舒张反应无显著差异,而OC处理组大鼠主动脉环对组胺的舒张反应显著减弱。总之,本研究结果表明,与服用OC相关的动脉血管风险增加可能涉及通过组胺能介导机制而非毒蕈碱能介导机制改变内皮依赖性舒张。