Department of Cardiology, Second Xiangya Hospital, Central South University, Changsha, 410011, China.
J Cardiovasc Pharmacol. 2011 Feb;57(2):174-82. doi: 10.1097/FJC.0b013e31820270bb.
To investigate the effects of estrogen treatment on aortic endothelial senescence and atherosclerosis, an ovariectomized female rabbit model was constructed, and human umbilical vein endothelial cells were utilized to explore the potential mechanisms. Twenty-eight female rabbits were randomized into 4 groups (7 each): sham operation, ovariectomized, ovariectomized plus low-dose estradiol treatment, and ovariectomized plus high-dose estradiol treatment. All rabbits were fed on high-cholesterol diet for 12 weeks. Blood samples were collected to determine the serum estradiol, asymmetric dimethyl L-arginine (ADMA), and lipid levels, and the aortas were separated for histopathologic analysis. After ovariectomy and high-fat diet, the concentration of serum estradiols declined significantly (P < 0.01) and the levels of ADMA and serum lipids increased (all P < 0.01) as the area of senescent endothelium and atherosclerotic lesions enlarged (both P < 0.01). However, administration of estradiols reduced the levels of ADMA, total cholesterol, and low-density lipoprotein (LDL) cholesterol and inhibited endothelial senescence and atherosclerosis (all P < 0.01). Simultaneously, the concentration of high-density lipoprotein cholesterol and triglyceride increased (all P < 0.01). In vitro experiments also confirmed that estradiols could decrease the ADMA levels induced by oxidized LDL and inhibited oxidized LDL–induced and ADMA-induced human umbilical vein endothelial cell senescence. These results indicate that estrogens can inhibit endothelial senescence and atherosclerosis with reduced ADMA levels and improved lipid profile.
为了研究雌激素治疗对主动脉内皮衰老和动脉粥样硬化的影响,构建了去卵巢雌性兔模型,并利用人脐静脉内皮细胞探讨了潜在的机制。将 28 只雌性兔随机分为 4 组(每组 7 只):假手术组、去卵巢组、去卵巢加低剂量雌激素治疗组和去卵巢加高剂量雌激素治疗组。所有兔子均给予高胆固醇饮食 12 周。采集血样以测定血清雌二醇、非对称二甲基精氨酸(ADMA)和血脂水平,并分离主动脉进行组织病理学分析。去卵巢和高脂饮食后,血清雌二醇浓度明显下降(P<0.01),ADMA 水平和血清脂质水平升高(均 P<0.01),同时衰老内皮和动脉粥样硬化病变面积增大(均 P<0.01)。然而,给予雌激素可降低 ADMA、总胆固醇和低密度脂蛋白(LDL)胆固醇水平,抑制内皮衰老和动脉粥样硬化(均 P<0.01),同时高密度脂蛋白胆固醇和甘油三酯水平升高(均 P<0.01)。体外实验也证实,雌激素可降低氧化型 LDL 诱导的 ADMA 水平,并抑制氧化型 LDL 和 ADMA 诱导的人脐静脉内皮细胞衰老。这些结果表明,雌激素可通过降低 ADMA 水平和改善血脂谱来抑制内皮衰老和动脉粥样硬化。