UPMC McKeesport Family Medicine, McKeesport, PA, USA.
J Cardiovasc Pharmacol. 2011 Mar;57(3):357-64. doi: 10.1097/FJC.0b013e31820b7dc9.
Sexual dimorphism in the degree of high blood pressure (BP) has been observed in both animal and human hypertension. However, the mechanisms are still poorly understood. We tested the hypothesis that long-term loss of sex steroids promotes changes in mesenteric vascular reactivity that impact the maintenance of hypertension in the spontaneously hypertensive rats (SHR).
Male SHR were sham operated (M-SHAM) or castrated (M-CX), and female SHR were sham-operated (F-SHAM) or ovariectomized (F-OVX) at 3 weeks of age. Seven months later, BP was measured in anesthetized rats, and vascular responsiveness was evaluated in the isolated perfused mesentery.
Mean arterial BP (mm Hg) was significantly greater in M-SHAM (186 ± 6) compared with F-SHAM (159 ± 5). Gonadectomy reduced BP in male SHR (M-CX: 160 ± 4) but had no significant effect in female SHR (F-OVX: 153 ± 7). Norepinephrine-induced constriction was similar in all groups. Gonadectomy attenuated serotonin-induced vasoconstriction in the mesentery. Acetylcholine (ACh)- and isoproterenol (ISO)-induced vasodilation was greater in female than male SHR. Ovariectomy of female SHR blunted ACh and ISO dilatory responses. ISO dose-response curves were shifted to the left in castrated male SHR.
Gonadectomy exerts long-term effects on mesenteric vascular reactivity and hypertension in the SHR.
在动物和人类高血压中都观察到了血压(BP)升高程度的性别二态性。然而,其机制仍知之甚少。我们检验了这样一个假设,即长期失去性激素会促进肠系膜血管反应性的变化,从而影响自发性高血压大鼠(SHR)中高血压的维持。
3 周龄时,雄性 SHR 接受假手术(M-SHAM)或去势(M-CX),雌性 SHR 接受假手术(F-SHAM)或卵巢切除术(F-OVX)。7 个月后,在麻醉大鼠中测量血压,并在离体灌注肠系膜中评估血管反应性。
平均动脉压(mmHg)在 M-SHAM(186±6)中显著高于 F-SHAM(159±5)。去势降低了雄性 SHR 的血压(M-CX:160±4),但对雌性 SHR 没有显著影响(F-OVX:153±7)。去甲肾上腺素引起的收缩在所有组中相似。去势减弱了肠系膜中 5-羟色胺引起的血管收缩。乙酰胆碱(ACh)和异丙肾上腺素(ISO)引起的血管舒张在雌性 SHR 中大于雄性 SHR。卵巢切除术使雌性 SHR 的 ACh 和 ISO 舒张反应减弱。雄性 SHR 的 ISO 剂量-反应曲线向左移位。
去势对 SHR 的肠系膜血管反应性和高血压产生长期影响。