Farmacología, Departamento de Medicina, Universidad de Oviedo, Oviedo, España.
Pharmacology. 2011;87(5-6):249-56. doi: 10.1159/000324315. Epub 2011 Apr 13.
Sex hormones are of interest regarding gender differences in the clinical manifestations of airway diseases. No conclusive data are available on the sex hormone modulation of β-adrenoceptor-mediated responses on airways. To this aim, isolated preparations of bovine trachea were used to establish the sex hormone influence on salbutamol-elicited relaxation. This had 2 components, a full acute relaxation followed by a loss of efficacy, close to half of the effect. The remaining half was reverted by the β-blocker, propranolol. The loss of salbutamol-elicited relaxation might reflect the receptor desensitization, as shown by the lack of effect by subsequent administration of salbutamol, and the decrease in the immunostaining of β(2)-adrenoceptors. Sex hormones differently modified the salbutamol-elicited response. Testosterone, but not other androgens or estradiol, had a synergic effect, facilitating the acute relaxation and decreasing the loss of spasmolytic effect, associated with an increase in the latency of desensitization and a decrease in the time taken to reach long-term steady-state tone. These effects, not modified by the antiandrogen flutamide or epithelium removal, seem to be independent of a modulation of β(2)-adrenoceptor desensitization. Testosterone also relaxed preparations with desensitized β-adrenoceptor. Therefore, testosterone modulates tracheal smooth muscle tone, facilitating bronchodilation caused by β(2)-adrenoceptor agonists which might be of pharmacological interest.
性激素在气道疾病临床表现的性别差异方面引起了关注。关于性激素对气道β-肾上腺素能受体介导反应的调节作用,目前尚无明确的数据。为此,我们使用牛气管的分离标本来确定性激素对沙丁胺醇诱导的松弛作用的影响。该作用有 2 个组成部分,即完全的急性松弛,随后出现功效丧失,接近一半的效果。剩余的一半可被β-阻断剂普萘洛尔逆转。沙丁胺醇诱导的松弛作用丧失可能反映了受体脱敏,这可以通过随后给予沙丁胺醇后没有效果以及β(2)-肾上腺素能受体免疫染色减少来证明。性激素对沙丁胺醇诱导的反应有不同的修饰作用。睾丸激素(而非其他雄激素或雌二醇)具有协同作用,可促进急性松弛并减少痉挛性作用的丧失,同时延长脱敏潜伏期并缩短达到长期稳定状态的时间。这些作用不受抗雄激素氟他胺或上皮细胞去除的影响,似乎与β(2)-肾上腺素能受体脱敏的调节无关。睾丸激素还可松弛β-肾上腺素能受体脱敏的标本。因此,睾丸激素调节气管平滑肌张力,促进β(2)-肾上腺素能受体激动剂引起的支气管扩张,这可能具有药理学意义。