Pollow Dennis P, Romero-Aleshire Melissa J, Sanchez Jessica N, Konhilas John P, Brooks Heddwen L
Department of Physiology, University of Arizona, Tucson, Arizona; and.
Department of Physiology, University of Arizona, Tucson, Arizona; and Sarver Heart Center, University of Arizona, Tucson, Arizona.
Am J Physiol Regul Integr Comp Physiol. 2015 Dec 15;309(12):R1546-52. doi: 10.1152/ajpregu.00170.2015. Epub 2015 Oct 21.
Premenopausal females are resistant to the development of hypertension, and this protection is lost after the onset of menopause, resulting in a sharp increase in disease onset and severity. However, it is unknown how a fluctuating ovarian hormone environment during the transition from perimenopause to menopause impacts the onset of hypertension, and whether interventions during perimenopause prevent disease onset after menopause. A gradual transition to menopause was induced by repeated daily injections of 4-vinylcyclohexene diepoxide (VCD). ANG II (800 ng·kg(-1)·min(-1)) was infused into perimenopausal and menopausal female mice for 14 days. A separate cohort of mice received 17β-estradiol replacement during perimenopause. ANG II infusion produced significantly higher mean arterial pressure (MAP) in menopausal vs. cycling females, and 17β-estradiol replacement prevented this increase. In contrast, MAP was not significantly different when ANG II was infused into perimenopausal and cycling females, suggesting that female resistance to ANG II-induced hypertension is intact during perimenopause. ANG II infusion caused a significant glomerular hypertrophy, and hypertrophy was not impacted by hormonal status. Expression levels of aquaporin-2 (AQP2), a collecting duct protein, have been suggested to reflect blood pressure. AQP2 protein expression was significantly downregulated in the renal cortex of the ANG II-infused menopause group, where blood pressure was increased. AQP2 expression levels were restored to control levels with 17β-estradiol replacement. This study indicates that the changing hormonal environment in the VCD model of menopause impacts the severity of ANG II-induced hypertension. These data highlight the utility of the ovary-intact VCD model of menopause as a clinically relevant model to investigate the physiological mechanisms of hypertension that occur in women during the transition into menopause.
绝经前女性对高血压的发生具有抵抗力,而这种保护作用在绝经后会丧失,导致疾病的发生率和严重程度急剧上升。然而,围绝经期到绝经期间波动的卵巢激素环境如何影响高血压的发生,以及围绝经期的干预措施是否能预防绝经后疾病的发生尚不清楚。通过每天重复注射4-乙烯基环己烯二环氧化物(VCD)诱导向绝经的逐渐转变。将血管紧张素II(ANG II,800 ng·kg⁻¹·min⁻¹)注入围绝经期和绝经后雌性小鼠体内14天。另一组小鼠在围绝经期接受17β-雌二醇替代治疗。与处于发情周期的雌性小鼠相比,ANG II注入使绝经后雌性小鼠的平均动脉压(MAP)显著升高,而17β-雌二醇替代治疗可预防这种升高。相比之下,当将ANG II注入围绝经期和处于发情周期的雌性小鼠时,MAP没有显著差异,这表明围绝经期女性对ANG II诱导的高血压具有完整的抵抗力。ANG II注入导致显著的肾小球肥大,且肥大不受激素状态的影响。水通道蛋白2(AQP2)是一种集合管蛋白,其表达水平已被认为可反映血压。在血压升高的ANG II注入绝经组的肾皮质中,AQP2蛋白表达显著下调。17β-雌二醇替代治疗后,AQP2表达水平恢复到对照水平。本研究表明,VCD绝经模型中不断变化的激素环境会影响ANG II诱导的高血压的严重程度。这些数据凸显了完整卵巢的VCD绝经模型作为一种临床相关模型在研究女性绝经过渡期间发生高血压的生理机制方面的实用性。