Department of Physiology, Faculty of Science, Mahidol University, Bangkok, 10400, Thailand.
Department of Physiology, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, 10330, Thailand.
Free Radic Biol Med. 2020 Nov 20;160:239-245. doi: 10.1016/j.freeradbiomed.2020.06.013. Epub 2020 Aug 4.
A rise in heart disease incidence in women after menopause has led to investigations into the role of female sex hormones on cardiac function. Although various adverse changes in cardiac contractile function following loss of female sex hormones have been reported, a clear mechanism of action has never been characterized. In order to examine whether an elevation in oxidative stress is a major cause of cardiac contractile dysfunction after female sex hormone deprivation, cardiac functions of ovariectomized rats with and without supplementation of superoxide scavenger tempol were compared to those of sham-operated controls. Chronic deprivation of female sex hormones reduced total oxidative capacity and increased plasma carbonyl protein content. Tempol supplementation of ovariectomized rats significantly ameliorated plasma oxidative stress status. Echocardiography demonstrated a significant decrease in left ventricular ejection fraction in ovariectomized rats, which was completely prevented by tempol supplementation. Decreased myocardial contractility occurs with reduced maximum myofilament force of contraction and amplitude of transient intracellular Ca concentration, both phenomena completely attenuated by tempol supplementation. However, tempol only partially prevented shift of heart myosin heavy chain from dominant α-to β-isoform of ovariectomized rats. Immunoblot analysis of protein carbonylation indicated that tempol supplementation significantly reduced the level of cardiac myofibrillar proteins oxidation increased in ovariectomized rat heart. Taken together, the results indicate changes of cardiac contractile machinery following loss of female sex hormones were, in part, due to an increase in oxidative stress, and antioxidant supplementation could be considered another potential prevention measure in postmenopausal women.
绝经后女性心脏病发病率的上升促使人们研究女性性激素对心脏功能的影响。尽管已经报道了女性性激素丧失后心脏收缩功能的各种不良变化,但从未明确其作用机制。为了研究氧化应激升高是否是女性性激素剥夺后心脏收缩功能障碍的主要原因,比较了去卵巢大鼠在补充超氧化物清除剂特布他林和未补充特布他林的情况下的心脏功能与假手术对照组的心脏功能。慢性剥夺女性性激素会降低总氧化能力并增加血浆羰基蛋白含量。特布他林补充可显著改善去卵巢大鼠的血浆氧化应激状态。超声心动图显示去卵巢大鼠的左心室射血分数显著降低,而特布他林补充可完全预防这种降低。心肌收缩力降低与最大肌丝收缩力和瞬时细胞内 Ca 浓度幅度降低有关,特布他林补充可完全消除这两种现象。然而,特布他林仅部分阻止了去卵巢大鼠心脏肌球蛋白重链从主要的α-同工型向β-同工型的转移。蛋白质羰基化的免疫印迹分析表明,特布他林补充可显著降低去卵巢大鼠心脏中增加的心肌纤维蛋白氧化水平。综上所述,这些结果表明,女性性激素丧失后心脏收缩机制的变化部分归因于氧化应激增加,抗氧化剂补充可能被认为是绝经后女性的另一种潜在预防措施。