Department of Veterinary Physiology and Pharmacology, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, 77843-4466, USA.
Departamento de Biología Celular y Fisiología, Instituto de Investigaciones Biomédicas, Universidad Nacional Autónoma de México, 04510, México D.F, Mexico.
Biol Sex Differ. 2020 Aug 26;11(1):48. doi: 10.1186/s13293-020-00324-5.
Acutely, testosterone (TES) and other androgens are efficacious vasodilators, both in vitro and in vivo; however, their long-term effects on arterial blood pressure (BP) remain unclear. It was hypothesized that endogenous androgens exert long-term anti-hypertensive effects on systemic BP through a combination of genomic and nongenomic effects to enhance vasodilation of the systemic vasculature.
The long-term effects of endogenous TES and exogenous TES replacement therapy (TRT) on BP were studied in intact (InT) and castrated (CsX) male Sprague-Dawley (SD) and testicular-feminized male (Tfm, androgen receptor defective) rats (12 weeks old). Systolic BP (tail-cuff plethysmography) was determined weekly for 15 weeks in InT-control and CsX rats. Some CsX-SD rats received androgen replacement therapy at 10-15 weeks with TES-enanthate (TRT; 1.75 mg/kg, 2x/week) or DHT-enanthate (DRT; 1.00 mg/kg. 2x/week) and a separate group of CsX-SD rats received losartan-potassium in drinking water (LST, 250 mg/L) for the entire 15 week period. Expression of renin, angiotensinogen (Agt), angiotensin converting enzyme (ACE), and angiotensin II type I receptor (ATR) mRNA in kidney and aorta were determined by real-time PCR (rt-PCR) and plasma renin levels were determined by radioimmunoassay.
There was a progressive rise in BP over 10 weeks in CsX (109 ± 3.3 vs. 143 ± 3.5 mmHg), while BP remained stable in InT-control (109 ± 3.0 vs. 113 ± 0.3). BP gradually declined to normal in CsX-TRT rats (113 ± 1.3), while BP remained elevated in CsX (140 ± 1.2) and normal in InT-control (113 ± 0.3). LST prevented the development of hypertension in CsX at 10 weeks (100 ± 1.5 in CsX + LST vs. 143 ± 3.5 in CsX). During the next 5 weeks with TES-RT, BP declined in CsX-TRT (113 ± 1.3) and remained lower in CsX + LST (99 ± 0.4). DHT-RT reduced BP in CxS to a similar extent. In Tfm, CsX resulted in a similar rise in BP (109 ± 0.7 vs. 139 ± 0.4 mmHg), but TRT reduced BP more rapidly and to a greater extent (106 ± 2.8). rt-PCR of the kidney revealed that CsX increased expression of mRNA for renin (92%), ACE (58%), and ATR (80%) compared to InT, while TES RT normalized expression of renin, AT1R, and ACE mRNA to levels of InT rats. Plasma renin levels exhibited changes similar to those observed for renin mRNA expression.
This is the first study to examine the long-term effects of endogenous and exogenous androgens on BP in male SD and Tfm rats. These data reveal that endogenous androgens (TES) exert anti-hypertensive effects that appear to involve non-genomic and possibly genomic mechanism(s), resulting in reductions in RAS expression in the kidney and enhanced systemic vasodilation.
睾酮(TES)和其他雄激素在体外和体内均具有有效的血管扩张作用;然而,其对动脉血压(BP)的长期影响尚不清楚。据推测,内源性雄激素通过基因组和非基因组效应的结合,对全身血管的血管舒张产生长期的降压作用。
研究了内源性 TES 和外源性 TES 替代疗法(TRT)对完整(InT)和去势(CsX)雄性 Sprague-Dawley(SD)和睾丸女性化雄性(Tfm,雄激素受体缺陷)大鼠(12 周龄)的 BP 的长期影响。通过尾套容积描记法每周测定 15 周的收缩压(Systolic BP)。一些 CsX-SD 大鼠在 10-15 周时接受 TES-庚酸酯(TRT;1.75mg/kg,2x/周)或 DHT-庚酸酯(DRT;1.00mg/kg. 2x/周)雄激素替代治疗,另一组 CsX-SD 大鼠在整个 15 周期间接受赖诺普利钾的饮用水(LST,250mg/L)。通过实时 PCR(rt-PCR)测定肾脏和主动脉中肾素、血管紧张素原(Agt)、血管紧张素转换酶(ACE)和血管紧张素 II 型受体(ATR)mRNA 的表达,并通过放射免疫测定法测定血浆肾素水平。
CsX 中的 BP 在 10 周内逐渐升高(109 ± 3.3 对 143 ± 3.5mmHg),而 InT-control 中的 BP 保持稳定(109 ± 3.0 对 113 ± 0.3)。CsX-TRT 大鼠的 BP 逐渐降至正常(113 ± 1.3),而 CsX 的 BP 仍升高(140 ± 1.2),InT-control 的 BP 仍正常(113 ± 0.3)。LST 在第 10 周时阻止了 CsX 高血压的发生(CsX + LST 为 100 ± 1.5,CsX 为 143 ± 3.5)。在接下来的 5 周用 TES-RT 治疗期间,CsX-TRT 中的 BP 下降(113 ± 1.3),CsX + LST 中的 BP 保持较低(99 ± 0.4)。DHT-RT 使 CxS 的 BP 降低到相似的程度。在 Tfm 中,CsX 导致 BP 升高(109 ± 0.7 对 139 ± 0.4mmHg),但 TRT 使 BP 更快且更大程度地降低(106 ± 2.8)。肾脏的 rt-PCR 显示,与 InT 相比,CsX 增加了肾素(92%)、ACE(58%)和 ATR(80%)mRNA 的表达,而 TES RT 将肾素、AT1R 和 ACE mRNA 的表达正常化至 InT 大鼠的水平。血浆肾素水平的变化与肾素 mRNA 表达的变化相似。
这是第一项研究内源性和外源性雄激素对雄性 SD 和 Tfm 大鼠 BP 的长期影响的研究。这些数据表明,内源性雄激素(TES)发挥降压作用,似乎涉及非基因组和可能的基因组机制,导致肾脏中 RAS 表达减少和全身血管舒张增强。