Dama Aida, Baggio Chiara, Trevisi Lucia, Bolego Chiara, Cignarella Andrea
Department of Medicine, University of Padova, Padova, Italy; Albanian University, Tirana, Albania.
Department of Medicine, University of Padova, Padova, Italy.
Eur J Pharmacol. 2023 Apr 15;945:175591. doi: 10.1016/j.ejphar.2023.175591. Epub 2023 Feb 17.
Ethinylestradiol (EE) and estetrol (E4) are the two main estrogenic agents used in combined oral contraceptives. These compounds have different binding affinity to and efficacy on estrogen receptors (ER) subtypes. We previously reported that treatment with estrogenic agents enhances angiogenesis via nongenomic, G protein-coupled estrogen receptor (GPER)-dependent mechanisms. However, the impact of EE and E4 on human endothelial function has been little investigated. EE and E4 (10- 10 M) significantly enhanced migration of human umbilical vein endothelial cells (HUVECs) using scratch and Boyden chamber assays. Mechanistically, both agents increased accumulation of phosphorylated protein tyrosine kinase 2 on tyrosine 397 (FAK Y397), a key player in endothelial cell motility, after 30-min treatment. Treatment with increasing concentrations of EE, but not E4, enhanced accumulation of the glycolysis activator PFKFB3. Of note, effects of EE and E4 on endothelial migration and signalling proteins were abolished by addition of the GPER antagonist G36 (10 M). Thus, EE and E4 induced comparable endothelial responses in vitro, suggesting no apparent alterations of vascular remodelling and regeneration capacity by oral contraceptives containing these agents.
炔雌醇(EE)和雌三醇(E4)是复方口服避孕药中使用的两种主要雌激素类药物。这些化合物对雌激素受体(ER)亚型具有不同的结合亲和力和功效。我们之前报道过,雌激素类药物治疗通过非基因组、G蛋白偶联雌激素受体(GPER)依赖性机制增强血管生成。然而,EE和E4对人内皮功能的影响鲜有研究。使用划痕试验和博伊登小室试验,EE和E4(10 - 10 M)显著增强了人脐静脉内皮细胞(HUVECs)的迁移。从机制上讲,两种药物在处理30分钟后,均增加了酪氨酸397位点磷酸化蛋白酪氨酸激酶2(FAK Y397)的积累,FAK Y397是内皮细胞运动的关键因子。用浓度递增的EE而非E4处理,增强了糖酵解激活剂PFKFB3的积累。值得注意的是,添加GPER拮抗剂G36(10 M)可消除EE和E4对内皮迁移和信号蛋白的影响。因此,EE和E4在体外诱导了相当的内皮反应,表明含这些药物的口服避孕药对血管重塑和再生能力无明显改变。
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