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睾酮在体内可诱导犬冠状动脉传导动脉和阻力动脉扩张。

Testosterone induces dilation of canine coronary conductance and resistance arteries in vivo.

作者信息

Chou T M, Sudhir K, Hutchison S J, Ko E, Amidon T M, Collins P, Chatterjee K

机构信息

Cardiovascular Research Institute, University of California at San Francisco 94143-0124, USA.

出版信息

Circulation. 1996 Nov 15;94(10):2614-9. doi: 10.1161/01.cir.94.10.2614.

Abstract

BACKGROUND

Although estrogens have been shown to be vasoactive hormones, the vascular effects of testosterone are not well defined. Like estrogen, testosterone causes relaxation of isolated rabbit coronary arterial segments. We examined the vasodilator effects of testosterone in vivo in the coronary circulation and the potential mechanisms of its actions.

METHODS AND RESULTS

Using simultaneous intravascular two-dimensional and Doppler ultrasound, we examined the effect of intracoronary testosterone in coronary conductance and resistance arteries in 10 anesthetized dogs (5 male, 5 female). We also assessed the contribution of NO, prostaglandins, ATP-sensitive K+ channels, and classic estrogen receptors to testosterone-induced vasodilation. Testosterone induced a significant increase in cross-sectional area, average coronary peak flow velocity, and calculated volumetric coronary blood flow at the 0.1 and 1 mumol/L concentrations. This effect was independent of sex. Pretreatment with N omega-nitro-L-arginine methyl ester to block NO synthesis decreased testosterone-induced increase in cross-sectional area, average coronary peak flow velocity, and coronary blood flow. Pretreatment with glybenclamide to assess the role of ATP-sensitive K+ channels did not influence testosterone-induced dilation in epicardial arteries but did attenuate its effect in the microcirculation. Pretreatment with indomethacin or the classic estrogen-receptor antagonist ICI 182,780 did not alter testosterone-induced changes.

CONCLUSIONS

Short-term administration of testosterone induces a sex-independent vasodilation in coronary conductance and resistance arteries in vivo. Acute testosterone-induced coronary vasodilation of epicardial and resistance vessels is mediated in part by endothelium-derived NO. ATP-sensitive K+ channels appear to play a role in the vasodilatory effect of testosterone in resistance arteries.

摘要

背景

尽管雌激素已被证明是血管活性激素,但睾酮对血管的作用尚不明确。与雌激素一样,睾酮可使离体兔冠状动脉节段舒张。我们研究了睾酮在体内对冠状动脉循环的舒张作用及其潜在作用机制。

方法与结果

我们使用血管内二维和多普勒超声同步检测了10只麻醉犬(5只雄性,5只雌性)冠状动脉内给予睾酮后对冠状动脉传导动脉和阻力动脉的影响。我们还评估了一氧化氮(NO)、前列腺素、ATP敏感性钾通道和经典雌激素受体在睾酮诱导的血管舒张中的作用。在0.1和1μmol/L浓度下,睾酮可使横截面积、平均冠状动脉峰值流速和计算得出的冠状动脉容积血流量显著增加。这种作用与性别无关。用Nω-硝基-L-精氨酸甲酯预处理以阻断NO合成,可降低睾酮诱导的横截面积、平均冠状动脉峰值流速和冠状动脉血流量的增加。用格列本脲预处理以评估ATP敏感性钾通道的作用,对睾酮诱导的心外膜动脉舒张无影响,但可减弱其在微循环中的作用。用吲哚美辛或经典雌激素受体拮抗剂ICI 182,780预处理不会改变睾酮诱导的变化。

结论

短期给予睾酮可在体内诱导冠状动脉传导动脉和阻力动脉发生与性别无关的血管舒张。睾酮急性诱导的心外膜血管和阻力血管的冠状动脉舒张部分由内皮源性NO介导。ATP敏感性钾通道似乎在睾酮对阻力动脉的血管舒张作用中发挥作用。

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