le Tran Y, Fung A, Forster C
Department of Pharmacology, University of Toronto, ON, Canada.
Can J Physiol Pharmacol. 1997 Dec;75(12):1393-7.
Estrogen supplementation in postmenopausal women offers significant cardiovascular protection. The mechanism for this benefit is unclear but may be due to an interaction of estrogen with the blood vessel wall (vascular smooth muscle and endothelium). We examined the response of weight-matched female and male endothelium-intact and -denuded aortae to 17 beta-estradiol, its interaction with noradrenaline, and the effect of N-nitro-L-arginine. Estradiol produced relaxation responses that were significantly greater in female endothelium-intact preparations. This response was sensitive to N-nitro-L-arginine, while the response to 17 beta-estradiol in male endothelum-intact and both female and male endothelum-denuded preparations was resistant. Estradiol also inhibited contractions to noradrenaline, which was more pronounced in the female endothelium-intact aortic rings. These data imply that estradiol interacts preferentially with the female vascular endothelium, but there exists an endothelium-independent process that can also be activated in the male aorta. Further studies are warranted to elucidate these differential mechanisms.
绝经后女性补充雌激素可提供显著的心血管保护作用。这种益处的机制尚不清楚,但可能是由于雌激素与血管壁(血管平滑肌和内皮)相互作用所致。我们研究了体重匹配的雌性和雄性内皮完整及去内皮主动脉对17β-雌二醇的反应、其与去甲肾上腺素的相互作用以及N-硝基-L-精氨酸的作用。雌二醇产生的舒张反应在雌性内皮完整的标本中显著更大。这种反应对N-硝基-L-精氨酸敏感,而雄性内皮完整标本以及雌性和雄性去内皮标本对17β-雌二醇的反应则不敏感。雌二醇还抑制对去甲肾上腺素的收缩反应,这在雌性内皮完整的主动脉环中更为明显。这些数据表明,雌二醇优先与雌性血管内皮相互作用,但存在一种不依赖内皮的过程,在雄性主动脉中也可被激活。有必要进行进一步研究以阐明这些不同的机制。