Geary G G, Krause D N, Duckles S P
Department of Pharmacology, College of Medicine, University of California, Irvine, California 92697-4625, USA.
Am J Physiol. 1998 Jul;275(1):H292-300. doi: 10.1152/ajpheart.1998.275.1.H292.
Gender differences in the incidence of stroke and migraine appear to be related to circulating levels of estrogen; however, the underlying mechanisms are not yet understood. Using resistance-sized arteries pressurized in vitro, we have found that myogenic tone of rat cerebral arteries differs between males and females. This difference appears to result from estrogen enhancement of endothelial nitric oxide (NO) production. Luminal diameter was measured in middle cerebral artery segments from males and from females that were either untreated, ovariectomized (Ovx), or ovariectomized with estrogen replacement (Ovx + Est). The maximal passive diameters (0 Ca2+ + 1 mM EDTA) of arteries from all four groups were identical. In response to a series of 10-mmHg step increases in transmural pressure (20-80 mmHg), myogenic tone was greater and vascular distensibility less in arteries from males and Ovx females compared with arteries from either untreated or Ovx + Est females. In the presence of NG-nitro-L-arginine methyl ester (L-NAME; 1 microM), an NO synthase inhibitor, myogenic tone was increased in all arteries, but the differences among arteries from the various groups were abolished. Addition of L-arginine (1 mM) in the presence of L-NAME restored the differences in myogenic tone, suggesting that estrogen works through an NO-dependent mechanism in cerebral arteries. To determine the target of NO-dependent modulation of myogenic tone, we used tetraethylammonium (TEA; 1 mM) to inhibit large-conductance, calcium-activated K+ (BKCa) channels. In the presence of TEA, the myogenic tone of arteries from all groups increased significantly; however, myogenic tone in arteries from males and Ovx females remained significantly greater than in arteries from either untreated or Ovx + Est females. This suggests that activity of BKCa channels influences myogenic tone but does not directly mediate the effects of estrogen. Estrogen appears to alter myogenic tone by increasing cerebrovascular NO production and/or action.
中风和偏头痛发病率的性别差异似乎与雌激素的循环水平有关;然而,其潜在机制尚不清楚。利用体外加压的阻力大小动脉,我们发现大鼠脑动脉的肌源性张力在雄性和雌性之间存在差异。这种差异似乎是由于雌激素增强了内皮一氧化氮(NO)的生成。测量了来自雄性和雌性的大脑中动脉段的管腔直径,这些雌性大鼠要么未接受治疗,要么进行了卵巢切除术(Ovx),要么进行了卵巢切除并雌激素替代治疗(Ovx + Est)。所有四组动脉的最大被动直径(0 Ca2+ + 1 mM EDTA)相同。响应一系列10 mmHg的跨壁压力阶跃增加(20 - 80 mmHg),与未治疗或Ovx + Est雌性大鼠的动脉相比,雄性和Ovx雌性大鼠的动脉肌源性张力更大,血管扩张性更小。在存在NO合酶抑制剂NG-硝基-L-精氨酸甲酯(L-NAME;1 microM)的情况下,所有动脉的肌源性张力均增加,但不同组动脉之间的差异消失。在L-NAME存在的情况下添加L-精氨酸(1 mM)恢复了肌源性张力的差异,表明雌激素通过大脑动脉中依赖NO的机制起作用。为了确定NO依赖性调节肌源性张力的靶点,我们使用四乙铵(TEA;1 mM)抑制大电导、钙激活钾(BKCa)通道。在存在TEA的情况下,所有组动脉的肌源性张力均显著增加;然而,雄性和Ovx雌性大鼠动脉的肌源性张力仍显著高于未治疗或Ovx + Est雌性大鼠的动脉。这表明BKCa通道的活性影响肌源性张力,但不直接介导雌激素的作用。雌激素似乎通过增加脑血管NO的生成和/或作用来改变肌源性张力。