(Circulation. 1997;96:3048-3052.)
© 1997 American Heart Association, Inc.
Articles |
From INSERM U397 and Laboratoire de Physiologie, Institut L. Bugnard, Toulouse, France (R.E., F.B., J.-F.A.); Laboratoire de Pharmacologie, Faculté de Médecine, Rouen, France (V.R.); INSERM U325 et SERLIA, Institut Pasteur, Lille, France (C.F.); RPR-Gencell, Atherosclerosis Departement, Vitry sur Seine, France (N.D.); and Center for Molecular and Vascular Biology, Leuven, Belgium (P.H.).
Correspondence to J.F. Arnal, INSERM U397, Institut L. Bugnard, C.H.U. Rangueil, 1 ave Jean Poulhès, 31054 Toulouse Cedex, France. E-mail arnal{at}rangueil.inserm.fr
Background Estrogens have atheroprotective properties, the mechanisms of which remain obscure. Estrogens have recently been reported to increase endothelial NO synthase expression in castrated animals and to prevent the degradation of NO by decreasing superoxide anion production in cultured endothelial cells. In both cases, increased NO bioavailability would promote vasodilation, inhibit proliferation of the adjacent vascular smooth muscle, reduce platelet aggregation, and inhibit monocyte adhesion to the endothelium and the inflammatory reaction induced by cytokines, all key contributors in the development of atherosclerosis.
Methods and Results In the present work, the respective
roles of 17ß-estradiol and NO in the development of the
atherosclerotic process were investigated in castrated apolipoprotein
Edeficient (apo E KO) mice, which spontaneously develop fatty streak
lesions within 3 months.
N
-Nitro-L-arginine methyl ester
(L-NAME), an NO synthase inhibitor, 50 mg ·
kg-1 · d-1,
increased arterial blood pressure and decreased cerebellum
cGMP content, demonstrating the blockade of NO production, but
did not influence the atherogenic process in castrated apo E KO
mice.
Conclusions 17ß-Estradiol decreased the size of the aortic lesions approximately threefold, and the magnitude of this vasculoprotective effect was not altered by L-NAME. Moreover, L-NAME increased circulating malonyldialdehyde (MDA)-modified LDL, which was not altered by 17ß-estradiol, leading to a complete dissociation between circulating MDA-modified LDL and parietal lesions.
Key Words: atherosclerosis apolipoproteins lipoproteins endothelium
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