(Circulation. 1995;91:1154-1160.)
© 1995 American Heart Association, Inc.
Articles |
From the Department of Cardiac Medicine, National Heart and Lung Institute, London, and the Cardiovascular Research Institute (K.C.), University of California, San Francisco.
Correspondence to Dr Peter Collins, Department of Cardiac Medicine, National Heart and Lung Institute, London SW3 6LY, UK.
Background Until menopause, women appear to be protected from coronary heart disease. Evidence suggests that estrogen may play a role in the protection of the cardiovascular system by exerting a beneficial effect on risk factors such as cholesterol metabolism and by a direct effect on the coronary arteries. To date there has been no evidence linking testosterone with the occurrence of coronary heart disease. Testosterone may affect the cardiovascular system directly, thus partially explaining the difference in the incidence of coronary artery disease in men and premenopausal women. The purpose of this study was to assess the direct effect of testosterone and a number of testosterone analogues on rabbit coronary arteries and aorta in vitro.
Methods and Results Rings of coronary artery and aorta of
adult male or nonpregnant female New Zealand White rabbits were
suspended in organ baths containing Krebs solution; isometric tension
then was measured. The response to testosterone was investigated in
prostaglandin F2
(PGF2
)- and
KCl-contracted rings. The effects of endothelium and nitric oxide
synthase, prostaglandin synthetase, and guanylate cyclase inhibition on
testosterone-induced relaxation were investigated. The effects of
ATP-sensitive potassium channels and potassium conductance were also
assessed. Relaxing responses in the presence of aromatase inhibition
and testosterone receptor blockade were performed. The relaxing
responses to the testosterone analogues etiocholan-3ß-ol-17-one,
epiandrosterone, 17ß-hydroxy-5
-androst-1-en-3-one,
androst-16-en-3-ol, and testosterone enanthanate were measured.
Testosterone relaxed rabbit coronary arteries and aorta. There was no
significant difference between the relaxation effect of testosterone
with or without endothelium. Similar results were obtained from male
and nonpregnant female rabbits. The relaxing response of testosterone
in the coronary artery was significantly greater than in the aorta. The
relaxing response of testosterone in the coronary artery was
significantly reduced by the potassium channel inhibitor barium
chloride but not by the ATP-sensitive potassium channel inhibitor
glibenclamide. The relaxing response to testosterone was greater in
PGF2
-contracted rings compared with KCl-contracted
rings. Inhibitors of nitric oxide synthase, prostaglandin synthetase,
and guanylate cyclase did not affect relaxation induced by
testosterone. Inhibition of aromatase and testosterone receptors did
not affect relaxation. Testosterone did not shift the rabbit coronary
arterial calcium concentrationdependent contraction curves, whereas
verapamil did. There were, however, significant differences in the
relaxing response to testosterone compared with testosterone analogues.
Testosterone was the most potent relaxing agent, suggesting that there
may be a structure-function relation in the relaxing response.
Conclusions Testosterone induces endothelium-independent relaxation in isolated rabbit coronary artery and aorta, which is neither mediated by prostaglandin I2 or cyclic GMP. Potassium conductance and potassium channels but not ATP-sensitive potassium channels may be involved partially in the mechanism of testosterone-induced relaxation. The in vitro relaxation is independent of sex and of a classic receptor. The coronary artery is significantly more sensitive to relaxation by testosterone than the aorta. Testosterone is a more potent relaxing agent of rabbit coronary artery than other testosterone analogues.
Key Words: hormones arteries endothelium aorta
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