R. Elhage et al., PREVENTION OF FATTY STREAK FORMATION OF 17-BETA-ESTRADIOL IS NOT MEDIATED BY THE PRODUCTION OF NITRIC-OXIDE IN APOLIPOPROTEIN E-DEFICIENT MICE, Circulation, 96(9), 1997, pp. 3048-3052
Background Estrogens have atheroprotective properties, the mechanisms
of which remain obscure. Estrogens have recently been reported to incr
ease endothelial NO synthase expression in castrated animals and to pr
event the degradation of NO by decreasing superoxide anion production
in cultured endothelial cells. In both cases, increased NO bioavailabi
lity would promote vasodilation, inhibit proliferation of the adjacent
vascular smooth muscle, reduce platelet aggregation, and inhibit mono
cyte adhesion to the endothelium and the inflammatory reaction induced
by cytokines. all key contributors in the development of atherosclero
sis. Methods and Results In the present work, the respective roles of
17 beta-estradiol and NO in the development of the atherosclerotic pro
cess were investigated in castrated apolipoprotein E-deficient (apo E
KO) mice, which spontaneously develop fatty streak lesions within 3 mo
nths. N-omega-Nitro-L-arginine methyl ester (L-NAME), an NO synthase i
nhibitor, 50 mg . kg(-1) . d(-1), increased arterial blood pressure an
d decreased cerebellum cGMP content, demonstrating the blockade of NO
production, but did not influence the atherogenic process in castrated
apo E KO mice. Conclusions 17 beta-Estradiol decreased the size of th
e aortic lesions approximately threefold, and the magnitude of this va
sculoprotective effect was not altered by L-NAME. Moreover, L-NAME inc
reased circulating malonyldialdehyde (MDA)-modified LDL, which was not
altered by 17 beta-estradiol, leading to a complete dissociation betw
een circulating MDA-modified LDL and parietal lesions.