We hypothesized that progesterone regulates thromboxane A(2) receptor (TxA(
2)R) density in primate vascular muscle and that TxA(2)R density correlates
with coronary reactivity in vivo and in vitro. Reactivity to serotonin + U
-46619 was determined by angiography in surgically post-menopausal [ovariec
tomized (Ovx)] rhesus monkeys without progesterone replacement and after 2-
wk progesterone treatment (1-2 ng/ml). In untreated Ovx animals, 100 mu mol
/l serotonin + 1 mu mol/l U-46619 (syringe concentrations) provoked vasospa
sm-like constrictions in six of six monkeys; zero of six progesterone-treat
ed monkeys developed vasospasms. Sustained Ca2+ responses in vascular muscl
e cells isolated from Ovx coronaries (208 +/- 63% of basal 20 min after sti
mulation) treated with serotonin + U-46619 contrasted with transient Ca2+ r
esponses (143 +/- 18% of basal and decreasing 5 min after stimulation) in p
rogesterone-treated monkeys. The maximum density of [1S-(1I,2J-(5Z),3I(1E,3
R*),4I)]-7-[3-(3-hydroxy-4-(4'- [I-125]iodophenoxy)-1-butenyl)-7-oxabicyclo
[2.2.1]heptan-2-yl]-5-heptenoic. acid ([I-125] -BOP) binding was greater (P
< 0.01) in carotid arteries and aortic membranes from Ovx (109 +/- 11 fmol
/mg) compared with progesterone-treated (43 +/- 15 fmol/mg) monkeys. TxA(2)
R immunolabeling revealed greater coronary TxA(2)R labeling in Ovx compared
with progesterone-treated monkeys. The results suggest that progesterone c
an decrease arterial TxA(2)R in Ovx monkeys.