AI Article Synopsis

  • The study investigates the role of estrogen in regulating Lipoprotein(a) (Lp(a)), which is linked to cardiovascular disease, particularly focusing on how it affects vascular remodeling in high Lp(a) concentration.
  • Research was conducted using Lp(a) transgenic mice, showing that estrogen deficiency from ovariectomy increased Lp(a) levels and vascular issues, while estrogen replacement helped reverse these effects.
  • The findings suggest that estrogen may not only lower plasma Lp(a) levels but also mitigate vascular remodeling induced by Lp(a), highlighting its potential as a therapeutic option.

Article Abstract

Objective: Although it is well known that Lipoprotein(a) (Lp(a)) is an atherogenic lipoprotein and an independent risk factor for cardiovascular disease, there is no confirmed therapy to decrease Lp(a) or prevent atherosclerosis induced by Lp(a). Thus, it is mandatory to develop novel therapy to prevent atherosclerosis in high Lp(a) concentration. Here, we focused on the effect of estrogen on Lp(a) level and Lp(a)-induced vascular remodeling.

Methods: We employed Lp(a) transgenic mice (human apo(a) yeast artificial chromosome (YAC) and human apoB double transgenic mice). Vascular remodeling was induced by ligation of the common carotid artery and the effect of estrogen was evaluated in female mice after ovariectomy with or without estrogen replacement.

Results: Estrogen deficiency caused by ovariectomy increased serum Lp(a), and continuous replacement of 17beta-estradiol (20 microg/kg/day) reversed the change. In the vascular remodeling model induced by carotid artery occlusion, neointima formation was significantly increased in ovariectomized female Lp(a) transgenic mice, but few in male Lp(a) transgenic mice, as compared to wild FVB mice. Importantly, continuous replacement of estrogen in ovariectomized mice significantly attenuated it. In cultured endothelial cells and macrophages, addition of Lp(a) increased mRNA of ICAM-1, VCAM-1, E-selectin and MCP-1 in endothelial cells and TNF-alpha, IL-1beta and MCP-1 in macrophages in a dose-dependent manner. Importantly, pre-treatment with estrogen attenuated these changes in a dose-dependent manner.

Conclusion: Estrogen negatively regulates both plasma Lp(a) level and Lp(a)-induced vascular remodeling, suggesting that estrogen might be a strong candidate to reduce serum Lp(a) concentration.

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http://dx.doi.org/10.1016/j.atherosclerosis.2010.01.016DOI Listing

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