AI Article Synopsis

  • Conjugated equine estrogens (CEE), specifically equilin, are studied for their vascular effects in a model of hypertension, as women commonly use CEE for menopausal symptom relief.
  • The study shows that equilin can induce vasodilation in arteries similar to 17β-estradiol, but does not rely on classical estrogen receptor activation or typical signaling pathways associated with vasodilation.
  • Equilin was found to slightly alter calcium contractions, indicating its effects on vascular function differ from traditional estrogenic actions, providing insights into women’s cardiovascular health during menopause.

Article Abstract

Conjugated equine estrogens (CEE) have been widely used by women who seek to relieve symptoms of menopause. Despite evidence describing protective effects against risk factors for cardiovascular diseases by naturally occurring estrogens, little is known about the vascular effects of equilin, one of the main components of CEE and not physiologically present in women. In this regard, the present study aims to compare the vascular effects of equilin in an experimental model of hypertension with those induced by 17β-estradiol. Resistance mesenteric arteries from female spontaneously hypertensive rats (SHR) were used for recording isometric tension in a small vessel myograph. As effectively as 17β-estradiol, equilin evoked a concentration-dependent relaxation in mesenteric arteries from female SHRs contracted with KCl, U46619, PDBu or ET-1. Equilin-induced vasodilation does not involve classical estrogen receptor activation, since the estrogen receptor antagonist (ICI 182,780) failed to inhibit relaxation in U46619-precontracted mesenteric arteries. Vasorelaxation was not affected by either endothelium removal or by inhibiting the release or action of endothelium-derived factors. Incubation with L-NAME (NOS inhibitor), ODQ (guanylyl cyclase inhibitor) or KT5823 (inhibitor of protein kinase G) did not affect equilin-induced relaxation. Similarly, indomethacin (COX inhibitor) or blockage of potassium channels with tetraethylammonium, glibenclamide, 4-aminopyridine, or ouabain did not affect equilin-induced relaxation. Inhibitors of adenylyl cyclase SQ22536 or protein kinase A (KT5720) also had no effects on equilin-induced relaxation. While 17β-estradiol inhibited calcium (Ca) -induced contractions in high-K depolarization medium in a concentration-dependent manner, equilin induced a slight rightward-shift in the contractile responses to Ca. Comparable pattern of responses were observed in the concentration-response curves to (S)-(-)-Bay K 8644, a L-type Ca channel activator. Equilin was unable to block the transitory contraction produced by caffeine-induced Ca release from intracellular stores. In conclusion, equilin blocks L-type Ca channels less effectively than 17β-estradiol. Despite its lower effectiveness, equilin equally relaxes resistance mesenteric arteries by blocking Ca entry on smooth muscle.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6984400PMC
http://dx.doi.org/10.1016/j.steroids.2018.11.006DOI Listing

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