Selective Estrogen Receptor-alpha and Estrogen Receptor-beta Agonists Rapidly Decrease Pulmonary Artery Vasoconstriction by a Nitric Oxide-dependent Mechanism
Overview
Authors
Affiliations
Both endogenous and exogenous estrogen decrease pulmonary artery (PA) vasoconstriction. Whether these effects are mediated via estrogen receptor (ER)-alpha or ER-beta, and whether the contribution of ERs is stimulus-dependent, remains unknown. We hypothesized that administration of the selective ER-alpha agonist propylpyrazole triol (PPT) and/or the selective ER-beta agonist diarylpropiolnitrile (DPN) rapidly decreases PA vasoconstriction induced by pharmacologic and hypoxic stimuli via a nitric oxide (NO)-dependent mechanism. PA rings (n = 3-10/group) from adult male Sprague-Dawley rats were suspended in physiologic organ baths. Force displacement was measured. Vasoconstrictor responses to phenylephrine (10(-8)M - 10(-5)M) and hypoxia (Po(2) 35-45 mmHg) were determined. Endothelium-dependent and -independent vasorelaxation were measured by generating dose-response curves to acetylcholine (10(-8)M - 10(-4)M) and sodium nitroprusside (10(-9)M - 10(-5)M). PPT or DPN (10(-9)M - 5 x 10(-5)M) were added to the organ bath in the presence and absence of the NO-synthase inhibitor N(omega)-nitro-l-arginine methyl ester (l-NAME) (10(-4)M). Selective ER-alpha activation (PPT, 5 x 10(-5)M) rapidly (<20 min) decreased phenylephrine-induced vasoconstriction. This effect, as well as PPT's effects on endothelium-dependent vasorelaxation, were neutralized by l-NAME. In contrast, selective ER-beta activation (DPN, 5 x 10(-5)M) rapidly decreased phase II of hypoxic pulmonary vasoconstriction (HPV). l-NAME eliminated this phenomenon. Lower PPT or DPN concentrations were less effective. We conclude that both ER-alpha and ER-beta decrease PA vasoconstriction. The immediate onset of effect suggests a nongenomic mechanism. The contribution of specific ERs appears to be stimulus specific, with ER-alpha primarily modulating phenylephrine-induced vasoconstriction, and ER-beta inhibiting HPV. NO inhibition eliminates these effects, suggesting a central role for NO in mediating the pulmonary vascular effects of both ER-alpha and ER-beta.
Hydroxy-Safflower Yellow A Mitigates Vascular Remodeling in Rat Pulmonary Arterial Hypertension.
Ji X, Lei C, Kong S, Li H, Pan S, Chen Y Drug Des Devel Ther. 2024; 18:475-491.
PMID: 38405578 PMC: 10893878. DOI: 10.2147/DDDT.S439686.
Role of estrogen receptors in health and disease.
Chen P, Li B, Ou-Yang L Front Endocrinol (Lausanne). 2022; 13:839005.
PMID: 36060947 PMC: 9433670. DOI: 10.3389/fendo.2022.839005.
Sex Differences in Pulmonary Hypertension.
Rodriguez-Arias J, Garcia-Alvarez A Front Aging. 2022; 2:727558.
PMID: 35822006 PMC: 9261364. DOI: 10.3389/fragi.2021.727558.
Estrogens and the regulation of glucose metabolism.
Alemany M World J Diabetes. 2021; 12(10):1622-1654.
PMID: 34754368 PMC: 8554369. DOI: 10.4239/wjd.v12.i10.1622.
Sex and gender in pulmonary arterial hypertension.
Cheron C, McBride S, Antigny F, Girerd B, Chouchana M, Chaumais M Eur Respir Rev. 2021; 30(162).
PMID: 34750113 PMC: 9488668. DOI: 10.1183/16000617.0330-2020.