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Submitted on December 1, 2003
Accepted on April 12, 2004
Graduate Center for Toxicology, Division of Pharmaceutical Sciences, Graduate Center for Nutritional Sciences, Department of Medicine, Department of Physiology
* To whom correspondence should be addressed. E-mail: lcassis{at}uky.edu.
Objective: In humans, the incidence and severity of abdominal aortic aneurysms (AAA) are greater in males than females. Chronic infusion of angiotensin II (AngII) into apolipoprotein E deficient (apoE-) mice promotes atherosclerosis and causes the formation of AAAs. Just as human males are more susceptible to developing AAAs, male mice are more susceptible to AngII-induced AAAs. We hypothesized that sex steroid hormones mediate gender differences in AngII-induced AAA through regulation of the renin angiotensin system.
Methods and Results: To define the role of ovarian hormones, female apoE- mice were subject to ovariectomy (ovx) or sham operation and infused with AngII (1,000 ng/kg/min) for 28 days. Ovx had no effect on AngII-induced atherosclerosis, nor did it influence the incidence or severity of AAA. To define the role of testicular hormones, male apoE- mice were subject to orchiectomy (orx) or sham operation and infused with AngII (1,000 ng/kg/min) for 28 days. Orx resulted in a profound reduction in AAA incidence (85% vs. 18%, sham vs. orx; P = 0.003) to a level observed in females (25%). However, orx had no effect on AngII-induced reductions in plasma renin concentration or spleen AngII receptor density. In contrast, orx resulted in an increase in atherosclerosis (0.46 ± 0.07 vs. 1.20 ± 0.21 mm2, sham vs. orx; P = 0.002).
Conclusion: These results suggest that estrogen does not mediate gender differences in AngII-induced AAA. In contrast, androgens mediate a higher incidence of AngII-induced AAA, through mechanisms that do not appear to involve circulating renin or angiotensin receptor density.
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