Journal of Applied Physiology
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J Appl Physiol 91: 2391-2399, 2001;
8750-7587/01 $5.00
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Vol. 91, Issue 5, 2391-2399, November 2001

HIGHLIGHTED TOPICS
Genome and Hormones: Gender Differences in Physiology
Selected Contribution: Cerebrovascular NOS and cyclooxygenase are unaffected by estrogen in mice lacking estrogen receptor-alpha

Greg G. Geary1, Anne Marie McNeill1, Jose A. Ospina1, Diana N. Krause1, Kenneth S. Korach2, and Sue P. Duckles1

1 Department of Pharmacology, College of Medicine, University of California, Irvine, California 92697-4625; and 2 National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina 27709


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Estrogen alters reactivity of cerebral arteries by modifying production of endothelium-dependent vasodilators. Estrogen receptors (ER) are thought to be involved, but the responsible ER subtype is unknown. ER-alpha knockout (alpha ERKO) mice were used to test whether estrogen acts via ER-alpha . Mice were ovariectomized, with or without estrogen replacement, and cerebral blood vessels were isolated 1 mo later. Estrogen increased levels of endothelial nitric oxide synthase and cyclooxygenase-1 in vessels from wild-type mice but was ineffective in alpha ERKO mice. Endothelium-denuded middle cerebral artery segments from all animals constricted when pressurized. In denuded arteries from alpha ERKO but not wild-type mice, estrogen treatment enhanced constriction. In endothelium-intact, pressurized arteries from wild-type estrogen-treated mice, diameters were larger compared with arteries from untreated wild-type mice. In addition, contractile responses to indomethacin were greater in arteries from wild-type estrogen-treated mice compared with arteries from untreated wild-type mice. In contrast, estrogen treatment of alpha ERKO mice had no effect on diameter or indomethacin responses of endothelium-intact arteries. Thus ER-alpha regulation of endothelial nitric oxide synthase and cyclooxygenase-1 pathways appears to contribute to effects of estrogen on cerebral artery reactivity.

cerebral circulation; estrogen receptor-alpha knockout mice; nitric oxide synthase; gonadal steroids; ovariectomy


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

IT IS CLEARLY ESTABLISHED that in vivo exposure to estrogen affects blood vessel reactivity (5, 6, 9, 27, 29). In the cerebral circulation of rats and mice, a major target for estrogen action appears to be the vascular endothelium, with increased activity of endothelial-derived vasodilator factors in animals treated with estrogen. Foremost among the endothelial substances affected by estrogen treatment is nitric oxide (NO). Long-term estrogen treatment enhances NO-dependent dilation and increases levels of endothelial NO synthase (eNOS) in cerebral arteries (5, 6, 21, 27). Recently, we showed that in vivo treatment with estrogen also increases the function of a cyclooxygenase-1 (COX-1)-dependent vasodilatory substance in isolated mouse cerebral arteries (6). This COX-dependent factor, which is endothelium derived, appears to provide compensatory vasodilation following inhibition of NO synthesis, and this effect is enhanced with estrogen treatment. Thus estrogen modulates the production of endothelium-derived prostaglandins as well as NO.

Effects of long-term estrogen treatment are mediated through receptor signaling pathways that result in modulation of gene expression (2, 13, 15, 24). This process is thought to involve entry of estrogen into the cell, translocation to the nucleus, binding to a nuclear estrogen receptor (ER), dimerization, binding of the dimer to target genes, and transcriptional regulation (2, 24). Estrogen binding to an ER appears to be an essential step for many of the vascular effects of this hormone (4). For example, the ER antagonist ICI-182780 blocks estrogen-dependent vasoprotection, resulting in increased neointimal formation of balloon-injured rat carotid arteries (1). In cultured fetal pulmonary artery endothelial cells, ER antagonism with ICI-182780 completely inhibits the effect of estrogen on eNOS activity and transcription (18). ICI-182780 treatment also blocks estrogen-sensitive effects on eNOS activity and protein expression in cultured human umbilical vein endothelial cells (7).

Two ER subtypes are present in vascular smooth muscle and endothelial cells: the classic ER-alpha and the more recently discovered ER-beta (8, 10, 12, 14, 17, 25). Available ER antagonists such as ICI-182780, however, do not discriminate between the two ER subtypes. Generation of mice that are homozygous for either ER-alpha or ER-beta gene mutation (2) provides another approach for defining the function of ER subtypes in vascular regulation. Interestingly, recent findings from studies using ER knockout mice (alpha  or beta ) indicate that ER-alpha and ER-beta may play redundant roles in mediating vascular protective effects of estrogen (1, 10, 14). In wild-type mice after carotid arterial injury, vascular medial area increases, and there is proliferation of smooth muscle cells. These effects are inhibited by estrogen. This effect of estrogen on the response to carotid arterial injury persists in either ER-alpha or ER-beta knockout mice. Thus expression of either ER subtype appears adequate to mediate these effects of estrogen on vascular injury.

At this point, it is not known which ER subtype mediates the effects of estrogen on cerebrovascular reactivity. As noted above, estrogen modulates reactivity of pressurized resistance-sized mouse cerebral arteries through NOS- and COX-dependent mechanisms. Therefore, in the present study, we used mice deficient in ER-alpha (alpha ERKO, ER-alpha knockout) to examine the hypothesis that estrogen modulates cerebral artery diameter through ER-alpha -dependent mechanisms. Female mice (alpha ERKO and wild-type littermates) were either ovariectomized (OVX) or ovariectomized with estrogen replacement (OVX+E). One month after surgery, cerebral blood vessels from wild-type and alpha ERKO mice were isolated, and levels of eNOS and COX-1 were measured. Contractile tone of isolated, pressurized middle cerebral arteries with and without intact endothelium was also assessed. Comparison of OVX animals with and without estrogen treatment enabled us to test whether actions of estrogen depend on the presence of functional ER-alpha .


    METHODS
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ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Animals. Animal procedures were approved by the Animal Care and Use Committee of the University of California, Irvine. Female wild-type littermate control and alpha ERKO mice were supplied by the National Institutes of Environmental Health Sciences (Research Triangle Park, NC) (16). Mice were housed under a 12:12-h light-dark cycle with food and water available ad libitum. Four groups of OVX mice were used in the present study: wild-type OVX (n = 9), wild-type OVX+E (n = 9), alpha ERKO OVX (n = 9), and alpha ERKO OVX+E (n = 9). Ovariectomy and ovariectomy with estrogen replacement were performed under anesthesia (90 mg/kg ketamine and 10 mg/kg xylazine). Estrogen was replaced at the time of ovariectomy by subcutaneous insertion of a 1-mm silicone elastomer capsule made from Dow Corning Silastic medical grade tubing (1.57 mm ID × 3.18 mm OD), sealed with silicone elastomer adhesive type A (Dow Corning) and packed with 17beta -estradiol. Both OVX and OVX+E animals were euthanized 1 mo after surgery.

Tissue preparation. Mice were euthanized in the middle of the day by exposure to CO2. The uterus was removed from each animal and weighed. Brains were rapidly removed from the cranial cavity and placed in a dissecting dish with cold oxygenated physiological salt solution (PSS) containing (in mM) 118 NaCl, 4.8 KCl, 1.6 CaCl2, 1.2 KH2PO4, 25 NaHCO3, 1.2 MgSO4, and 11.5 glucose. A 1- to 2-mm segment of the middle cerebral artery, taken ~1 mm from the circle of Willis, was carefully dissected for measurement of functional responses and immediately placed in PSS (see Functional responses below). The brain was then frozen at -20°C until used for whole brain blood vessel isolation and Western blot analysis.

Western blot analysis. Levels of eNOS protein in isolated brain blood vessels were measured as previously described (21). Briefly, two mouse brains were pooled and homogenized gently with a Dounce tissue grinder. Blood vessels were isolated by centrifugation through a dextran gradient (15%, molecular weight of 38,400) and collected on a 50-µm nylon mesh screen. The vessel preparation, as confirmed by light microscopy, was a heterogeneous mixture of large arteries and veins, arterioles, venules, and capillaries. The isolated vessels were glass homogenized in a lysis buffer consisting of 50 mM beta -glycerophosphate, 100 µM sodium orthovanadate, 2 mM magnesium chloride, 1 mM EGTA, 0.5% Triton X-100, 1 mM DL-dithiothreitol, 20 µM pepstatin, 20 µM leupeptin, 0.1 U/ml aprotinin, and 1 mM phenylmethylsulfonyl fluoride, followed by incubation on ice for 20 min. Samples were centrifuged at 180 g (25 min at 4°C), and the supernatant was taken for protein determination and analysis by SDS-PAGE/Western blot.

In each experiment, equivalent amounts of blood vessel protein were loaded onto each lane of a 8% Tris-glycine gel and separated by SDS-PAGE. Positive control (cultured endothelial cell lysate) and biotinylated broad-range molecular weight markers were also loaded. After electrophoretic separation, proteins were transferred to a nitrocellulose membrane by electroblotting and incubated overnight in blocking buffer (PBS with 1% Tween 20 and 6.5% nonfat dry milk; 4°C). Membranes were incubated with mouse anti-eNOS antibody (1:500 dilution) and then with anti-mouse IgG antibody conjugated to horseradish peroxidase (1:10,000 dilution; both antibodies from Transduction Laboratories). Electrochemiluminescence reagent and Hyperfilm (both from Amersham) were then used to image the proteins. Blots for eNOS revealed a single positive band at 140 kDa, corresponding to the positive control.

Western blot techniques were also used to measure levels of COX-1. In this case, similar procedures were followed, except that the primary antibody was goat polyclonal anti-COX-1 (1:350 dilution; Santa Cruz Biotechnologies), the secondary antibody was anti-goat IgG conjugated to horseradish peroxidase (1:15,000 dilution), and the positive control was a lysate of RAW 264.7 macrophages. Blots for COX-1 revealed a single positive band at 70 kDa, which corresponded to the positive control. Densitometric analyses of Hyperfilm images were performed with a computer-based analysis system (MCID). Statistical significance was determined by ANOVA.

Functional responses. Middle cerebral artery segments were mounted in an arteriograph (Living Systems, Burlington, VT). Micropipettes were inserted into each end of the artery and secured in place with nylon ties. The proximal cannula was connected through a pressure transducer and windkessel to a reservoir of PSS equilibrated with 95% O2-5% CO2. The distal cannula was connected to a luer lock that was open during the initial equilibration to gently flush the luminal contents. After the equilibration period, the luer lock remained closed so that all experiments were conducted under no-flow conditions. A constant-flow peristaltic pump continuously superfused (30 ml/min) the artery with PSS. During a 60-min equilibration period, a pressure servo system maintained transmural pressure at 40 mmHg. The artery was viewed with an inverted microscope equipped with a video camera and monitor. A videoelectronic dimension analyzer was used to measure luminal diameter and wall thickness, defined as the distance from the inside arterial edge to the outside edge. Changes in transmural pressure and lumen diameter were digitized by a MacLab analog-to-digital converter and recorded on a Macintosh computer. All drugs, individually or in combination, were added to the superfusate in their final concentration.

In all protocols, artery diameters at various transmural pressures (no flow) were measured. After the 60-min equilibration period, one of the following two protocols was performed. In each protocol, four separate series of pressure steps (each from 40 to 80 mmHg in 10-mmHg steps) were performed. In protocol 1, the first series of pressure steps was in PSS, the second in the presence of NG-nitro-L-arginine-methyl ester (L-NAME; 100 µM), the third in the presence of indomethacin (10 µM) plus L-NAME, and the fourth in zero Ca2+-EDTA (3 mM). In protocol 2, the first series of pressure steps was with endothelium-intact arteries in PSS, the second in the presence of L-NAME plus indomethacin, the third series followed endothelium removal in PSS with L-NAME and indomethacin, and the fourth was with endothelium-denuded arteries in zero Ca2+-EDTA (3 mM).

Endothelium removal was accomplished by perfusing 1 ml of air through the artery lumen. All drugs were perfused for 20 min before the first pressure step, and each pressure step was maintained for 5-10 min to allow the vessel to reach a stable condition before the diameter was measured. Control arteries showed consistent responses to four sequential series of pressure steps.

All drugs were purchased from Sigma Chemical (St. Louis, MO). Data are expressed as means ± SE. Statistical significance was determined using ANOVA with Scheffé's test. Acceptable level of significance was defined as P < 0.05.


    RESULTS
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Body and uterine weights. Body weights and uterine weights for the various groups of animals studied are shown in Table 1. One month of estrogen treatment significantly increased the uterine weights of wild-type OVX mice, but there was no effect of estrogen on uteri of alpha ERKO OVX mice. Body weights of alpha ERKO OVX+E mice were significantly greater than alpha ERKO OVX, wild-type OVX, and wild-type OVX+E mice.

                              
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Table 1.   Effect of ovariectomy and estrogen treatment on body and uterine weights

Effect of estrogen on levels of eNOS and COX-1. Our laboratory has previously demonstrated that estrogen treatment increases levels of eNOS and COX-1 in rat cerebral arteries (21, 23). Therefore, we determined whether estrogen modulates levels of either eNOS or COX-1 in cerebral vessels from the mouse by using Western blot analysis. Estrogen treatment of wild-type OVX mice resulted in a 3.8-fold increase in levels of eNOS (Fig. 1A) and 2.6-fold increase in levels of COX-1 (Fig. 1B) compared with levels in cerebral vessels from wild-type OVX mice. In contrast, estrogen had no significant effect on either eNOS or COX-1 levels in arteries from alpha ERKO OVX mice (Fig. 1).


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Fig. 1.   Effect of chronic estrogen treatment on levels of endothelial nitric oxide synthase (eNOS; A) and cyclooxygenase-1 (COX-1; B) in cerebral vessels isolated from wild-type ovariectomized (WT OVX), WT OVX with estrogen replacement (WT OVX+E), estrogen receptor-alpha knockout (alpha ERKO) OVX, and alpha ERKO OVX+E mice. Proteins were detected by SDS-PAGE/Western blot analysis with use of anti-eNOS and anti-COX-1 antibodies. Optical density of protein bands was quantified by scanning densitometry. Values are means ± SE. For eNOS, n = 4 experiments, each done in duplicate. For COX-1, n = 2 experiments, both done in duplicate. *P < 0.05, significantly different from all other groups.

Smooth muscle tone. Isolated, pressurized cerebral arteries of the mouse show significant smooth muscle tone, which is modulated by production of endothelial factors (6). Therefore, we first investigated whether ERs might modulate vascular smooth muscle cell tone in arteries denuded of endothelium. To confirm damage to the endothelium, arteries were preconstricted with Ba2+ (10 µM) and tetraethylammonium chloride (1 mM). Under these conditions, in intact arteries, addition of the endothelium-dependent dilator ADP (100 µM) increased the vessel diameter in arteries from all four groups of animals. After endothelial damage occurred, dilation to ADP was virtually eliminated in arteries from all animal groups (n = 6).

Endothelium-denuded arteries from OVX and OVX+E wild-type and alpha ERKO mice were exposed to multiple pressure steps (Fig. 2) in PSS and in the presence of EDTA and zero Ca2+ (passive response). Maximum passive diameters, measured in the absence of Ca2+ at 80 mmHg, were not significantly different among arteries from any of the four groups of animals: wild-type OVX (160 ± 1.4 µm), wild-type OVX+E (155 ± 1.2 µm), alpha ERKO OVX (157 ± 1.7 µm), and alpha ERKO OVX+E (160 ± 1.9 µm) (P > 0.05, ANOVA) (Fig. 2). In PSS with Ca2+, arteries without endothelium from all groups of wild-type and alpha ERKO mice were substantially constricted (Fig. 2). In wild-type OVX and OVX+E mice, diameters were similar following endothelium removal, suggesting that estrogen treatment does not affect vascular smooth muscle tone (Fig. 2, A and B). In contrast to the situation in wild-type mice, there was significantly enhanced smooth muscle tone in arteries from alpha ERKO OVX+E mice compared with alpha ERKO OVX mice (Fig. 2, C and D). For example, at 80 mmHg in endothelium-denuded arteries, diameters were 82 ± 7 and 63 ± 3 µm for alpha ERKO OVX and alpha ERKO OVX+E mice, respectively. This suggests that, when ER-alpha is not functional, an additional effect of estrogen on smooth muscle tone is manifest.


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Fig. 2.   Effect of estrogen treatment on vascular tone in middle cerebral arteries with damaged endothelium. Arterial diameters of endothelium-damaged arteries in physiological salt solution (PSS) are compared with passive diameters in zero Ca2+ plus EDTA (3 mM). Arteries from WT OVX (A), WT OVX+E (B), alpha ERKO OVX (C), and alpha ERKO OVX+E (D) mice are compared. Drug solutions were superfused for 20 min before the step increases in pressure were performed. Values are means ± SE; n = 6 mice.

Vascular tone in endothelium-intact arteries. In arteries from all mouse groups, the presence of endothelium markedly attenuated contractile tone in PSS (Fig. 3) compared with responses of denuded arteries (Fig. 2). There were no significant differences in passive diameters of the intact arteries among the four animal groups. Endothelium-intact arteries from wild-type OVX mice, however, had significantly smaller diameters in PSS at all levels of pressure compared with their passive responses (Fig. 3A). After estrogen treatment (OVX+E), intact arteries from wild-type mice exhibited even larger diameters in PSS; in this case, the diameters were not significantly different from passive diameters at any level of intraluminal pressure (Fig. 3B). Thus, as reported previously by our laboratory (6), in wild-type OVX mice, constrictor tone of pressurized arteries is reduced by prior estrogen treatment when the endothelium is intact. Middle cerebral arteries from ovary-intact female wild-type mice also show no significant constriction to pressure when the endothelium is intact (6); therefore, the effect of OVX to increase constriction is reversed by estrogen treatment.


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Fig. 3.   Effect of estrogen treatment on diameter of pressurized, endothelium-intact isolated middle cerebral arteries from WT and alpha ERKO mice. Arteries from four groups of female mice were compared: WT OVX (A), WT OVX+E (B), alpha ERKO OVX (C), and alpha ERKO OVX+E (D). Mean steady-state luminal diameter is plotted as a function of pressure either in PSS or zero Ca2+ + 3 mM EDTA (EDTA; passive response). The EDTA solution was superfused for 20 min before passive responses to step increases in pressure were determined. Values are means ± SE; n = 6 mice. *P < 0.05, different from EDTA.

In contrast to our findings in wild-type mice, estrogen treatment had no effect on vascular tone in pressurized, endothelium-intact cerebral arteries from alpha ERKO mice. Arteries isolated from alpha ERKO OVX and alpha ERKO OVX+E mice had similar diameters in PSS, and these diameters were not significantly different from their respective passive diameters (Fig. 3). Preliminary studies with pressurized cerebral arteries from ovary-intact alpha ERKO mice indicate that they have more tone than either of the alpha ERKO OVX groups. For example, passive diameters and diameters in PSS of arteries (60 mmHg) from ovary-intact alpha ERKO mice were 150 ± 1.9 and 145 ± 1.8 µm, respectively (P < 0.05; n = 5). In comparison, passive diameters and diameters in PSS of arteries (60 mmHg) from alpha ERKO OVX mice were 153 ± 1.4 and 152 ± 1.8 µm, respectively. Thus, in contrast to wild-type mice, ovariectomy in alpha ERKO mice appears to attenuate cerebral artery constriction; however, the effect of ovariectomy is not reversed by estrogen replacement.

Response to inhibition of COX. Our previous studies of mouse cerebral arteries suggest that COX is a major target of estrogen action (6). This effect is apparent following inhibition of NOS with L-NAME. Indeed, in arteries from wild-type mice, treatment with estrogen had a major effect on diameter responses to indomethacin in the presence of L-NAME (Fig. 4). In arteries from wild-type OVX mice, addition of indomethacin to L-NAME-treated arteries did not significantly affect diameter at any pressure compared with L-NAME alone (Fig. 4A). However, in arteries from wild-type OVX+E animals, indomethacin treatment significantly decreased diameter compared with diameters in L-NAME alone (Fig. 4B; P < 0.05, ANOVA).


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Fig. 4.   Effect of estrogen treatment on constriction to indomethacin in the presence of NOS inhibition. Diameters were measured in endothelium-intact arteries from WT OVX (A), WT OVX+E (B), alpha ERKO OVX (C), and alpha ERKO OVX+E (D) mice with increasing transmural pressure. Treatments were NG-nitro-L-arginine methyl ester (L-NAME; 100 µM) or indomethacin (Indo; 10 µM) in the presence of L-NAME (L-NAME+Indo). Drug solutions were superfused for 20 min before the step increases in pressure (40-80 mmHg) were performed. Values are means ± SE; n = 6 mice. *P < 0.05, significantly different from L-NAME.

Arteries from alpha ERKO OVX and OVX+E mice were then compared to determine whether the effect of estrogen treatment on COX pathways is dependent on ER-alpha . Addition of indomethacin to alpha ERKO OVX and OVX+E arteries pretreated with L-NAME caused diameters to significantly decrease at all pressures compared with L-NAME alone. Thus, in arteries from alpha ERKO mice, there was no effect of estrogen treatment on the degree of constriction caused by addition of indomethacin in the presence of L-NAME.

Effect of estrogen on artery wall thickness. We also explored the possibility that estrogen treatment affects blood vessel wall structure. At 80 mmHg in zero Ca2+ plus EDTA, artery wall thickness was not significantly different between wild-type OVX and OVX+E or between alpha ERKO OVX and alpha ERKO OVX+E mice (Fig. 5). Thus treatment with estrogen did not affect artery wall thickness in either animal group, that is, in either the wild-type or alpha ERKO mice.


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Fig. 5.   Lack of effect of estrogen treatment on wall thickness in endothelium-denuded middle cerebral arteries from WT OVX, WT OVX+E, alpha ERKO OVX, and alpha ERKO OVX+E mice. Wall thickness was determined at 80 mmHg in the presence of zero Ca2+ and EDTA (3 mM). EDTA was superfused for 20 min before determination of wall thickness. Values are means ± SE; n = 6 mice. Estrogen had no significant effect on wall thickness.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Our laboratory (6) has demonstrated previously that estrogen treatment in vivo increases endothelium-dependent vasodilator mechanisms in mouse cerebral arteries. We now report that treatment with estrogen for 1 mo also elevates levels of enzymes responsible for synthesis of vasodilators, eNOS and COX-1, in cerebral arteries. Furthermore, we confirm that estrogen treatment of wild-type OVX mice upregulates vasodilator activity, dependent on an intact endothelium. In this study, we used alpha ERKO mice to assess whether the ER-alpha subtype mediates these cerebrovascular effects of estrogen. In contrast to results in wild-type mice, estrogen treatment of alpha ERKO mice had no significant effect on levels of eNOS and COX-1 or vascular reactivity in cerebral arteries. These data suggest that the effects of estrogen on cerebral arteries from OVX mice depend on functional ER-alpha .

The current study extends our previous findings (6) by demonstrating that estrogen treatment increases levels of eNOS and COX-1 in cerebral vessels from wild-type OVX mice, as well as increasing endothelial-dependent vasodilation. As previously demonstrated in our laboratory, contractile tone of pressurized cerebral arteries in vitro is clearly modulated by simultaneous release of endothelium-derived factors. When endothelium is absent, the degree of vasoconstriction in pressurized arteries is substantially greater than that found in arteries with intact endothelium. Thus the true smooth muscle tone can only be observed when endothelial factors are eliminated. When the endothelium is intact, vascular tone of pressurized arteries reflects the net effect of smooth muscle-derived contractile tone and the activity of released endothelial factors.

Our laboratory (6) has previously shown that ovariectomy in wild-type mice results in more constricted diameters of isolated, endothelium-intact cerebral arteries, an effect that is reversed by in vivo estrogen treatment. The present study confirms the ability of estrogen treatment to enhance endothelium-dependent vasodilation in cerebral arteries from wild-type OVX mice. We also demonstrate in wild-type mice that changes in diameter after inhibition of COX (in the presence of a NOS inhibitor) are increased by estrogen treatment. Thus, in wild-type mice, estrogen treatment enhances the vasodilator function of the endothelium and increases levels of eNOS and COX-1.

Mechanism of estrogen effect. Estrogen-mediated increases in protein levels and endothelium-dependent vasodilation imply that eNOS and COX-1 protein stability and/or gene transcriptional mechanisms are targeted by estrogen treatment (15). Although our current study is unable to distinguish among these possible mechanisms to explain the eNOS and COX-1 protein data, published reports have suggested that estrogen does affect the expression of both eNOS and COX-1 in cultured endothelial cells. A study of human endothelial cells found that the effect of estrogen on eNOS is not a consequence of changes in eNOS mRNA stability but is due to increased eNOS transcription (15). In the COX-1 pathway, estrogen has been demonstrated to enhance PGI2 production though tamoxifen-sensitive mechanisms in primary cell cultures from human umbilical vein (22). Similar effects of estrogen on PGI2 release, COX-1 protein, and COX-1 mRNA expression were found in cultured fetal pulmonary artery endothelial cells (13). Thus there is convincing evidence that estrogen can affect genomic regulation of both eNOS and COX-1.

Estrogen and reactivity of cerebral arteries in alpha ERKO mice. In marked contrast to our findings in wild-type mice, estrogen treatment had absolutely no effect on levels of eNOS or COX-1 or endothelium-dependent vasodilation in arteries from alpha ERKO OVX mice. Contractile responses to an inhibitor of COX were also identical in arteries from alpha ERKO OVX and alpha ERKO OVX+E mice. This lack of effect of estrogen on reactivity of cerebral arteries in alpha ERKO mice strongly suggests that estrogen modulates endothelial-dependent vasodilatory pathways through ER-alpha -mediated mechanisms.

Several recent studies support the conclusion that the ER-alpha subtype plays an important role in endothelium- and NOS-dependent modulation of vascular reactivity. Deletion of ER-alpha was shown to affect NOS-sensitive modulation of vascular tone in isolated mouse aorta (25). In alpha ERKO mice, endothelium-dependent constriction to inhibition of NOS was significantly decreased compared with wild-type mice. In a study on mouse hearts subjected to global ischemia and reperfusion (31), nitrite production and coronary flow rate were also decreased in hearts from alpha ERKO mice compared with wild-type animals. A direct association of ER-alpha with upregulation of eNOS gene expression was demonstrated in a study of bovine aortic endothelial cells transfected with the ER-alpha gene (28). ER-alpha gene transfection increased eNOS mRNA and protein levels as well as NOS activity, and this effect was sensitive to inhibition by ICI-182780. Interestingly, in this system, addition of estrogen had no further effect on eNOS, suggesting that the ER-alpha transfected into the cultured cells was constitutively active in the absence of ligand.

In contrast to the above studies and our current findings, several studies have concluded that ER-alpha deletion has no effect on cardiovascular function, particularly in models of vascular injury. For example, the effect of experimental ischemic stroke on infarct volume and cerebral blood flow was compared in brains from female control and alpha ERKO mice (26). In that study, infarct volume was not affected by ER-alpha deletion. Furthermore, ER-alpha deletion did not reduce regional blood flow in either ischemic or nonischemic areas. In another study, control and alpha ERKO mice were used to explore the effect of estrogen on carotid artery responses to injury (10). 17beta -Estradiol significantly inhibited all measures of smooth muscle growth after mechanical injury in both control and ER-deficient OVX mice. Clearly, these studies suggest that estrogen can prevent vascular injury by a mechanism independent of the ER-alpha . Thus, at this point, it is not entirely clear which ER may be responsible for each of the diverse vascular effects of estrogen.

One aspect of our findings that merits comment is that vascular reactivity and eNOS and COX-1 levels from alpha ERKO OVX mice resembled those found in wild-type OVX+E mice. Of course, there is no particular reason to believe that cerebral blood vessels in mice lacking ER-alpha throughout development should necessarily resemble vessels from wild-type mice. It should not be surprising that there would be substantial differences in baseline function of vessels from these two groups of animals. Regardless of the mechanism, however, it is remotely possible that upregulation of eNOS and COX-1 in arteries of alpha ERKO mice does not allow us to observe a further effect of estrogen. If there were such a ceiling effect, however, it would seem surprising to find it in two separate systems, both COX-1 and eNOS.

As to the mechanism for this variation in baseline function in arteries of alpha ERKO mice, our unpublished data strongly suggest that ovarian overproduction of testosterone in alpha ERKO mice (2) may affect cerebral arterial responses. In the present study, all mice were ovariectomized. However, recent preliminary data suggest that endothelium-intact cerebral arteries from ovary-intact alpha ERKO mice are more constricted in vitro compared with arteries from alpha ERKO OVX mice (Geary, Krause, and Duckles, unpublished observations). Thus changes in vascular reactivity after ovariectomy of alpha ERKO mice may reflect a loss of testosterone. Indeed, we have previously found that the loss of testosterone in orchiectomized male rats significantly reduces vascular reactivity through enhanced endothelium-dependent vasodilatory mechanisms (5). Other studies have shown that genetic females taking high-dose androgens have impaired flow-mediated dilation, suggesting abnormal endothelial function (20). Future studies may help to determine whether unopposed testosterone affects cerebral artery reactivity in alpha ERKO mice.

Estrogen sensitivity of other responses. Our studies clearly show that, in alpha ERKO OVX mice, estrogen has no effect on levels of eNOS and COX-1 and no effect on the response to pressure of endothelium-intact cerebral arteries. However, we did detect two effects of estrogen in alpha ERKO mice. First, body weights of alpha ERKO OVX+E mice were significantly greater than those shown in the other groups. This is similar to the findings of Couse and Korach (2), which showed that body weights of ovary-intact alpha ERKO mice were significantly greater than wild-type mice.

Second, in the absence of endothelium, smooth muscle tone was greater in cerebral arteries from alpha ERKO OVX+E compared with untreated alpha ERKO OVX mice. This is in contrast to our current findings with wild-type mice as well as with the previous study from our laboratory of wild-type mice, in which all effects of estrogen on cerebral arteries were abolished after endothelial damage (6). Although we do not know how estrogen may have enhanced smooth muscle tone, the density of L-type Ca2+ channels has been shown to be greater in cardiac ventricular myocytes from male alpha ERKO mice compared with myocytes from wild-type controls (11). Because smooth muscle tone of cerebral arteries may depend on influx of Ca2+ through L-type channels (3), estrogen treatment of alpha ERKO OVX mice might have affected the density of vascular smooth muscle Ca2+ channels through an ER-alpha -independent pathway. Alternatively, estrogen treatment may have influenced other basic components of vascular smooth muscle cell function in alpha ERKO mice.

Estrogen and cerebrovascular disease. The physiological implications of the effects of estrogen on the cerebral circulation remain to be determined. It is well known that women experience fewer cerebrovascular incidents than men of similar age (30). Estrogen may provide long-term protection against ischemic stroke through endothelium-dependent mechanisms designed to maintain cerebrovascular reserve capacity (19). Thus the current findings begin to elucidate the ER transduction pathway, which may affect the incidence and severity of cerebrovascular disease. Interestingly, expression of ER-alpha was found to be lower in atherosclerotic coronary arteries compared with normal vessels from premenopausal women (17), suggesting that ER-alpha deficiency plays a role in vascular pathology. Our results point to the importance of ER-alpha in vasodilator mechanisms in the cerebral circulation.

In conclusion, this is the first study to examine the effects of estrogen on isolated cerebral arteries from alpha ERKO mice. Developmental processes or ovariectomy of alpha ERKO mice may have altered endothelial-dependent reactivity through yet to be identified mechanisms. Nevertheless, our findings support the hypothesis that the action of estrogen to modulate endothelial vasodilator mechanisms in cerebral arteries is mediated by ER-alpha .


    ACKNOWLEDGEMENTS

This work was supported by National Heart, Lung, and Blood Institute Grant RO1 HL-50775.


    FOOTNOTES

Address for reprint requests and other correspondence: S. P. Duckles, Dept. of Pharmacology, College of Medicine, Univ. of California, Irvine, Irvine, CA 92697-4625 (E-mail: spduckle{at}uci.edu).

The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Received 27 April 2001; accepted in final form 30 July 2001.


    REFERENCES
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
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