To elucidate the influence of gonadotropins, endogenous sex hormones and testosterone on atherosclerosis, 4-week-old male and female apoE-deficient mice received either 100 µg subcutaneous injections of the gonadotropin-releasing hormone (GnRH) antagonist Cetrorelix every 48 hours or a subcutaneous implantation of a permeable silastic tube with 35 mg of testosterone. Control mice received either subcutaneous injections of saline, a silastic implant with saline, or no treatment. The animals were sacrificed after eight weeks of treatment; blood was obtained by cardiac puncture and the aorta was taken out and prepared. The suppression of testosterone led to an increase in atherosclerosis in both the sinus aortae and the ascending aorta despite increases of cholesterol in male and decreases of HDL cholesterol in female mice. Treatment with testosterone led to small but significant increases of cholesterol levels and atherosclerotic lesions in male mice. Female mice showed no change in lipids and fewer atherosclerotic lesions. In conclusion, the suppression of gonadotropins appears to have a moderate anti-atherogenic effect. The effect of testosterone appears to be either neutral or opposed by gonadotropins.
Key words:
Atherosclerosis - Animal Model - Testosterone - Gonadotropin-Releasing Hormone Antagonist
References
1 Lobo R A. Treatment of the postmenopausal woman: basic and clinical aspects. New York:; Raven Press, 1994
2 Kaufmann J M, Vermeulen A. Androgens in male senescence. In: Nieschlag E, Behre HM (eds). Testosterone: Action, Deficiency, Substitution. 2nd Edition. Berlin:; Springer Verlag, 1998: 437-472
3 Liu P Y, Handelsman D J. Androgen therapy in non-gonadal disease. In: Nieschlag E, Behre HM (eds). Testosterone: Action, Deficiency, Substitution. 2nd Edition. Berlin:; Springer Verlag, 1998: 473-512
4 Nieschlag E, Behre H M. Testosterone in male contraception. In: Nieschlag E, Behre HM (eds). Testosterone: Action, Deficiency, Substitution. 2nd Edition. Berlin:; Springer Verlag, 1998: 513-528
5 Schänzer W. Abuse of androgens and detection of illegal use. In: Nieschlag E, Behre HM (eds). Testosterone: Action, Deficiency, Substitution. 2nd Edition. Berlin:; Springer Verlag, 1998: 545-566
6 von Eckardstein A. Androgens, cardiovascular risk factors, and atherosclerosis. In: Nieschlag E, Behre HM (eds). Testosterone: Action, Deficiency, Substitution. 2nd Edition. Berlin:; Springer Verlag, 1998: 229-258
7
Alexandersen P, Haarbo J, Christiansen C.
The relationship of natural androgens to coronary heart disease in males: a review.
Atherosclerosis.
1996;
125
1-13
8
Bagatell C J, Bremner W J.
Androgens in men - uses and abuses.
N Engl J Med.
1996;
334
107-114
9
Rosano G MC, Leonardo F, Pagnotta P, Pelliccia F, Panina G, Cerquetani E, della Monica P L, Bonfigli B, Volpe M, Chierchia S L.
Acute anti-ischemic effect of testosterone in men with coronary artery disease.
Circulation.
1999;
99
1666-1670
10
Larsen B A, Nordestgaard B, Stender S, Kjeldsen K.
Effect of testosterone on atherogenesis in cholesterol-fed rabbits with similar plasma cholesterol levels.
Atherosclerosis.
1993;
99
79-86
11
Fogelberg M, Björkhem I, Diczfalusy U, Henriksson P.
Stanozolol and experimental atherosclerosis: atherosclerosis development and blood lipids during anabolic steroid therapy of New Zealand white rabbits.
Scand J Clin Lab Invest.
1990;
50
693-700
12
Alexandersen P, Haarbo J, Byrjalsen I, Lawetz H, Christiansen C.
Natural androgens inhibit male atherosclerosis. A study in castrated, cholesterol-fed rabbits.
Circ Res.
1999;
84
813-819
13
Bruck B, Brehme B, Gugel N, Hanke S, Finking G, Lutz C, Benda N, Schmahl F W, Haasis R, Hanke H.
Gender-specific differences in the effects of testosterone and estrogen on the development of atherosclerosis in rabbits.
Arterioscler Thromb Vasc Biol.
1997;
17
2192-2199
14
Adams M R, Williams J K, Kaplan J R.
Effects of androgens on coronary artery atherosclerosis and atherosclerosis-related impairment of vascular responsiveness.
Arterioscler Thromb Vasc Biol.
1995;
15
562-570
15
Toda T, Toda Y, Cho B H, Kummerow F A.
Ultrastructural changes in the comb and aorta of chicks fed excess testosterone.
Atherosclerosis.
1984;
51
47-53
16
Behre H M, Klein B, Steinmeyer E, McGregor G P, Voigt K, Nieschlag E.
Effective suppression of luteinizing hormone and testosterone by single doses of the new gonadotropin-releasing hormone antagonist cetrorelix (SB-75) in normal men.
J Clin Endocrinol Metab.
1992;
75
393-398
17
Behre H M, Kliesch S, Pühse G, Reissmann T, Nieschlag E.
High loading and low maintenance doses of a gonadotropin-releasing hormone antagonist effectively suppress serum luteinizing hormone, follicle stimulating hormone, and testosterone in normal men.
J Clin Endocrinol Metab.
1997;
82
1403-1408
18
Piedrahita J A, Zhang S H, Hagamann J, Oliver P M, Maeda N.
Generation of mice carrying a mutant apolipoprotein E gene inactivated by gene targeting in embryonic stem cells.
Proc Natl Acad Sci USA.
1992;
89
4471-4475
19
Zhang S H, Reddick R L, Piedrahita J A, Maeda N.
Spontaneous hypercholesterolemia and arterial lesions in mice lacking apolipoprotein E.
Science.
1992;
258
468-471
20
Plump A S, Smith J D, Hayek T, Aalto-Setälä K, Walsh A, Verstuyft J G, Rubin E M, Breslow J L.
Severe hypercholesterolemia and atherosclerosis in apolipoprotein E-deficient mice created by homologous recombination in ES cells.
Cell.
1992;
71
343-353
21
Bourassa P AK, Milos M M, Gaynor BJ, Breslow J L, Aiello R J.
Estrogen reduces atherosclerotic lesion development in apolipoprotein E deficient mice.
Proc Natl Acad Sci USA.
1996;
93
10 022-10 027
22
Elhage R, Arnal J F, Pieraggi M -T, Duverger N, Fiévet C, Faye J C, Bayard F.
17β-estradiol prevents fatty streak formation in apolipoprotein E-deficient mice.
Arterioscler Thromb Vasc Biol.
1997;
17
2679-2684
23
Huang Y, Langer C, Raabe M, Wiesenhütter B, Wu S, Seedorf U, Maeda N, Assmann G, von Eckardstein A.
Effects of genotype and diet on cholesterol efflux into plasma and lipoproteins of normal, apolipoprotein A-I-, and apolipoprotein E-deficient mice.
Arterioscler Thromb Vasc Biol.
1997;
17
2010-2019
24
Paigen B, Morrow A, Holmes P A, Mitchell D, Williams R A.
Quantitative assessment of atherosclerotic lesions in mice.
Atherosclerosis.
1987;
68
231-240
25
Qiao J -H, Xi P -Z, Fishbein M C, Kreuzer J, Drake T A, Demer L L, Lusis A J.
Pathology of atheromous lesions in inbred and genetically engineered mice. Genetic determination of arterial calcification.
Arteriosclerosis Thromb.
1994;
14
1480-1497
26
Paigen B, Holmes P A, Mitchell D, Albee D.
Comparison of atherosclerotic lesions and HDL-lipid levels in male, female, and testosterone-treated female mice from strains C57BL/6, BALB/c, and C3H.
Atherosclerosis.
1987;
64
215-221
27
Acton S, Rigotti A, Landschulz K T, Xu S, Hobbs H H, Krieger M.
Identification of scavenger receptor SR-B1 as a high density lipoprotein receptor.
Science.
1996;
271
518-520
28
Kozarsky K F, Donahee M H, Rigotti A, Iqbal S N, Edelman E R, Krieger M.
Overexpression of the HDL receptor SR-BI alters plasma HDL and bile cholesterol levels.
Nature.
1997;
387
414-416
29
Rigotti A, Trigatti B L, Penman M, Rayburn H, Herz J, Krieger M A.
A targeted mutation in the murine gene encoding the high density lipoprotein (HDL) receptor scavenger receptor class B type I reveals its key role in HDL metabolism.
Proc Natl Acad Sci USA.
1997;
94
12 610-12 615
30
Ji Y, Jian B, Wang N, Sun Y, Moya M L, Phillips M C, Rothblat G H, Swaney J B, Tall A R.
Scavenger receptor BI promotes high density lipoprotein-mediated cellular cholesterol efflux.
J Biol Chem.
1997;
272
20 982-20 987
31
Li X, Peegel H, Menon K M.
In situ hybridization of high density lipoprotein (scavenger, type 1) receptor messenger ribonucleic acid (mRNA) during folliculogenesis and luteinization: evidence for mRNA expression and induction by human chorionic gonadotropin specifically in cell types that use cholesterol for steroidogenesis.
Endocrinology.
1998;
139
3043-3051
32
Herman S M, Robinson J TC, McCredie R J, Adams M R, Boyer M J, Celermajer D S.
Androgen deprivation is associated with enhanced endothelium-dependent dilatation in adult men.
Arterioscler Thromb Vasc Biol.
1997;
17
2004-2009
33
Chou M, Sudhir K, Hutchison S J, Ko E, Amidon T M, Collins P, Chatterjee K.
Testosterone induces dilatation of canine coronary conductance and resistance arteries in vivo.
.
Circulation.
1996;
94
2614-2619
34
Yue P, Chatterjee K, Beale C, Poole-Wilson P A, Collins P.
Testosterone relaxes rabbit coronary arteries and aorta.
Circulation.
1995;
91
1154-1160
35
Hutchison S J et al.
Testosterone worsens endothelial dysfunction associated with hypercholesterolemia and environmental tobacco smoke exposure in male rabbit aorta.
J Am Coll Cardiol.
1997;
29
800-807
Dr. A. von Eckardstein
Institut für Klinische Chemie und Laboratoriumsmedizin Zentrallaboratorium Westfälische Wilhelms-Universität Münster
Albert-Schweitzer-Strasse 33 48129 Münster Germany
Email: E-mail:vonecka@uni-muenster.de