Ação moduladora da tibolona no sistema de peptídeos natriuréticos: Implicações cardiovasculares e imunológicas
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2010-11-24
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Garcia, Ana Raquel Santos de Medeiros
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Universidade Federal do Espírito Santo
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Cardiovascular and immune system abnormalities have been reported in females with estrogen deficiency. Nevertheless, the capacity of the exogenous estrogen therapy to manage these hazard effects in postmenopausal women is still to be better investigated. Objective: this study is addressed to determine the abnormalities on the natriuretic peptide system in ovariectomized rats with and without tibolone reposition therapy, and if these changes are or not related with cardiovascular and immunological parameters. Materials and Methods: female rats with the average weight of 160-180 g were used and divided into four groups (n = 7 per group): SHAM, ovariectomized (OVX), OVX treated with 17β-estradiol (EST) and OVX treated with tibolone (TIB). The treatment period was 14 days with TIB (1.5 mg / kg / day) and EST (0.5 mg / kg / day), after 21 days of the ovariectomy procedure. At the end of treatment, the animals were euthanized, the thoracic aorta was isolated, and rings of 4-5 mm were removed. Rings with endothelium, were placed in an isolated organ tank with Krebs solution. Dose-response curves to phenylephrine (PHE) and acetylcholine (ACH) were obtained for assessment of vascular reactivity. Upper segment of the thoracic aorta was used for analysis of protein expression of eNOS by Western Blotting. The kidneys, the atria and blood were collected for further analysis. Plasma levels of atrial natriuretic peptide (ANP) were measured by radioimmunoassay (RIA) and serum cytokines (IL-6 and TNF-α) by ELISA. Atria were removed for analysis by RIA of ANP and atrial ANP mRNA by RT-PCR. The kidneys were used for analysis of mRNA of type A receptor (NPR-A) and C (NPR-C) by RT-PCR. Data were presented as mean ± standard error of mean. Statistical analysis of the reactivity of aortic rings was performed by analysis of variance (ANOVA), and one or two way, followed by post-hoc test of Tukey. For the peptides system data it was performed one-way analysis of variance (ANOVA) followed by post hoc Newman-Keuls, and for eNOS it was used one-way analysis of variance (ANOVA) followed by Fisher's post hoc test. Significance levels were p<0,05. Results: the OVX group showed increase of contractile response to PHE compared to the SHAM group, and the TIB and EST groups were able to normalize this response (Emax - SHAM: 91,0 ± 3,9; OVX: 140,0 ± 5,5; EST: 115,4 ± 3,7; TIB: 113,2 ± 5,1 - % Tension). The endothelium-dependent relaxation (dose-response curves to ACH) was similar for all groups. The OVX, EST and TIB groups showed no difference in the eNOS protein expression compared with the SHAM group, however, serum levels of IL-6 and TNF-α were increased in ovariectomized females. However, the treatments with EST and TIB were able to decrease these levels compared to the SHAM group, except the levels of IL-6 which remained high in the TIB group (TNF-α: SHAM 20.3 ± 2.0, OVX 31.0 ± 5.0, 17.6 ± EST 2.0; TIB: 20.5 ± 3.1 / IL-6: SHAM 19.3 ± 6.0, 32.8 ± 5.0 OVX, EST 20.0 ± 3.0; TIB: 34.4 ± 2.8 pg / ml). The plasmatic and left atrial levels of ANP (ANP plasma: 263.3 ± 53.3 SHAM, OVX 92.5 ± 19.5, 247.3 ± 29.9 EST; TIB: 285.7 ± 60.4 pg / ml / left atrial ANP: SHAM 5.68 ± 0.35; OVX 3.48 ± 0.40, 0.97 ± 6:48 EST; TIB: 3.59 ± 0.25 mg / mg protein), the mRNA expression of ANP left atrial (SHAM 91.3 ± 4.4, OVX 40.0 ± 10.1; 122.3 ± 12.0 EST; TIB: 167.9 ± 25.7 AU) and NPR-A (SHAM 5.20 ± 12:00; OVX 0.68 ± 0.11; EST 0.92 ± 0.28; TIB: 2.04 ± 1.4 AU) were depressed after ovariectomy, and NPRC did not change. The treatment normalized these parameters, except that the TIB group did not normalize the levels of atrial ANP. Conclusion: data from this study show, for the first time, that tibolone treatment after ovariectomy influence the natriuretic peptide system and the inflammatory cytokines. Tibolone was able to normalize the levels of ANP and its atrial expression as well as reduce levels of TNF-α. Additionally, the results show that Hormonal Therapy used in this study partially normalized the changes in vascular reactivity, possibly through regulation of the peptide system and inflammatory cytokines.
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GARCIA, Ana Raquel Santos de Medeiros. Ação moduladora da tibolona no sistema de peptídeos natriuréticos: Implicações cardiovasculares e imunológicas. 2010. Tese (Doutorado em Ciências Fisiológicas) - Universidade Federal do Espírito Santo, Centro de Ciências da Saúde, Vitória, 2010.