Abstract
Introduction Menopause is associated with marked changes in the endocrine profile, and increases the risk of vascular disease. However, the effect of hormones on the vascular system is still unclear. Therefore, the aim of this study was to examine the effects of endocrine status in female rats on nitric oxide (NO) production, inflammatory reactions and thrombus organization potency in the mesenteric microcirculation. Materials and Methods Female Wistar rats were divided into four groups: proestrus, metestrus, ovariectomized (OVX) and OVX plus estradiol treatment (OVX + E 2). NO was imaged using an NO-sensitive dye. The leukocyte and platelet velocities relative to the erythrocyte velocity (V W/V RC and V P/V RE, respectively) and thrombi sizes created by laser radiation were measured as thrombogenesis indices. Results Changes in endocrine status did not affect vascular function in the arterioles. However, in venules, NO production, V W/V RC and V P/V RE were decreased in the OVX group compared with the proestrus and metestrus states. Thrombus size was significantly greater in the OVX group than in the proestrus and metestrus states. Administration of E 2 for 2 weeks restored NO production, V W/V RC and V P/V RE to control levels. Conclusions Changes in endocrine status did not affect arterioles. In contrast, in venules, reduced estrogen levels led to a decrease in NO production, thereby increasing thrombogenesis. Estrogen replacement restored NO production and leukocyte and platelet velocities, reducing thrombus formation relative to OVX. Although it is unclear how E 2 reduces thrombus formation, our results indicate that leukocyte and platelet adhesion to the endothelium is a target for E 2 via NO.
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