castration modifies aortic vasoreactivity and serum fatty acids in a sucrose-fed rat model of...

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ORIGINAL ARTICLE Heart Vessels (2009) 24:147–155 © Springer 2009 DOI 10.1007/s00380-008-1098-x I. Perez Department of Pathology, Instituto Nacional de Cardiologia “Ignacio Chavez”, Mexico D.F., Mexico M. El Hafidi · K. Carvajal · G. Baños (*) Department of Biochemistry, Instituto Nacional de Cardiologia “Ignacio Chavez”, Juan Badiano 1, Tlalpan. Col. Seccion XVI, 14080 Mexico D.F., Mexico Tel. + 52-55-732911 ext. 1298; Fax + 52-55-730926 e-mail: [email protected] Israel Perez · Mohammed El Hafidi · Karla Carvajal Guadalupe Baños Castration modifies aortic vasoreactivity and serum fatty acids in a sucrose-fed rat model of metabolic syndrome Abstract Levels of testosterone and estradiol influence the incidence of cardiovascular diseases: generally, estrogens in females are protective before menopause; coronaropathies, hypertension, and dyslipidemias in normal men are more frequent at comparable ages. We investigated the modula- tion by castration of in vitro vasoreactivity, serum lipid content, and systolic blood pressure (SBP) in rats with sucrose-induced metabolic syndrome. The main character- istics of the rat model are: hypertriglyceridemia, moderately high blood pressure, intra-abdominal accumulation of adipose tissue, hyperinsulinemia, nephropathy, increased oxidative stress, and altered vasoreactivity. Male weanling rats received 30% sucrose solution for 16 weeks (metabolic syndrome; MS), controls (C) had plain water; both had commercial rodent chow. They were subdivided into five groups with two subgroups each: Group 1, intact C and MS rats, Groups 2–5, C and MS rats castrated for periods of 16, 12, 8, and 4 weeks. At the end of the study period, systolic blood pressure was measured, and blood and aortas were obtained for fatty acid determination and vasoreactivity assays, respectively. After 16 weeks’ sucrose treatment MS aortas showed hypercontractility and decreased vasodila- tion. Palmitic and palmitoleic acids were increased in MS versus C. Arachidonic acid levels in MS were lower than in intact or castrated C. Long-term castration of 16 weeks normalized the levels of palmitic and oleic acids. With the shorter periods of castration, contractility increased and relaxation decreased in C and MS, but it was more signifi- cant in C. Regarding fatty acid composition, long-term castration increased polyunsaturated (arachidonic and eicosapentaenoic) fatty acids. The shorter periods did not modify the fatty acid profile in either C or MS. Metabolic syndrome altered SBP, aortic reactivity, and levels of fatty acids; castration of long duration normalized them in some cases. Key words Rat metabolic syndrome · Castration · Vascular reactivity · Free fatty acids Introduction The metabolic syndrome (MS) and particularly some of its main features such as dyslipidemia (hypertriglyceridemia with altered lipoprotein and fatty acid profile), hyperten- sion, diabetes, and obesity, have become a worldwide epi- demic and, consequently, a subject of high-priority studies both for prevention and therapy. Although the pathology may only have a genetic origin in a portion of the popula- tion, in a large majority of cases it is the result of an inade- quate diet high in carbohydrates and/or fat, are associated with lack of physical exercise, which are environmental factors that contribute to a considerable increase in the prevalence of the syndrome. Association is frequent between hypertension and meta- bolic disorders such as dyslipidemia and obesity. These abnormalities are risk factors in the development of cardio- vascular diseases. Peiris et al. 1 have demonstrated that in obese subjects, visceral fat is a strong indicator of hyperten- sion. This fat is generated by an increase in the synthesis of free fatty acids (FFA) by the liver. Simon et al. 2 found that a diet rich in saturated fatty acids increased systolic blood pressure (SBP), whereas a diet that included polyunsatu- rated and monounsaturated fatty acids decreased it, by reducing the levels of endothelial prostaglandins. Negative correlations between adiponectin serum levels and some variables associated with the metabolic syndrome, such as obesity and hypertension, have been described. In a study of healthy Japanese men it was found that there is an inde- pendent negative correlation between serum adiponectin levels and body mass index, but the correlation was positive when adiponectin and sleep duration were analyzed. These Received: January 16, 2008 / Accepted: July 31, 2008

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ORIGINAL ARTICLE

Heart Vessels (2009) 24:147–155 © Springer 2009DOI 10.1007/s00380-008-1098-x

I. PerezDepartment of Pathology, Instituto Nacional de Cardiologia “Ignacio Chavez”, Mexico D.F., Mexico

M. El Hafi di · K. Carvajal · G. Baños (*)Department of Biochemistry, Instituto Nacional de Cardiologia “Ignacio Chavez”, Juan Badiano 1, Tlalpan. Col. Seccion XVI, 14080 Mexico D.F., MexicoTel. + 52-55-732911 ext. 1298; Fax + 52-55-730926e-mail: [email protected]

Israel Perez · Mohammed El Hafi di · Karla Carvajal Guadalupe Baños

Castration modifi es aortic vasoreactivity and serum fatty acids in a sucrose-fed rat model of metabolic syndrome

Abstract Levels of testosterone and estradiol infl uence the incidence of cardiovascular diseases: generally, estrogens in females are protective before menopause; coronaropathies, hypertension, and dyslipidemias in normal men are more frequent at comparable ages. We investigated the modula-tion by castration of in vitro vasoreactivity, serum lipid content, and systolic blood pressure (SBP) in rats with sucrose-induced metabolic syndrome. The main character-istics of the rat model are: hypertriglyceridemia, moderately high blood pressure, intra-abdominal accumulation of adipose tissue, hyperinsulinemia, nephropathy, increased oxidative stress, and altered vasoreactivity. Male weanling rats received 30% sucrose solution for 16 weeks (metabolic syndrome; MS), controls (C) had plain water; both had commercial rodent chow. They were subdivided into fi ve groups with two subgroups each: Group 1, intact C and MS rats, Groups 2–5, C and MS rats castrated for periods of 16, 12, 8, and 4 weeks. At the end of the study period, systolic blood pressure was measured, and blood and aortas were obtained for fatty acid determination and vasoreactivity assays, respectively. After 16 weeks’ sucrose treatment MS aortas showed hypercontractility and decreased vasodila-tion. Palmitic and palmitoleic acids were increased in MS versus C. Arachidonic acid levels in MS were lower than in intact or castrated C. Long-term castration of 16 weeks normalized the levels of palmitic and oleic acids. With the shorter periods of castration, contractility increased and relaxation decreased in C and MS, but it was more signifi -cant in C. Regarding fatty acid composition, long-term castration increased polyunsaturated (arachidonic and eicosapentaenoic) fatty acids. The shorter periods did not modify the fatty acid profi le in either C or MS. Metabolic

syndrome altered SBP, aortic reactivity, and levels of fatty acids; castration of long duration normalized them in some cases.

Key words Rat metabolic syndrome · Castration · Vascular reactivity · Free fatty acids

Introduction

The metabolic syndrome (MS) and particularly some of its main features such as dyslipidemia (hypertriglyceridemia with altered lipoprotein and fatty acid profi le), hyperten-sion, diabetes, and obesity, have become a worldwide epi-demic and, consequently, a subject of high-priority studies both for prevention and therapy. Although the pathology may only have a genetic origin in a portion of the popula-tion, in a large majority of cases it is the result of an inade-quate diet high in carbohydrates and/or fat, are associated with lack of physical exercise, which are environmental factors that contribute to a considerable increase in the prevalence of the syndrome.

Association is frequent between hypertension and meta-bolic disorders such as dyslipidemia and obesity. These abnormalities are risk factors in the development of cardio-vascular diseases. Peiris et al.1 have demonstrated that in obese subjects, visceral fat is a strong indicator of hyperten-sion. This fat is generated by an increase in the synthesis of free fatty acids (FFA) by the liver. Simon et al.2 found that a diet rich in saturated fatty acids increased systolic blood pressure (SBP), whereas a diet that included polyunsatu-rated and monounsaturated fatty acids decreased it, by reducing the levels of endothelial prostaglandins. Negative correlations between adiponectin serum levels and some variables associated with the metabolic syndrome, such as obesity and hypertension, have been described. In a study of healthy Japanese men it was found that there is an inde-pendent negative correlation between serum adiponectin levels and body mass index, but the correlation was positive when adiponectin and sleep duration were analyzed. These

Received: January 16, 2008 / Accepted: July 31, 2008

148

results evidence the infl uence of lifestyle factors upon a hormone whose functions include the regulation of the metabolism of lipids and glucose.3 On the other hand, for many years it has been known that gender may have an important role in the incidence of some of the pathological characteristics of the syndrome; females in their reproduc-tive years show some protection from disease development, such as cardiovascular complications, indicating that sex hormones participate in their modulation.4 Nevertheless, there are still controversial results concerning the role of hypertriglyceridemia as a cardiovascular risk factor and the possible protection by estrogens and by high levels of high density lipoproteins.

The effect of castration upon vasomotor responses and SBP in both male and female animals has been reported, as well as its reversal by hormone treatment.5,6 Sucrose-fed rat models of MS have been studied by several groups. Among their fi ndings, the participation of the sympathetic and renin–angiotensin systems has been described to affect renal hemodynamics and to elevate blood pressure.7

The role of androgens as modulators of blood pressure and vasoreactivity has been amply described. The observa-tions are somewhat controversial since the effects of the hormones vary: they have been found benefi cial in some cases of acute administration but detrimental in others, after chronic administration.8–11 The level of the hormones in in vivo or in vitro experiments may be a factor that deter-mines the elicited vascular response.12

We have developed a variant of the fructose- or sucrose-fed rat model fi rst described by Hwang et al.13 and Reaven and Ho,14 by administering 30% sucrose in the drinking water of weanling rats for periods of 20–24 weeks. The animals develop moderate hypertension, hypertriglyceride-mia, central accumulation of adipose tissue, altered serum free fatty acid levels, nephropathy, hyperinsulinemia, and in vitro vasoreactivity suggestive of endothelial damage.15,16 Blood glucose and cholesterol levels have been found to be normal.15 Most of these features characterize the metabolic syndrome.

In a study of in vivo plasma lipid oxidation in our model, we found that the degree of iron-induced lipoperoxidation was similar in sugar-fed males and females, whereas in con-trols the female rats had a lower degree than the males, suggesting that the apparent protection by estrogens might be lacking in the sugar-fed animals.17

Our own recent experience in studying the sucrose-fed model in which control and MS male rats were left intact or castrated with or without treatment with estradiol (E) or testosterone (T), has shown that SBP and levels of serum nitrates and nitrites (stable metabolites of nitric oxide) were modulated by castration and castration plus sex hormones. Castration alone and castration plus E in MS animals improved or normalized their altered vasoreactivity, reduced SBP, and increased serum nitrates and nitrites, whereas the administration of T reversed the improved responses to the castration. These observations show the infl uence of hormones in the vasoreactivity of the MS model as well as their relationship with endothelium-dependent function.18

As already mentioned, for many years it has been observed that testosterone has an important role in both normal and pathological cardiovascular physiology, although there are controversial reports.19,20 The purpose of this work was to investigate the effect of castration, at different stages of the treatment with sucrose, on the in vitro vascular reac-tivity of aortas as well as on body weight, SBP, and serum total fatty acids, in both male control and sucrose-fed rats (MS). The results of this study may give some indication as to the way sex hormones, particularly testosterone, and circulating fatty acids contribute to modulate vasoreactivity and SBP in MS animals.

Materials and methods

Animals

All studies were conducted in compliance with applicable laws and regulations as well as the principles expressed in the NIH, USPHS, and Guide for the Care and Use of Laboratory Animals, and the studies have been conducted on animals that were lawfully acquired. Use of animals has been approved by our Institution’s Animal Care and Use Committee.

Weanling male Wistar rats aged 4 weeks and weighing 62 ± 19 g were separated into two groups and each group into fi ve subgroups (n = 10 each): Group 1, control rats given tap water for drinking and Group 2, MS rats given 30% sucrose in their drinking water for 16 weeks (the actual experimental period). All animals were fed com-mercial rat chow ad libitum (Purina 5001. Richmond, IN, USA, containing 14.63 kJ/g, 23% protein, 12% fat, and 65% carbohydrate). The animals in the subgroups were either left intact or castrated at 4, 8, 12, and 16 weeks of age (Fig. 1).

The end of the sucrose treatment period was taken as the time when SBP was signifi cantly increased in at least 80% of the animals in the MS Group, i.e., 20 weeks of age. Monthly measurements of systolic arterial pressure were

Fig. 1. Time line diagram. The fi rst line indicates total experimental period in intact rats. Arrows indicate time of castration. Sucrose treat-ment was started at weaning (4 weeks of age)

149

taken by the tail-cuff method; the cuff was connected to a pneumatic pulse transducer (Narco Bio-systems, Health-dyne, Houston, TX, USA) and a programmed electrosphyg-momanometer (Narco Bio-systems). The recordings were taken in triplicate by means of a Grass polygraph (model 79, Grass Medical Instruments, Quincy, MA, USA). The last measurement was taken on the last week of the sucrose treatment.

Orchiectomy

The animals were anesthetized with pentobarbital sodium (63 mg/kg of body weight). The area of the scrotum was shaved, cleaned with soap, and disinfected with ethanol. A longitudinal incision of approximately 1 cm was made, the efferent duct of each testicle was ligated, and the testicles were removed immediately. After the extirpation the skin incision was sutured.

The procedure was performed both in C and MS groups at 4, 8, 12, or 16 weeks of age (Fig. 1). The groups were labeled according to the length of time the animals had been castrated, i.e., the 16-week group was castrated at 4 weeks of age simultaneously with the beginning of sucrose treatment, and a similar pattern was followed for the other groups. Intact C and MS groups were kept in parallel.

Blood samples

At the end of the treatment period, the animals were fasted overnight and then killed by decapitation. Blood samples were collected in tubes kept on ice, taking care to avoid hemolysis, and the serum was separated. Blood samples for plasma also were obtained in tubes containing 0.1% ethyl-enediamine tetraacetic acid; 0.005% butylated hydroxy-toluene (BHT) was added to the plasma as antioxidant; the samples were kept on ice. The blood was spun at 4°C and both serum and plasma were frozen at −70°C until required for assays. Triglycerides were measured by means of an enzymatic technique (Boehringer Mannheim, Mannheim, Germany) in an Abbott VP Series II Autoanalyzer (Irving, TX, USA), according to the method described by Nägele et al.21

Lipid extraction and analysis of fatty acid (FA) composition

Fatty acids were extracted from 100 μl of plasma in the presence of 10 μg of heptadecanoic acid (internal standard) using chloroform/methanol (2 : 1 V/V) containing 0.002% of BHT to prevent auto-oxidation, as described by Folch et al.22 The obtained lipid residue was dissolved in 2 ml methanol containing 2% of concentrated H2SO4, and FA were esterifi ed to their corresponding methyl esters by heating at 90°C during 2 h, as previously described.23 The concentration and composition of FA were evaluated with a Shimadzu gas chromatograph (GC 2010, Kyoto, Japan) equipped with autoinjector/autosampler (AOC-20i) and

Shimadzu GC solution software (version 2.3, Shimadzu, Kyoto Japan).

The areas of the peaks were calculated using the program supplied with the chromatograph; the identifi cation of each fatty acid methyl ester was made by comparing their reten-tion time with their corresponding standards.

Plasma testosterone

A Coat-A-Count (Siemens) kit was used. It is a 125I radioim-munoassay in solid phase designed for quantifi cation of serum or heparinized plasma testosterone, without extrac-tion. It uses a specifi c antibody against testosterone; the incubation time is of 3 h at 37°C. The interval for calibration was from 0.2 ng/ml to 16.0 ng/ml. The intra-assay variation coeffi cient was 6.52% and the inter-assay, 7.01%.

Vascular tissue preparation and tension recording

After decapitation, the upper thoracic aorta was immedi-ately excised and kept in an oxygenated standard Krebs solution of the following composition (mM): 118 NaCl, 4.7 KCl, 2.5 CaCl2, 1.2 MgSO4⋅7H2O, 24 NaHCO3, 1.2 KH2PO4, and 4.5 glucose. Under a dissecting microscope, the vessels were cleaned of surrounding tissue, arterial segments of 2–3 mm were cut from the aorta and two nichrome S-shaped hooks were inserted into the lumen to measure the tension developed transversally. One of the hooks was fi xed to the bottom of a double-walled organ chamber, and the other was attached to an isometric force-displacement transducer (FT03, Grass Medical Instruments). The transducers were connected to a Grass polygraph model 79 D. A basal passive tension of 2 g was applied to the aortic rings. The Krebs fl uid was continuously bubbled with a gas mixture of 95% O2 − 5% CO2, keeping it warm (37°C), and was changed every 20 min. The rings were allowed to equilibrate for 1 h.

Contractions were induced by increasing concentrations, 2 × 10−9 to 2 × 10−5 M norepinephrine (NE). After the devel-oped tension was recorded, the rings were washed with normal Krebs solution and were allowed to return to their basal tension level. The procedure was repeated and the mean value of the force developed was taken as a 100% response.

Relaxation curves were obtained by precontracting the aortic rings with 2 × 10−7 M NE and then adding acetyl-choline (ACh) at increasing concentrations (2 × 10−9 to 2 × 10−5 M).

Statistical analyses

Concentration–response curves for vascular reactivity were obtained using the program GraphPad Prism 3.1, which compares whole curves (nonlinear regression, sigmoid dose–response curves), to calculate statistical signifi cance. Two-way analysis of variance (ANOVA), considering the length of the castration period and the MS condition as the

150

two independent variables, and Bonferroni’s post-test, were applied to determine differences between groups. The levels of fatty acids are expressed as percentages. Numerical values are means and standard error of the means, (n = 7–10).

Results

Body weight

The average body weight in intact MS rats was signifi cantly lower than in intact C animals at the end of the experimen-tal period of 20 weeks: 412 ± 11 vs 465 ± 12 g, respectively (P = 0.001). In castrated rats, the 16- and 12-week groups showed a signifi cantly decreased average body weight when compared with that of the intact groups (C = 438.5 ± 15, MS = 369 ± 12, P < 0.05 vs intact). The other groups, i.e., 8- and 4-week-castration, did not show signifi cant differences when compared with their intact controls (Table 1).

Systolic blood pressure

After 16 weeks of sucrose treatment, the increase in SBP in intact MS rats was signifi cant when compared with that of intact control animals: 139 ± 1 vs 121 ± 0.8 mmHg, respec-tively (P = 0.001). In castrated rats, the 16-, 12-, and 4-week castrated MS groups showed a signifi cantly reduced SBP (129.8 ± 1, 128 ± 5, and 127 ± 3 mmHg, respectively) when compared with that of the intact MS (139 ± 1, P = 0.001). The SBP was not signifi cantly modifi ed by castration in any of the C groups or in the 8-week castrated MS; in the latter it remained signifi cantly higher than in C. Table 1 shows SBP values for all groups at the end of the experimental period.

Serum triglycerides

These were only measured in intact C and MS groups and castrated C and castrated MS of the 16-week castration groups. Their concentrations were (mg/dl): intact C 71 ± 3, intact MS 136 ± 5 (P < 0.0001), castrated C 45 ± 14, and castrated MS 86 ± 4 (P = 0.02).

Plasma testosterone

The levels of testosterone were 7.9 ± 1.6 and 1.14 ± 0.03 ng/ml (P = 0.001 C vs MS) in intact C and intact MS, respec-tively. After castration they decreased to undetectable in both.

Vascular reactivity

Figure 2 shows the contraction and relaxation curves of concentration response to NE and ACh in the groups in which the orchiectomy lasted 16 and 12 weeks and in which the rats were treated with sucrose for a total of 16 weeks. The resulting graphs indicate that the contractility in the MS aortas was signifi cantly larger than in C rings and that the relaxation was also signifi cantly reduced in MS aortic rings when compared with that of C preparations. Castra-tion only modifi ed the responses of MS rings, decreasing contraction and increasing relaxation, both to normal levels.

When castration lasted 8 weeks (Fig. 3), we observed that the contractility in castrated C and castrated MS rings increased when compared with the longer periods of castra-tion, although the difference in response between the two was signifi cant, the MS being larger and not now signifi -cantly different from that of intact MS. The same relation-ships were found when comparing the relaxation curves: the responses decreased in both castrated C and castrated MS, but the difference with intact rings was only signifi cant in castrated C aortic rings. The reactivity in the group with 4 weeks’ castration followed the same pattern as that of 8 weeks’ castration, except that the decrease in relaxation became signifi cant in both the castrated C and castrated MS aortas when compared with the intact C and intact MS, respectively.

Serum fatty acid composition

The areas of the peaks were calculated using the program supplied with the chromatograph; the identifi cation of each fatty acid methyl-ester was made by comparing their reten-tion time with their corresponding standards (Table 2). The proportions of palmitic, palmitoleic, and oleic acids were signifi cantly higher in intact MS than in intact C, and this

Table 1. Body weight and systolic pressure

Intact 16 weeks castration 12 weeks castration 8 weeks castration 4 weeks castration

C MS C MS C MS C MS C MS

Body weight at 20 weeks of age (g)465 ± 12 412 ± 11* 448 ± 18 367 ± 12* 428 ± 21 370 ± 12*** 469 ± 19 405 ± 18** 420 ± 18 382 ± 27

Systolic pressure at 20 weeks of age (mmHg)121 ± 0.8 139 ± 1* 125 ± 6 129.8 ± 1 123 ± 4 128 ± 5 117 ± 2 132 ± 4* 121 ± 2 127 ± 3

C, control; MS, metabolic syndrome* P < 0.01, ** P = 0.03, *** P = 0.04. The P values were obtained by comparing intact or castrated MS with their corresponding intact or castrated C.

151

difference was not modifi ed by castration, except in the 16-week group in the case of palmitic and oleic acids.

On the other hand, the proportions of linoleic, arachi-donic, and docosahexaenoic acids were lower in the intact MS than in the intact C groups; castration only increased arachidonic acid in the 12- and 16-week groups. Eicosapen-taenoic acid proportion was also higher in the 16-week castrated MS group than in castrated C.

Discussion

The most relevant fi ndings in this work were that the vas-cular reactivity in this model of metabolic syndrome was

altered, suggesting that endothelial function was impaired, among other possible abnormalities, such as those that can be induced by fl uctuations in levels of sex hormones or fatty acids. The castration in the long term modifi ed those altera-tions and the reactivity was normalized. The composition of serum fatty acids was also affected and with long-term castration in some cases they tended to normality.

Regarding body weight, the lower gain in MS rats can be explained by their associated lower intake of solid food, as previously reported, although they do accumulate a large amount of intraperitoneal adipose tissue on account of a higher intake of calories from the sucrose solution they drink. This increase is not, however, refl ected in the total body weight.15 It is possible that the muscle mass decreases, but we have yet to evaluate this. In this respect, patients

Fig. 2. Aortic contraction to norepinephrine (NE) and relaxation to acetylcholine (ACh) from control (C) and metabolic syndrome (MS) animals after 16 and 12 weeks of castration vs reactivity of aortas from intact rats

152

with metabolic syndrome associated with Klinefelter’s syn-drome, in which hypogonadism and abdominal obesity are present, also show decreased muscle mass.24 In human pop-ulation studies the consumption of sucrose instead of other sweeteners has led to small reductions in body weight;25 the same observation has been made in rats by Peters and Teel.26 In a study involving 13-week administration of a 15% sucrose solution to Sprague–Dawley rat pups, no sig-nifi cant difference in body weight was found when com-pared with that of controls without sucrose.27 It should be noted that we have administered twice that amount of sucrose and the average length of most of our studies has been some 20–24 weeks, although in the present work the period was only 16 weeks since this shorter span was suffi -cient to induce signifi cant changes.

Castration had no signifi cant effect on blood pressure, except in the 8-week long period group after castration. There are reports indicating that male sex hormones do

Fig. 3. Aortic contraction to norepinephrine (NE) and relaxation to acetylcholine (ACh) from control (C) and metabolic syndrome (MS) animals after 8 and 4 weeks of castration vs reactivity of aortas from intact rats

not have signifi cant infl uence on vascular tone in normal male rats,9 but it has also been shown that androgens are required to induce hypertension in fructose-fed rats, a variant of the sucrose-fed,28 and that male gonadectomy reduces blood pressure in some animal models of hypertension.29

Confi rming the above, in our experiments with isolated aortas we found that long-lasting castration both reduced the contractility and increased the relaxation in MS vessels but did not modify the responses of C aortas to a signifi cant degree. On the other hand, the shorter periods of castration signifi cantly affected the responses of C aortas, increasing the vasoconstriction and decreasing the relaxation; in MS aortas these effects were less marked, although they became signifi cant in the shortest period of 4 weeks. A possible explanation could be that with the longer periods after gonadectomy there is suffi cient time for the control animals to compensate for the loss of sex hormones and for their

153

arteries to recover normal vasoreactivity, due to mecha-nisms such as increased expression of nitric oxide synthase induced by a release of estradiol through possible aromati-zation, as indicated by a previous study.18 In MS rats, in which the endothelium-dependent responses suggest impairment, this recovery may not take place in the short-term castration and the vasoreactivity remains altered. It should be mentioned that aortic tissue preparations have been examined to determine morphological or mass changes but none have been detected.

Regarding the results of the ANOVA test on the reactiv-ity data (Table 3), there was a signifi cant effect in the maximal response, either of contraction or of relaxation. The test suggests that the effect was given both by the pathological condition and by the length of the castration, the latter contributing more to the results (38.4% for NE and 45% for ACh). There was a synergism of the two effects that participated with 13% of the variation in the case of the ACh. No variations in EC were found, which suggests that changes are unlikely in the responsiveness of the organ to the agonist. Thus it is possible to think that such a response may be due to perturbations in other mechanisms contributing to the contraction and relaxation processes, such as synthesis and release of NO. Indeed, NOS activity has been suggested to be diminished in the sucrose-fed hypertriglyceridemic rat.15

The participation of alpha-adrenergic receptors and their corresponding signal mechanisms have been investigated in patients with the metabolic syndrome. With the use of blockers, it has been demonstrated that vasoconstriction of coronary microcirculation is indeed mediated by adrenergic receptors.30 A similar association has been found in obese Zucker rats where skeletal muscle perfusion is defective as a result of alpha-adrenergic-induced vasoconstriction.31 A recent study in a novel model of MS in rats has coincided with that observation.32 On the other hand, there was a sig-nifi cant difference in the maximal contraction and relax-ation responses between intact MS and castrated MS of long duration, indicative of the reversal, by castration, of the damage induced by the MS condition.

It is worth mentioning that androgens have dual effects on vessels: low levels found in conditions such as the metabolic syndrome may induce high blood pressure and increased vascular contractility, whereas high levels of testosterone generally normalize high blood pressure and decrease hyper-reactivity of isolated arteries;33 some of its metabolites such as 5-beta-dihydrotestosterone are potent in vitro vasodilators and their absence might favor increased contractility and reduced relaxation in the short term.34 Some of the mechanisms involved after castration may include genomic effects on sex hormone receptors, such as production of estradiol from testosterone, through aroma-tase activity.35

Another pathological variable present in the MS is insulin resistance, which has recently been shown to be involved in endothelium-dependent vasodilatory effects in peripheral circulation. In nondiabetic patients insulin resis-tance does reduce coronary dilatation, which is associated with the degree of insulin resistance in those patients, Ta

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154

besides generally being a risk factor for the development of coronary atherosclerosis.36

With regard to the fatty acids, both saturated fatty acids and triglycerides impair the endothelium-dependent relaxation and this, in turn, alters the vasoreactivity.37–39 Therefore, in our experiments with intact and 4- and 8 week-castration MS aortas, we could perhaps speculate that the increases in fatty acids affected the reactivity, increasing contraction and decreasing relaxation. The results of the ANOVA test indicate that contrary to what happens in the reactivity, it is the pathological condition, particularly the hypertriglyceridemia, which is responsible for the alter-ations in the fatty acid composition, and which in turn may be modifi ed by the length of castration.

The analysis of rat serum fatty acids in the intact MS group indicated a larger proportion of saturated fatty acids and a smaller of polyunsaturated, when compared with those of intact C, as previously observed.16,23,40 The increased proportion of membrane saturated fatty acids and decreased polyunsaturated fatty acids have been associated with insulin sensitivity in intraplatelet arginine–vasopressin calcium and sodium stimulation in patients with hyperten-sion and hyperinsulinemia.41

N-3 fatty acids and eicosapentaenoic acid oral supple-mentation increase membrane eicosapentaenoic acid content and reduce SBP in patients with essential hyperten-sion. Based on the association between the increase in membrane eicosapentaenoic acid content and the decrease in intracellular sodium concentration, eicosapentaenoic acid may lower blood pressure by altering the activities of the membrane sodium transport systems.42

In our study, the level of eicosapentaenoic acid tended to be lower than that of its corresponding control, except after the longest period of castration, when it became signifi cantly higher than its castrated control. This result suggests that long-term castration may improve SBP by participation of increases in the proportions of polyunsatu-rated fatty acids.

Table 3. Analysis of variance test on the reactivity data

Intact 16 weeks castration 12 weeks castration 8 weeks castration 4 weeks castration

Log EC50 NE Control −7.56 ± 0.42 −7.56 ± 0.42 −7.84 ± 0.22 −7.93 ± 0.42 −7.62 ± 0.23

n = 7 n = 7 n = 9 n = 7 n = 10 MS −8.14 ± 0.76 −7.65 ± 0.41 −8.11 ± 0.31 −7.43 ± 0.44 −7.48 ± 0.35

n = 7 n = 9 n = 10 n = 9 n = 10% Maximal relaxation ACh Control 68.4 ± 6.16 68.4 ± 6.2 71.7 ± 3.3 46.9 ± 4.2† 47.4 ± 2.5†

n = 7 n = 7 n = 9 n = 7 n = 7 MS 30.8 ± 3.9* 68.2 ± 4.4# 72.0 ± 4.1# 37.0 ± 3.2 35.0 ± 2.3

n = 7 n = 9 n = 10 n = 9 n = 10

Two-way analysis of variance test was performed considering time of castration and MS condition as the two factors contributing to the variance in the results. A Bonferroni post-test was performed to fi nd difference between MS and control groups and between the intact condition and different times of castration within the same groupNE, norepinephrine; ACh, acetylcholine* P < 0.05 vs Control intact. # P < 0.05 vs MS intact. † P < 0.05 vs Control intact. In this case, interaction between factors (MS condition and time of castration) was signifi cant (P < 0.0001) and it accounts for 12% of the results observed; MS condition accounts for only 9.6% (P < 0.0001) and time of castration for 45% (P < 0.0001)

The decrease in triglycerides in castrated rats probably contributed to the signifi cant differences found in some of the fatty acids, for instance in oleic acid, which has a pressor effect in humans and rats,43 although it did not decrease after castration. Arachidonic acid is a precursor of several metabolites with vasopressor effects, such as thromboxanes and most prostaglandins. The fact that its proportion was found to be reduced in MS serum suggested that its consumption was increased, with enhanced release of its metabolites, thus contributing to alterations in blood pres-sure and vasoreactivity. Measurements of the levels of pre-cursor and metabolites are required to confi rm the validity of this hypothesis.

The changes in vasoreactivity with the shorter periods of evolution of castration (8 and 4 weeks) in both C and MS aortas, are diffi cult to explain, particularly in the controls, since they were unexpected; in MS the effects were only signifi cant with the shortest period. Calcium handling may also be altered on account of hormone imbalance. There are reports which describe the participation of endogenous testosterone in the regulation of calcium fl uxes and the effect of short term castration in vascular smooth muscle.23,44 Another possibility may be that the differences in testoster-one levels before and after castration are larger in controls and this would be refl ected in the more signifi cant changes in responses in this group whereas, in the MS group, the basal levels of testosterone are low18 and castration would make a smaller difference than in the control. In conclusion, in a male rat model of metabolic syndrome in which the pathological characteristics include hypertension, altered lipid profi le, and apparent endothelium malfunction, castra-tion of long duration contributes to normalization of the vasoreactivity in isolated aortas and some of the levels of serum fatty acids.

Acknowledgments This work was partially supported by Grant Nos. 3210-PM and 43229-M from the National Council for Science and Technology (CONACyT) to G.B. and were the only sources of funding.

155

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