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Cardiovascular Research 2003 57(2):388-394; doi:10.1016/S0008-6363(02)00705-8
© 2003 by European Society of Cardiology
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Copyright © 2003, European Society of Cardiology

Estrogen modulation of left ventricular remodeling in the aged heart

Yi Xu, Ivan A Arenas, Stephen J Armstrong and Sandra T Davidge*

Departments of Obstetrics/Gynecology and Physiology, Perinatal Research Centre, University of Alberta, 220 Heritage Medical Research Centre, Edmonton, AB, Canada T6G 2S2

* Corresponding author. Tel.: +1-780-492-1864; fax: +1-780-492-1308. sandra.davidge{at}ualberta.ca

Objective: To investigate the effects of estrogen on left ventricle (LV) mass and collagen deposition, and on the expression of receptors for estrogen (ER{alpha}, ERβ) and Ang II (AT2R, AT1R) in the heart of aged female rats. Methods: Aged (~12 months old) intact (n=7), ovariectomized plus placebo (OVX, n=7), and estrogen-replaced (E2, n=6) as well as young (~3 months old, n=4) female Sprague–Dawley rats were used in this study. After 1 month of treatment, the left ventricular weight/body weight ratio (LVW/BW), changes in myosin heavy chain expression (MHC), matrix metalloproteinase (MMP)-2 activity, the collagen I/III ratio, and the expression of ERs and Ang II receptors in the LV were evaluated. Results: In aged rats, OVX increased LVW/BW associated with a higher expression of β-MHC isoform, increased collagen I/III ratio, and decreased MMP-2 activity compared to intact rats. Furthermore, the OVX group had a decrease in ERs {alpha} and β as well as AT2R but an increase in AT1R expression. Estrogen replacement prevented the effects of ovariectomy on heart remodeling as well as increased further expression of ERβ and decreased AT1R expression. Conclusion: Removal of ovarian hormones increased LV remodeling in the aged rat, which could be attenuated by estrogen replacement. Moreover, regulation of Ang II receptor expression could be a mechanism by which estrogen may modulate heart remodeling.

KEYWORDS Aging; Hormones; Hypertrophy; Receptors; Remodeling


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