Effects of estrogen on nitric oxide synthase expression in rat aorta allograft and smooth muscle cells

S Saito1, R S Aras, H Lou

  • 1Department of Surgery, Georgetown University Medical Center, Washington, DC 20007, USA.

Abstract

Insights

Estradiol treatment inhibits transplant arteriosclerosis by increasing endothelial nitric oxide synthase (ecNOS) and decreasing inducible nitric oxide synthase (iNOS) expression in the early stages post-transplantation.

Area of Science:

  • Vascular Biology
  • Immunology
  • Endocrinology

Background:

  • Chronic estradiol treatment demonstrates inhibitory effects on transplant arteriosclerosis (TA).
  • The precise mechanisms underlying estradiol's protective role in TA remain incompletely understood.
  • This study investigates estradiol-17beta's impact on nitric oxide synthase expression in a rat TA model.

Purpose of the Study:

  • To determine if estradiol-17beta modulates endothelial nitric oxide synthase (ecNOS) and inducible nitric oxide synthase (iNOS) expression.
  • To examine these modulations in the early phase following allograft transplantation.
  • To elucidate the cellular mechanisms of estradiol's anti-TA effects.

Main Methods:

  • Orthotopic abdominal aorta allografts were performed in Lewis rats from Brown-Norway donors.
  • Recipients received daily estradiol or placebo treatment via osmotic minipump.
  • Immunohistochemistry, Western blotting, and RT-PCR were used to assess ecNOS and iNOS expression in graft tissues and cultured smooth muscle cells.

Main Results:

  • Estradiol significantly elevated ecNOS expression in the intima during the early post-transplant period.
  • Estradiol suppressed iNOS expression in the neointima, media, and adventitia.
  • In vitro studies confirmed that estradiol inhibits cytokine-induced iNOS mRNA expression in smooth muscle cells.

Conclusions:

  • Chronic estrogen administration modulates both ecNOS and iNOS expression post-transplantation.
  • These molecular changes are linked to the observed protective effects of estrogen against transplant arteriosclerosis.
  • The findings highlight a potential therapeutic role for estrogen in managing TA.