Effects of estradiol and raloxifene on arterial thrombosis in ovariectomized mice

Rami Abu-Fanne1, Amnon Brzezinski, Mordechai Golomb

  • 1Cardiovascular Research Center, Hadassah Hebrew University Medical Center, Kiryat Hadassah, Jerusalem, Israel.

Menopause (New York, N.Y.)
|June 6, 2007
PubMed
Abstract

Insights

Estrogen and raloxifene treatments significantly reduce arterial thrombosis in ovariectomized mice. Both therapies attenuated intravascular thrombosis by increasing cyclooxygenase-2 and decreasing platelet adhesion.

Area of Science:

  • Cardiovascular Biology
  • Endocrinology
  • Pharmacology

Background:

  • Arterial thrombosis is a significant health concern, and the role of estrogen and selective estrogen receptor modulators (SERMs) in its regulation is not fully understood.
  • Ovariectomy in female mice leads to accelerated arterial thrombosis, highlighting the protective effects of endogenous estrogen.

Purpose of the Study:

  • To investigate the effects of estradiol and raloxifene on arterial thrombosis and related homeostatic pathways in ovariectomized mice.
  • To elucidate the mechanisms underlying the potential antithrombotic effects of estrogen and raloxifene.

Main Methods:

  • Ovariectomy or sham surgery was performed on female mice, followed by treatment with estradiol, raloxifene, or placebo for 4 months.
  • Arterial thrombosis was induced via photochemical injury in the carotid artery, and the time to vascular occlusion was measured.
  • Bone mineral density, uterine atrophy, cyclooxygenase-2 (COX-2) expression, endothelial nitric oxide synthase (eNOS) expression, and platelet adhesion were assessed.

Main Results:

  • Ovariectomized mice exhibited accelerated thrombosis compared to sham-operated controls.
  • Both estradiol and raloxifene significantly prolonged the time to vascular occlusion, indicating an antithrombotic effect.
  • Treatments increased bone mineral density, and both estradiol and raloxifene upregulated COX-2 expression and reduced platelet adhesion, while eNOS expression remained unchanged.

Conclusions:

  • Ovariectomy exacerbates arterial thrombosis, while both estradiol and raloxifene demonstrate significant antithrombotic properties.
  • The antithrombotic effects are associated with increased COX-2 expression and reduced platelet adhesion.
  • Estrogen and raloxifene represent potential therapeutic strategies for managing arterial thrombosis in postmenopausal women.

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