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Updated: Jun 2, 2026

An In Vivo Estrogen Deficiency Mouse Model for Screening Exogenous Estrogen Treatments of Cardiovascular Dysfunction After Menopause
Published on: August 13, 2019
Inhibition of renin-angiotensin system reverses endothelial dysfunction and oxidative stress in estrogen deficient
Lai Ming Yung1, Wing Tak Wong, Xiao Yu Tian
1Institute of Vascular Medicine, Li Ka Shing Institute of Health Sciences, School of Biomedical Sciences, The Chinese University of Hong Kong, Hong Kong, China.
Background:
Estrogen deficiency increases the cardiovascular risks in postmenopausal women. Inhibition of the renin-angiotensin system (RAS) and associated oxidative stress confers a cardiovascular protection, but the role of RAS in estrogen deficiency-related vascular dysfunction is unclear. The present study investigates whether the up-regulation of RAS and associated oxidative stress contributes to the development of endothelial dysfunction during estrogen deficiency in ovariectomized (OVX) rats.
Methodology/Principal Findings:
Adult female rats were ovariectomized with and without chronic treatment with valsartan and enalapril. Isometric force measurement was performed in isolated aortae. The expression of RAS components was determined by immunohistochemistry and Western blotting method while ROS accumulation in the vascular wall was evaluated by dihydroethidium fluorescence. Ovariectomy increased the expression of angiotensin-converting enzyme (ACE), angiotensin II type 1 receptor (AT(1)R), NAD(P)H oxidase, and nitrotyrosine in the rat aorta. An over-production of angiotensin II and ROS was accompanied by decreased phosphorylation of eNOS at Ser(1177) in OVX rat aortae. These pathophysiological changes were closely coupled with increased oxidative stress and decreased nitric oxide bioavailability, culminating in markedly impaired endothelium-dependent relaxations. Furthermore, endothelial dysfunction and increased oxidative stress in aortae of OVX rats were inhibited or reversed by chronic RAS inhibition with enalapril or valsartan.
Conclusions/Significance:
The novel findings highlight a significant therapeutic benefit of RAS blockade in the treatment of endothelial dysfunction-related vascular complications in postmenopausal states.
Insights
Estrogen deficiency impairs blood vessel function by increasing renin-angiotensin system (RAS) activity and oxidative stress. Blocking the RAS with valsartan or enalapril improves endothelial dysfunction in ovariectomized rats.
Area of Science:
- Cardiovascular Science
- Endocrinology
- Pharmacology
Background:
- Estrogen deficiency in postmenopausal women elevates cardiovascular risks.
- The role of the renin-angiotensin system (RAS) in estrogen deficiency-related vascular dysfunction remains unclear.
- This study investigates RAS up-regulation and oxidative stress in estrogen deficiency-induced endothelial dysfunction.
Purpose of the Study:
- To determine if increased RAS activity and oxidative stress contribute to endothelial dysfunction in ovariectomized rats.
- To evaluate the therapeutic potential of RAS inhibition in mitigating these vascular changes.
Main Methods:
- Ovariectomized (OVX) rats were treated with valsartan or enalapril.
- Vascular function was assessed via isometric force measurement in isolated aortae.
- RAS component expression, oxidative stress markers (ROS), and nitric oxide bioavailability were quantified.
Main Results:
- Ovariectomy increased expression of ACE, AT(1)R, NAD(P)H oxidase, and nitrotyrosine.
- Angiotensin II and ROS over-production correlated with reduced eNOS phosphorylation and impaired endothelium-dependent relaxations.
- RAS inhibition by valsartan or enalapril reversed oxidative stress and endothelial dysfunction.
Conclusions:
- Estrogen deficiency up-regulates the RAS and increases oxidative stress, leading to endothelial dysfunction.
- RAS blockade demonstrates significant therapeutic benefit for vascular complications in postmenopausal states.
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