Pregnancy enhances the effects of hypercholesterolemia on posterior cerebral arteries

Malou P H Schreurs1, Marilyn J Cipolla

  • 1Department of Neurology, University of Vermont College of Medicine, Burlington, VT 05405, USA.

Insights

High cholesterol in pregnancy, similar to preeclampsia, impairs cerebral artery function. This study found it enhances inflammation and peroxynitrite generation in pregnant rats' cerebral arteries.

Area of Science:

  • Cardiovascular Physiology
  • Neurovascular Function
  • Reproductive Biology

Background:

  • Preeclampsia is associated with hyperlipidemia, potentially impacting vascular health.
  • Cerebral vasculature dysfunction can lead to neurological issues during pregnancy.

Purpose of the Study:

  • To investigate the effects of excessive hyperlipidemia on cerebral artery function and inflammation during pregnancy.
  • To compare responses in pregnant and nonpregnant rats under high-cholesterol conditions.

Main Methods:

  • Rats (pregnant and nonpregnant) were fed a high-cholesterol or normal diet for 14 days.
  • Posterior cerebral artery function was assessed, including responses to nitric oxide donors and myogenic tone.
  • Messenger RNA (mRNA) expression of inducible nitric oxide synthase was quantified.

Main Results:

  • High cholesterol increased posterior cerebral artery sensitivity to sodium nitroprusside in pregnant rats.
  • Inducible nitric oxide synthase mRNA expression was significantly elevated (~12-fold) in late-pregnant rats on a high-cholesterol diet.
  • Peroxynitrite-induced dilation was enhanced, and myogenic tone was reduced in cerebral arteries from hyperlipidemic pregnant rats.

Conclusions:

  • Pathologically high cholesterol levels in pregnancy exacerbate inflammatory responses in cerebral arteries.
  • Excessive cholesterol promotes peroxynitrite generation, potentially contributing to cerebrovascular dysfunction in preeclampsia.

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