Progesterone eliminates 17β-estradiol-Mediated cardioprotection against diabetic cardiovascular dysfunction in ovariectomized ratsAt a glance commentary

Background: Type2 Diabetes (T2D) remains one of the most important causes of cardiovascular diseases (CVD). Menopause leads to an increase in CVD and metabolic syndrome, which indicates the role of sex steroids as a protective factor. In the present study, we surveyed the effects of 17β-estradiol (E...

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Main Authors: Hossein Azizian, Mohammad Khaksari, Gholamreza Asadikaram, Mansour Esmailidehaj, Nader Shahrokhi
Format: Article
Language:English
Published: Elsevier 2021-08-01
Series:Biomedical Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2319417020300287
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author Hossein Azizian
Mohammad Khaksari
Gholamreza Asadikaram
Mansour Esmailidehaj
Nader Shahrokhi
author_facet Hossein Azizian
Mohammad Khaksari
Gholamreza Asadikaram
Mansour Esmailidehaj
Nader Shahrokhi
author_sort Hossein Azizian
collection DOAJ
description Background: Type2 Diabetes (T2D) remains one of the most important causes of cardiovascular diseases (CVD). Menopause leads to an increase in CVD and metabolic syndrome, which indicates the role of sex steroids as a protective factor. In the present study, we surveyed the effects of 17β-estradiol (E2) alone and in combination with progesterone (P4) on cardiovascular dysfunction in T2D. Methods: Female ovariectomized (OVX) diabetic rats were divided into eight groups: Sham-Control, Diabetes (Dia), OVX + Dia, OVX + Dia + Vehicle, OVX + Dia + E2, OVX + Dia + P4, OVX + Dia + E2+P4, and OVX + Dia + E2+Vehicle. T2D was induced by a high-fat diet and streptozotocin. E2 and P4 were administrated every four days for four weeks. The heart cytokines and angiotensin II, lipid profile, insulin, water, and food intake and cardiovascular indices were measured. Results: Results showed that single treatment with E2 decreased fasting blood glucose, water, and food intake, atherogenic and cardiac risk indices, and blood pressure. Also, P4 led to a decrease in atherogenic and cardiac risk indices. TNFα and IL-6 levels were increased and IL-10 was decreased in the Dia group, while E2 alone was able to inhibit these changes. The combined use of E2 and P4 eliminated the beneficial effects of E2 on these indices. Although diabetes results in an increment of cholesterol, LDL and triglyceride, hormone therapy with E2 was associated with improved dyslipidemia. Conclusion: The use of E2 alone, and not the individual use of P4, and its combination with E2 improved cardiovascular function in OVX diabetic animals, possibly by reducing the amount of inflammatory cytokines and improving metabolic parameters.
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spelling doaj.art-eff1c498249740f9a0286056a67ed0382022-12-22T04:31:21ZengElsevierBiomedical Journal2319-41702021-08-01444461470Progesterone eliminates 17β-estradiol-Mediated cardioprotection against diabetic cardiovascular dysfunction in ovariectomized ratsAt a glance commentaryHossein Azizian0Mohammad Khaksari1Gholamreza Asadikaram2Mansour Esmailidehaj3Nader Shahrokhi4Neurobiomedical Research Center, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; Department of Physiology, Faculty of Medicine, Kerman University of Medical Sciences, Kerman, IranEndocrinology and Metabolism Research, and Physiology Research Centers, Kerman University of Medical Sciences, Kerman, Iran; Corresponding author. Endocrinology and Metabolism Research, and Physiology Research Centers, Kerman University of Medical Sciences, 64V4+HR2, Kerman, Iran.Department of Biochemistry, and Metabolism & Endocrinology Research Center, Kerman University of Medical Sciences, Kerman, IranNeurobiomedical Research Center, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, IranDepartment of Physiology, Faculty of Medicine, Kerman University of Medical Sciences, Kerman, IranBackground: Type2 Diabetes (T2D) remains one of the most important causes of cardiovascular diseases (CVD). Menopause leads to an increase in CVD and metabolic syndrome, which indicates the role of sex steroids as a protective factor. In the present study, we surveyed the effects of 17β-estradiol (E2) alone and in combination with progesterone (P4) on cardiovascular dysfunction in T2D. Methods: Female ovariectomized (OVX) diabetic rats were divided into eight groups: Sham-Control, Diabetes (Dia), OVX + Dia, OVX + Dia + Vehicle, OVX + Dia + E2, OVX + Dia + P4, OVX + Dia + E2+P4, and OVX + Dia + E2+Vehicle. T2D was induced by a high-fat diet and streptozotocin. E2 and P4 were administrated every four days for four weeks. The heart cytokines and angiotensin II, lipid profile, insulin, water, and food intake and cardiovascular indices were measured. Results: Results showed that single treatment with E2 decreased fasting blood glucose, water, and food intake, atherogenic and cardiac risk indices, and blood pressure. Also, P4 led to a decrease in atherogenic and cardiac risk indices. TNFα and IL-6 levels were increased and IL-10 was decreased in the Dia group, while E2 alone was able to inhibit these changes. The combined use of E2 and P4 eliminated the beneficial effects of E2 on these indices. Although diabetes results in an increment of cholesterol, LDL and triglyceride, hormone therapy with E2 was associated with improved dyslipidemia. Conclusion: The use of E2 alone, and not the individual use of P4, and its combination with E2 improved cardiovascular function in OVX diabetic animals, possibly by reducing the amount of inflammatory cytokines and improving metabolic parameters.http://www.sciencedirect.com/science/article/pii/S2319417020300287Type 2 diabetes17β-estradiolProgesteroneCardiovascularCytokineLipid profile
spellingShingle Hossein Azizian
Mohammad Khaksari
Gholamreza Asadikaram
Mansour Esmailidehaj
Nader Shahrokhi
Progesterone eliminates 17β-estradiol-Mediated cardioprotection against diabetic cardiovascular dysfunction in ovariectomized ratsAt a glance commentary
Biomedical Journal
Type 2 diabetes
17β-estradiol
Progesterone
Cardiovascular
Cytokine
Lipid profile
title Progesterone eliminates 17β-estradiol-Mediated cardioprotection against diabetic cardiovascular dysfunction in ovariectomized ratsAt a glance commentary
title_full Progesterone eliminates 17β-estradiol-Mediated cardioprotection against diabetic cardiovascular dysfunction in ovariectomized ratsAt a glance commentary
title_fullStr Progesterone eliminates 17β-estradiol-Mediated cardioprotection against diabetic cardiovascular dysfunction in ovariectomized ratsAt a glance commentary
title_full_unstemmed Progesterone eliminates 17β-estradiol-Mediated cardioprotection against diabetic cardiovascular dysfunction in ovariectomized ratsAt a glance commentary
title_short Progesterone eliminates 17β-estradiol-Mediated cardioprotection against diabetic cardiovascular dysfunction in ovariectomized ratsAt a glance commentary
title_sort progesterone eliminates 17β estradiol mediated cardioprotection against diabetic cardiovascular dysfunction in ovariectomized ratsat a glance commentary
topic Type 2 diabetes
17β-estradiol
Progesterone
Cardiovascular
Cytokine
Lipid profile
url http://www.sciencedirect.com/science/article/pii/S2319417020300287
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