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Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland 21287
We tested the hypothesis that intracarotid estrogen
infusion increases cerebral blood flow (CBF) in a
concentration-dependent manner and direct application of estrogen on
pial arterioles yields estrogen receptor-mediated vasodilation. Rabbits
of both genders were infused with estrogen via a branch of the carotid
artery. Estrogen doses of 20 or 0.05 µg · ml
1 · min
1 were used
to achieve supraphysiological or physiological plasma estrogen levels,
respectively. CBF and cerebral vascular resistance were determined at
baseline, during the infusion, and 60-min postinfusion, and effects on
pial diameter were assessed via a cranial window. Pial arteriolar
response to estrogen alone and to estrogen after administration of
tamoxifen (10
7), an antiestrogen drug that binds
to both known estrogen receptor subtypes, was tested. No gender
differences were observed; therefore, data were combined for both males
and females. Systemic estrogen infusion did not increase regional CBF.
Estradiol dilated pial arteries only at concentrations ranging from
10
4-10
7 M (P
0.05).
Pretreatment with tamoxifen alone had no effect on arteriolar diameter
but inhibited estrogen-induced vasodilation (P < 0.001). Our data suggest that estrogen does not increase CBF under
steady-state conditions in rabbits. In the pial circulation, topically
applied estradiol at micromolar concentrations dilates vessels. The
onset is rapid and dependent on estrogen receptor activation.
microcirculation; pial circulation; precapillary vessels; tamoxifen; cranial window
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