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Am J Physiol Heart Circ Physiol (March 3, 2006). doi:10.1152/ajpheart.00666.2005
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Submitted on June 20, 2005
Accepted on February 27, 2006

HEMODYNAMIC EFFECTS OF ACUTE AND REPEATED EXPOSURE TO RALOXIFENE IN OVARIECTOMIZED SHEEP

Willie D Zoma1, R. Scott Baker2*, John L Mershon3, and Kenneth E Clark2

1 Eli Lilly Inc., Indianapolis, IN, USA; University of Texas, Galveston, TX, USA
2 Department of Obstetrics and Gynecology, University of Cincinnati, Cincinnati, OH, USA
3 Eli Lilly Inc., Indianapolis, IN, USA

* To whom correspondence should be addressed. E-mail: bakerrs{at}uc.edu.

Hypothesis: We hypothesize that administration of acute and daily doses of raloxifene will have significant effects on ovine coronary and uterine hemodynamics and that these changes are estrogen receptor dependent. Study Design: Eleven ovariectomized sheep were instrumented to measure mean arterial pressure (MAP), heart rate (HR), cardiac output (CO), coronary (CBF) and uterine artery blood flows (UBF). A dose-response curve was generated for raloxifene (1, 3 and 10 µg/kg) and compared to a standard dose of estradiol-17{beta} (1 µg/kg) given intravenously (I.V.). In a second group of animals, raloxifene (10 µg/kg/day) was administered I.V. for 14 consecutive days and cardiovascular responses compared to a group of animals administered estradiol-17{beta} (10 µg/kg) daily for the same period. To determine whether raloxifene-related vascular responses were estrogen receptors (ER) mediated, the animals were pretreated with estrogen antagonist ICI-182,780 given I.V. Finally, RT-PCR was preformed to determine the presence of ER{alpha} and ER{beta} mRNA in ovine coronary and uterine vessels. Results: Raloxifene increased CBF and UBF dose-dependently with parallel decrease in the associated vascular resistances. Acute cardiovascular responses to daily doses of raloxifene and estradiol-17{beta} were sustainable. In contrast to estradiol-17{beta} which significantly increases CO by increasing HR but not stroke volume, raloxifene significantly increased stroke volume without a significant parallel increase in HR. ICI-182,780 abolished raloxifene-induced hemodynamic responses and ER{alpha}and ER{beta} mRNA are present in both ovine coronary and uterine vessels. Conclusion: The hemodynamic effects of raloxifene are dose-dependent, sustainable and estrogen receptor mediated.







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