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1 Surgery, Cellular and Integrative Physiology, ICVBM, Indiana University Medical Center, Indianapolis, Indiana, USA
* To whom correspondence should be addressed. E-mail: dmeldrum{at}iupui.edu.
Myocardial ischemia is the leading cause of death in both men and women; however, very little information exists regarding the effect of testosterone on the response of myocardium to acute ischemic injury. We hypothesized that testosterone may exert deleterious effects on myocardial inflammatory cytokine production, p38 MAPK activation, apoptotic signaling, and myocardial functional recovery after acute ischemia-reperfusion (I/R). To study this, isolated-perfused rat hearts (Langendorff) from adult males, castrated males and males treated with a testosterone receptor blocker (flutamide) were subjected to 25 minutes of ischemia followed by 40 minutes of reperfusion. Myocardial contractile function (left ventricular developed pressure, left ventricular end diastolic pressure, +dP/dt, -dP/dt) was continuously recorded. After reperfusion, hearts were analyzed for expression of tissue TNF-
, IL-1
and IL-6 (ELISA), and activation of p38 MAPK, caspase-1, caspase-3, caspase-11 and Bcl-2 (Western blot). All indices of post-ischemic myocardial functional recovery were significantly higher in castrated males or flutamide-treated males compared to untreated males. Following I/R, castrated male and flutamide-treated male hearts had decreased TNF-
, IL-1
and IL-6; decreased activated p38 MAPK; decreased caspase-1, caspase-3 and caspase-11; and increased Bcl-2 expression compared to untreated males. These results show that blocking the testosterone receptor (flutamide) or depleting testosterone (castration) in normal males improves myocardial function following I/R. These effects may be attributed to the proinflammatory and/or the proapoptotic properties of endogenous testosterone. Further understanding may allow therapeutic manipulation of sex hormone signaling mechanisms in the treatment of acute ischemia-reperfusion.
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