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Am J Physiol Heart Circ Physiol 291: H1216-H1225, 2006. First published March 3, 2006; doi:10.1152/ajpheart.00666.2005
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Hemodynamic effects of acute and repeated exposure to raloxifene in ovariectomized sheep

Willie D. Zoma,1 R. Scott Baker,2 John L. Mershon,1 and Kenneth E. Clark2

Divisions of 2Maternal-Fetal Medicine and 1Reproductive Endocrinology, Department of Obstetrics and Gynecology, College of Medicine, University of Cincinnati, Cincinnati, Ohio

Submitted 20 June 2005 ; accepted in final form 27 February 2006

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. Eleven ovariectomized sheep were instrumented to measure mean arterial pressure, heart rate (HR), cardiac output (CO), and coronary (CBF) and uterine artery blood flows (UBF). A dose-response curve was generated for raloxifene (1, 3, and 10 µg/kg) and compared with a standard dose of estradiol-17beta (1 µg/kg) given intravenously. In a second group of animals, raloxifene (10 µg·kg–1·day–1) was administered intravenously for 14 consecutive days, and cardiovascular responses were compared with a group of animals administered estradiol-17beta (10 µg/kg) daily for the same period. To determine whether raloxifene-related vascular responses were estrogen receptor (ER) mediated, the animals were pretreated with estrogen antagonist ICI-182,780 given intravenously. Finally, RT-PCR was preformed to determine the presence of ER{alpha} and ERbeta mRNA in ovine coronary and uterine vessels. Raloxifene increased CBF and UBF dose dependently with a parallel decrease in the associated vascular resistances. Acute cardiovascular responses to daily doses of raloxifene and estradiol-17beta were sustainable. In contrast to estradiol-17beta, 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 ERbeta mRNA are present in both ovine coronary and uterine vessels. Hence, the hemodynamic effects of raloxifene are dose dependent, sustainable, and estrogen receptor mediated.

raloxifene; uterine; coronary; blood flow; estrogen receptor



Address for reprint requests and other correspondence: K. E. Clark, Dept. of Obstetrics and Gynecology, P.O. Box 670526, Univ. of Cincinnati College of Medicine, 231 Albert Sabin Way, Cincinnati, OH 45267-0526 (e-mail: Kenneth.Clark{at}uc.edu)







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