Hypertension · 2001 · 149 citations · 41 references
MedicineEndocrinologyPhysiologyPharmacodynamicsReproductive EndocrinologyReproductive PhysiologyEndocrine PharmacologyHormonal InfluencesSteroid Hormone BiochemistrySteroid PharmacologyBlood PressureProgesterone PharmacodynamicsProgesterone PharmacologySteroid Hormone PharmacologyVascular Smooth Muscle Cell PhysiologyVascular Smooth Muscle RegulationVascular Smooth Muscle Relaxation
-Vascular actions of progesterone have been reported, independently of estrogen, affecting both blood pressure and other aspects of the cardiovascular system. To study possible mechanisms underlying these effects, we examined the effects of P in vivo in intact rats and in vitro in isolated artery and vascular smooth muscle cell preparations. In anesthetized Sprague-Dawley rats, bolus intravenous injections of P (100 µg/kg) significantly decreased pressor responses to norepinephrine (0.3 µg/kg). In vitro, progesterone (10(-8) to 10(-5) mmol/L) produced a significant, dose-dependent relaxation of isolated helical strips, both of rat tail artery precontracted with KCl (60 mmol/L) or arginine vasopressin (3 nmol/L), and of rat aorta precontracted with KCl (60 mmol/L) or norepinephrine (0.1 µmol/L). In isolated vascular smooth muscle cells, progesterone (5x10(-)(7) mol/L) reversibly inhibited KCl (30 mmol/L) -induced elevation of cytosolic-free calcium by 64.1+/-5.5% (P:<0.05), and in whole-cell patch-clamp experiments, progesterone (5x10(-6) mol/L) reversibly and significantly blunted L-type calcium channel inward current, decreasing peak inward current to 65.7+/-4.3% of the control value (P:<0.05). Our results provide evidence that progesterone is a vasoactive hormone, inhibiting agonist-induced vasoconstriction. The data further suggest that progesterone effects on vascular tissue may, at least in part, be mediated by modulation of the L-type calcium channel current activity and, consequently, of cytosolic-free calcium content.
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Menopause and Risk of Cardiovascular Disease
William B. Kannel · Annals of Internal Medicine · 1976 · 1.4K citations
Medicine, Cardiology, Endocrinology +17
Evaluation of cardiovascular risk in the elderly: the Framingham study.
Blood pressure survey in pregnancy.
Ian MacGillivray, Rose Ga, Brian H. Rowe · PubMed · 1969 · 321 citations