We previously reported on the development of a pathway-selective
estrogen receptor (ER)
ligand,
WAY-169916, that has ER-dependent antiinflammatory activity and is devoid of classic ER transcriptional activity. In the current study,
WAY-169916 and 17beta-estradiol (17beta-E2) were evaluated for protective activity in models of cardiac
ischemia-reperfusion injury. In rats subjected to cardiac
ischemia-reperfusion injury by occlusion of the left coronary artery,
infarct size relative to the area at risk in the left ventricle was significantly attenuated by a single dose of 17beta-E2 (20 microg/kg, SC), and
WAY-169916 administered SC (10 mg/kg) or IV (1 mg/kg) during the
ischemia phase. In isolated hearts perfused on a Langendorff apparatus and subjected to global
ischemia and reperfusion, 17beta-E2 and
WAY-169916 both had direct cardioprotective activity when perfused at 1 microM but their effects varied between different end points. Perfusion with 17beta-E2 only improved recovery of left ventricle-developed pressure. Perfusion with
WAY-169916 attenuated the elevation in perfusion pressure, diastolic pressure, and release of
creatine kinase after
ischemia. In contrast to 17alpha-ethinylestradiol,
WAY-169916 had no classic
estrogen effects on uterine weight or total serum
cholesterol in rats treated for 4 days. The data demonstrate that the pathway-selective ER
ligand WAY-169916 displays differential activity in vivo on different cardiovascular end points.