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Systematic analysis of the salutary effect of estrogen on cardiac performance after trauma-hemorrhage.

Abstract
Although 17beta-estradiol (estrogen) and estrogen receptor (ER) agonist administration after trauma-hemorrhage improves cardiac function, it remains unknown what the optimal estrogen or ER agonist dosage is to elicit this beneficial effect. To study this, the dose-dependent effects of estrogen, propylpyrazole triol (ER-alpha agonist), and diarylpropionitrile (DPN; ER-beta agonist) on heart performance (+dP/dt) were determined in sham rats and in experimental animals at the time of maximal bleedout (MBO) or at 2 h after trauma-hemorrhage. The results showed that estrogen and DPN induced dose-dependent increases in the maximal rate of left ventricular pressure increase (+dP/dt) in all groups, whereas propylpyrazole triol was ineffective at all doses. The maximal dose and the 50% effective dose of DPN were approximately 100-fold lower than those of estrogen. The half-life of estrogen in plasma was approximately 25 min in sham and MBO groups. A positive correlation between the estrogen-induced increase in +dP/dt and survival in MBO rats were observed. These results collectively suggest that the salutary effects of estrogen on cardiac performance are dose-dependent and mediated via ER-beta.
AuthorsZheng F Ba, Jun-Te Hsu, Jianguo Chen, Wen-Hong Kan, Martin G Schwacha, Irshad H Chaudry
JournalShock (Augusta, Ga.) (Shock) Vol. 30 Issue 5 Pg. 585-9 (Nov 2008) ISSN: 1540-0514 [Electronic] United States
PMID18391854 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
Chemical References
  • 2,3-bis(4-hydroxyphenyl)-propionitrile
  • Estrogen Receptor beta
  • Estrogens
  • Nitriles
  • Phenols
  • Propionates
  • Pyrazoles
  • 4,4',4''-(4-propyl-((1)H)-pyrazole-1,3,5-triyl) tris-phenol
  • Estradiol
Topics
  • Animals
  • Estradiol (pharmacology)
  • Estrogen Receptor beta (agonists)
  • Estrogens (pharmacology)
  • Heart (drug effects, physiopathology)
  • Hemorrhage (physiopathology)
  • Male
  • Nitriles (pharmacology)
  • Phenols
  • Propionates (pharmacology)
  • Pyrazoles (pharmacology)
  • Rats
  • Rats, Sprague-Dawley

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