NEW YORK (Reuters Health) - Prostacyclin, a prostaglandin formed, in part, by cyclooxygenase-2 (COX-2), protects against atherogenesis in female mice, new research shows. Moreover, estrogen increases the formation of COX-2-derived prostacyclin.
If these findings hold true in humans, selective COX-2 inhibitors, such as rofecoxib and celecoxib, may “undermine protection from cardiovascular disease in premenopausal females,” senior author Dr. Garret A. FitzGerald, from the University of Pennsylvania in Philadelphia, and colleagues note.
Although premenopausal women are known to be at decreased risk for cardiovascular disease, the mechanisms involved are unclear, according to the report in the November 18th online issue of Sciencexpress.
In the new study, Dr. FitzGerald’s team shows that by acting on estrogen receptor-alpha, estrogen activates COX-2, which, in turn, increases the production of prostacyclin.
Further analysis showed that the anti-atherosis effect worked against both oxidant stress and platelet activation, the researchers note. Moreover, the benefits of prostacyclin were lost in animals lacking the prostacyclin receptor.
The current findings could have important implications for juvenile arthritis, a disease that typically affects females and can be treated with COX-2 inhibitors. In addition, the findings may have “implications for the design and interpretation of trials of hormone replacement therapy,” the authors state.
Source: Sciencexpress 2004. [ Google search on this article ]
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