Scientists at Wake Forest University School of Medicine have created a better research rat – the first to enable them to study how declining estrogen after menopause can affect hypertension, heart failure and kidney damage.
"By changing a single gene that is involved in hypertension, varying effects were revealed that we never expected," said Mark Chappell, Ph.D., senior researcher in the Hypertension and Vascular Disease Center. "These rats will allow us to study salt-sensitivity in hypertension as well as explore how estrogen depletion affects several body systems. And this is just the tip of the iceberg. We're just starting to discover what this animal model can teach us."
"These projects suggest that estrogen may be protective, not only in renal function and development of hypertension, but in heart function," said Chappell. "Next, we will look at different therapies, including different formulations of estrogen that may lack some of the deleterious effects associated with estrogen therapy."
In a study led by Leanne Groban, M.D., an associate professor of cardiac anesthesia, the team looked at how estrogen depletion affects diastolic dysfunction. In this common form of heart failure, the heart muscle becomes stiff and cannot fill with enough blood to meet the body's demands. Diastolic dysfunction is more common in women after menopause and is frequently associated with hypertension.
In these rats, the researchers found that estrogen depletion exacerbates the progression of diastolic dysfunction. Scientists have long known that estrogen helps protect heart vessels from atherosclerosis, the buildup of fatty deposits that can cause heart attacks. This research suggests that it may also protect heart function.
"Estrogen seems to exert protective actions on heart performance that may be independent from any changes in blood pressure," said Groban.
Chappell led a project to determine if estrogen is also protective against the hypertension and renal damage that arises from excess salt in the diet. In the rats fed a high salt diet, estrogen depletion increased blood pressure and exacerbated renal injury. The lack of estrogen resulted in increase levels of a hormone called aldosterone that may contribute to both diastolic dysfunction and kidney injury.
"This seems to go hand in hand with studies published recently showing that blocking aldosterone is protective to the heart and kidneys irrespective of its effects on blood pressure," said Chappell, an associate professor in the School of Medicine, which is part of Wake Forest University Baptist Medical Center.