PMID- 15979455 OWN - NLM STAT- MEDLINE DCOM- 20050802 LR - 20151119 IS - 0002-9149 (Print) IS - 0002-9149 (Linking) VI - 96 IP - 1 DP - 2005 Jul 1 TI - Effect of transdermal hormone replacement therapy on the monocyte chemoattractant protein-1 concentrations and other vascular inflammatory markers and on endothelial function in postmenopausal women. PG - 148-53 AB - Monocyte chemoattractant protein-1 (MCP-1) is related to the progression of atherosclerosis. However, little is known about the effects of transdermal hormone replacement therapy (HRT) on circulating MCP-1, vascular inflammatory marker concentrations, and endothelial function in postmenopausal women. The effects of transdermal HRT on circulating MCP-1, vascular inflammatory marker concentrations, and endothelium-dependent vasodilation were investigated in postmenopausal women. Thirty-three women received transdermal HRT (continuous 17-beta estradiol patch 36 microg/day plus cyclic oral medroxyprogesterone acetate 2.5 mg/day for 12 days/month) for 12 months, and 27 control patients did not. Brachial artery flow-mediated vasodilation (FMD), assessed by ultrasound, and circulating MCP-1 and vascular inflammatory marker (C-reactive protein, intercellular adhesion molecule-1 [ICAM-1], vascular cell adhesion molecule-1 [VCAM-1], and E-selectin) concentrations were measured before and after 12 months of treatment. In the HRT group, MCP-1 concentrations decreased significantly (p <0.001), and ICAM-1, VCAM-1, and E-selectin concentrations decreased significantly (p <0.01 for all), but C-reactive protein concentrations did not change. MCP-1 and other marker concentrations did not change in the control group. FMD increased significantly in the HRT group (p <0.001) but did not change in the control group. Nitroglycerin-induced vasodilation did not change in either group. In conclusion, transdermal HRT decreased MCP-1 and cell adhesion molecule concentrations and improved endothelial function in postmenopausal women. Transdermal HRT may exert an antiatherosclerotic effect by improving MCP-1 and cell adhesion molecule expression and endothelial function. FAU - Sumino, Hiroyuki AU - Sumino H AD - Department of Medicine and Biological Science, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan. suminoh@med.gunma-u.ac.jp FAU - Ichikawa, Shuichi AU - Ichikawa S FAU - Ohyama, Yoshio AU - Ohyama Y FAU - Takahashi, Takashi AU - Takahashi T FAU - Saito, Yuichiro AU - Saito Y FAU - Nakamura, Tetsuya AU - Nakamura T FAU - Kanda, Tsugiyasu AU - Kanda T FAU - Kurabayashi, Masahiko AU - Kurabayashi M LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PL - United States TA - Am J Cardiol JT - The American journal of cardiology JID - 0207277 RN - 0 (Biomarkers) RN - 0 (Chemokine CCL2) SB - IM MH - Administration, Cutaneous MH - Aged MH - Arteriosclerosis/prevention & control MH - Biomarkers/*analysis MH - Chemokine CCL2/*blood MH - Endothelium, Vascular/physiology MH - Female MH - *Hormone Replacement Therapy MH - Humans MH - Inflammation MH - Middle Aged MH - Postmenopause MH - Regional Blood Flow MH - Vasodilation EDAT- 2005/06/28 09:00 MHDA- 2005/08/03 09:00 CRDT- 2005/06/28 09:00 PHST- 2004/10/25 00:00 [received] PHST- 2005/02/22 00:00 [revised] PHST- 2005/02/22 00:00 [accepted] PHST- 2005/06/28 09:00 [pubmed] PHST- 2005/08/03 09:00 [medline] PHST- 2005/06/28 09:00 [entrez] AID - S0002-9149(05)00600-4 [pii] AID - 10.1016/j.amjcard.2005.02.059 [doi] PST - ppublish SO - Am J Cardiol. 2005 Jul 1;96(1):148-53. doi: 10.1016/j.amjcard.2005.02.059.