PMID- 18367192 OWN - NLM STAT- MEDLINE DCOM- 20100126 LR - 20211020 IS - 1879-1484 (Electronic) IS - 0021-9150 (Print) IS - 0021-9150 (Linking) VI - 201 IP - 1 DP - 2008 Nov TI - Selective estrogen receptor modulation influences atherosclerotic plaque composition in a rabbit menopause model. PG - 76-84 LID - 10.1016/j.atherosclerosis.2008.01.017 [doi] AB - OBJECTIVE: Osteoporosis trials suggest raloxifene decreased cardiovascular events in women with pre-existing atherosclerosis. We assessed the hypothesis that selective estrogen receptor modulation induces plaque stability in "menopausal" animals. METHODS AND RESULTS: Atherosclerosis was induced in 42 ovariectomized New Zealand white rabbits by cholesterol feeding and mechanical injury. Animals were imaged by magnetic resonance imaging (MRI) for baseline atherosclerosis, and randomized to control (OVX (ovariectomized control group), n=12), raloxifene 35-60 mg/kg/day by diet admixture (RLX (raloxifene therapy group), n=24), or immediate sacrifice (n=6) for immunohistopathologic correlation of MRI. Six months later, rabbits underwent repeat MRI then sacrifice for micro-computed tomography (microCT) and molecular analysis. Unlike OVX, RLX reduced atheroma volume. Analysis for lesion inflammation revealed reductions in COX-2 (cyclooxygenase-2), MMP-1 (matrix metalloproteinase-1), MCP-1 (monocyte chemoattractant protein-1) expression and macrophage infiltration in RLX versus OVX with concomitant upregulation of estrogen receptor alpha (ERalpha). microCT showed similar total vascular calcification between groups, but calcifications in RLX were less nodular with better radial organization (mean calcific arc angle 63+/-7 degrees versus 33+/-6 degrees in OVX), the predicted result of a 53% increase in BMP-2 (bone-morphogenetic protein-2). CONCLUSIONS: Raloxifene treatment results in reduced lesion volume, enhanced mechanical stability of vascular calcification, and less inflamed lesions characterized by less macrophage infiltration and reduced COX-2, MMP-1 and MCP-1 expression. FAU - Choi, Brian G AU - Choi BG AD - Cardiovascular Biology Research Laboratory, Mount Sinai School of Medicine, New York, NY, USA. FAU - Vilahur, Gemma AU - Vilahur G FAU - Zafar, M Urooj AU - Zafar MU FAU - Cardoso, Luis AU - Cardoso L FAU - Yadegar, Daniel AU - Yadegar D FAU - Ibanez, Borja AU - Ibanez B FAU - Tunstead, James AU - Tunstead J FAU - Viles-Gonzalez, Juan F AU - Viles-Gonzalez JF FAU - Schaffler, Mitchell B AU - Schaffler MB FAU - Fuster, Valentin AU - Fuster V FAU - Badimon, Juan J AU - Badimon JJ LA - eng GR - HL54469/HL/NHLBI NIH HHS/United States GR - T32 HL007824-10/HL/NHLBI NIH HHS/United States GR - R01 HL071264-03/HL/NHLBI NIH HHS/United States GR - T32 HL007824/HL/NHLBI NIH HHS/United States GR - R01 HL071264/HL/NHLBI NIH HHS/United States GR - P50 HL054469-099005/HL/NHLBI NIH HHS/United States GR - P50 HL054469/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20080221 PL - Ireland TA - Atherosclerosis JT - Atherosclerosis JID - 0242543 RN - 0 (Chemokine CCL2) RN - 0 (Selective Estrogen Receptor Modulators) RN - 4F86W47BR6 (Raloxifene Hydrochloride) RN - EC 1.14.99.1 (Cyclooxygenase 2) RN - EC 3.4.24.7 (Matrix Metalloproteinase 1) SB - IM MH - Animals MH - Atherosclerosis/*drug therapy/metabolism/*pathology MH - Chemokine CCL2/metabolism MH - Cyclooxygenase 2/metabolism MH - Disease Models, Animal MH - Female MH - Magnetic Resonance Imaging MH - Matrix Metalloproteinase 1/metabolism MH - *Menopause MH - Osteoporosis/*drug therapy/metabolism/pathology MH - Ovariectomy MH - Rabbits MH - Raloxifene Hydrochloride/*therapeutic use MH - Selective Estrogen Receptor Modulators/*therapeutic use PMC - PMC3387929 MID - NIHMS78385 EDAT- 2008/03/28 09:00 MHDA- 2010/01/27 06:00 PMCR- 2012/07/02 CRDT- 2008/03/28 09:00 PHST- 2007/10/23 00:00 [received] PHST- 2007/12/23 00:00 [revised] PHST- 2008/01/23 00:00 [accepted] PHST- 2008/03/28 09:00 [pubmed] PHST- 2010/01/27 06:00 [medline] PHST- 2008/03/28 09:00 [entrez] PHST- 2012/07/02 00:00 [pmc-release] AID - S0021-9150(08)00059-2 [pii] AID - 10.1016/j.atherosclerosis.2008.01.017 [doi] PST - ppublish SO - Atherosclerosis. 2008 Nov;201(1):76-84. doi: 10.1016/j.atherosclerosis.2008.01.017. Epub 2008 Feb 21.