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- Title
27-Hydroxycholesterol is an endogenous SERM that inhibits the cardiovascular effects of estrogen.
- Authors
Umetani, Michihisa; Domoto, Hideharu; Gormley, Andrew K; Yuhanna, Ivan S; Cummins, Carolyn L; Javitt, Norman B; Korach, Kenneth S; Shaul, Philip W; Mangelsdorf, David J
- Abstract
The cardioprotective effects of estrogen are mediated by receptors expressed in vascular cells. Here we show that 27-hydroxycholesterol (27HC), an abundant cholesterol metabolite that is elevated with hypercholesterolemia and found in atherosclerotic lesions, is a competitive antagonist of estrogen receptor action in the vasculature. 27HC inhibited both the transcription-mediated and the non-transcription-mediated estrogen-dependent production of nitric oxide by vascular cells, resulting in reduced estrogen-induced vasorelaxation of rat aorta. Furthermore, increasing 27HC levels in mice by diet-induced hypercholesterolemia, pharmacologic administration or genetic manipulation (by knocking out the gene encoding the catabolic enzyme CYP7B1) decreased estrogen-dependent expression of vascular nitric oxide synthase and repressed carotid artery reendothelialization. As well as antiestrogenic effects, there were proestrogenic actions of 27HC that were cell-type specific, indicating that 27HC functions as an endogenous selective estrogen receptor modulator (SERM). Taken together, these studies point to 27HC as a contributing factor in the loss of estrogen protection from vascular disease.
- Publication
Nature medicine, 2007, Vol 13, Issue 10, p1185
- ISSN
1078-8956
- Publication type
Journal Article
- DOI
10.1038/nm1641