Tamoxifen and its metabolites cause acute vasorelaxation of aortic rings by inducing vasodilator prostanoid synthesis

J Cardiovasc Pharmacol. 2011 Dec;58(6):647-53. doi: 10.1097/FJC.0b013e31823171ba.

Abstract

The vascular effects of tamoxifen (Tam) and its metabolites are poorly known. We compared the vasorelaxation induced by Tam and its metabolites (N-desmethyl-Tam, 4-hydroxy-Tam, and endoxifen) in aortic rings from rats using standardized organ bath procedures, and we investigated the mechanisms involved in this effect. Tam and its metabolite-induced vasorelaxation in a concentration-dependent manner. Although 4-hydroxy-Tam and Tam had similar potency (pD2 = 8.5 ± 0.1 vs. 8.8 ± 0.1, respectively) and maximum effect (Emax = 88.5% ± 1.3% vs. 92.6% ± 1.3%, respectively), N-desmethyl-Tam and endoxifen were more potent and showed higher Emax than Tam did (pD2 = 9.0 ± 0.1 and 8.9 ± 0.1; Emax = 101.1% ± 1.8% and 101.0% ± 1.8% for N-desmethyl-Tam and endoxifen, respectively). Although preincubation of aortic rings with the estrogen receptor antagonist ICI 182780 or with the nitric oxide synthase inhibitor Nω-nitro-L-arginine methyl ester hydrochloride induced no changes in the vasorelaxation induced by Tam or 4-hydroxy-Tam, both drugs significantly reduced Emax in response to N-desmethyl-Tam or to endoxifen. Inhibition of cyclooxygenase with indomethacin or the incubation with the prostaglandin D2 and E2 receptor antagonist AH6809 reduced the vasorelaxation-induced Tam and its metabolites by approximately 50%. Preincubation with Nω-nitro-L-arginine methyl ester hydrochloride combined with indomethacin abolished the vasorelaxation-induced Tam and its metabolites. These results show that Tam and its metabolites cause acute vasorelaxation by inducing vasodilator prostanoids synthesis.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Agents, Hormonal / metabolism
  • Antineoplastic Agents, Hormonal / pharmacology*
  • Aorta, Thoracic / drug effects*
  • Aorta, Thoracic / metabolism
  • Estradiol / analogs & derivatives
  • Estradiol / pharmacology
  • Fulvestrant
  • Indomethacin / pharmacology
  • Male
  • NG-Nitroarginine Methyl Ester / pharmacology
  • Prostaglandins / biosynthesis
  • Rats
  • Rats, Wistar
  • Tamoxifen / analogs & derivatives
  • Tamoxifen / metabolism
  • Tamoxifen / pharmacology*
  • Vasodilation / drug effects*

Substances

  • Antineoplastic Agents, Hormonal
  • Prostaglandins
  • Tamoxifen
  • afimoxifene
  • Fulvestrant
  • 4-hydroxy-N-desmethyltamoxifen
  • Estradiol
  • N-desmethyltamoxifen
  • NG-Nitroarginine Methyl Ester
  • Indomethacin