Vascular actions of steroid hormones have gained increasing importance. Indeed, some steroid hormones favorably influence vascular structure and function, whereas others are detrimental. This review will focus on the endothelial effects of steroid hormones. In the first part, we summarize data from in vivo studies elucidating the regulation of endothelial function by steroid hormones. Accumulating data argue for an improvement of endothelium-derived relaxation and impaired vascular contraction by estradiol, whereas testosterone, progesterone, and aldosterone have contrary effects. In the second part, we present data from novel atomic force microscopy studies performed in living endothelial cells under the influence of steroid hormones. These studies provide insight into structural and functional alterations of endothelial cells characterized by changes in volume, apical surface, and stiffness. We summarize the available evidence that changes in shape of endothelial cells translate into changes of endothelial cell stiffness. Under the influence of estradiol, endothelial cells become spherical with consecutive improvement of elasticity, whereas aldosterone flattens endothelial cell-shape leading to increased stiffness. Both, endothelial cell shape and stiffness are major determinants of endothelial nitric oxide production. These studies emphasize the great potential of atomic force microscopy to investigate the function of living endothelial cells.Keywords Aldosterone . Glucocorticoids . Sex hormones . Atomic force microscopy . Endothelium . Imaging .
Nitric oxideResearch over the last two decades has been clearly demonstrating that the vascular endothelium is a target for steroid hormones, e.g., sex hormones, glucocorticoids, and mineralocorticoids [25,35]. Indeed, specific receptors for these steroid hormones have been identified in endothelial cells. Numerous clinical studies demonstrate that the various steroid hormones affect vascular function in different ways.
Sex hormonesVascular endothelial cells and vascular smooth muscle cells express receptors for estradiol, progesterone, and testosterone [54,55,66]. The sex hormones bind to specific cytosolic receptors. The resulting complexes are transported into the nucleus and initiate gene transcription (so-called genomic effects). Moreover, sex hormones cause a number of rapid non-genomic effects on vascular endothelial and smooth muscle cells.Several studies report gender differences in vascular function. Vascular contraction was found to be greater in male and ovarectomized female rats than in castrated male and female rats, suggesting an effect of testosterone in favor of vascular contraction and an effect of estradiol in favor of preventing vascular contraction [24]. Specifically, estradiol has been shown to cause endothelium-mediated vasorelaxation, whereas testosterone and progesterone interfere with estradiol-mediated endothelium-dependent vasodilation [25].There is a body of evidence suggesting that sex hormones interfere with the synthesis and b...