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2016 ; 63
(6
): 1602-1612.e2
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Pharmacologic blockade and genetic deletion of androgen receptor attenuates
aortic aneurysm formation
#MMPMID26817611
Davis JP
; Salmon M
; Pope NH
; Lu G
; Su G
; Meher A
; Ailawadi G
; Upchurch GR Jr
J Vasc Surg
2016[Jun]; 63
(6
): 1602-1612.e2
PMID26817611
show ga
BACKGROUND: Testosterone is theorized to play a major role in the pathophysiology
of abdominal aortic aneurysms (AAAs) because this disease occurs primarily in
men. The role of the androgen receptor (AR) in the formation of AAAs has not been
well elucidated, and therefore, it is hypothesized that androgen blockade will
attenuate experimental aortic aneurysm formation. METHODS: Aortas of 8- to
12-week-old male C57Bl/6 wild-type (WT) mice or male AR knockout (AR(-/-)) mice
were perfused with purified porcine pancreatic elastase (0.35 U/mL) to induce AAA
formation. Two groups of WT male mice were treated with the AR blockers flutamide
(50 mg/kg) or ketoconazole (150 mg/kg) twice daily by intraperitoneal injection.
Aortas were harvested on day 14 after video micrometry was used to measure AAA
diameter. Cytokine arrays and histologic analysis were performed on aortic
tissue. Groups were compared using an analysis of variance and a Tukey post hoc
test. RESULTS: Flutamide and ketoconazole treatment (mean ± standard error of the
mean) attenuated AAA formation in WT mice (84.2% ± 22.8% [P = .009] and 91.5% ±
18.2% [P = .037]) compared with WT elastase (121% ± 5.23%). In addition, AR(-/-)
mice showed attenuation of AAA growth (64.4% ± 22.7%; P < .0001) compared with WT
elastase. Cytokine arrays of aortic tissue revealed decreased levels of
proinflammatory cytokines interleukin (IL)-?, IL-6, and IL-17 in
flutamide-treated and AR(-/-) groups compared with controls. CONCLUSIONS:
Pharmacologic and genetic AR blockade cause attenuation of AAA formation.
Therapies for AR blockade used in prostate cancer may provide medical treatment
to halt progression of AAAs in humans.