Abstract 528: Endothelial Estrogen Receptor Alpha Deletion Promotes Abdominal Aortic Aneurysm In Male Mice

Introduction: Although men have a greater incidence of abdominal aortic aneurysm (AAA) compared with women, the role of sex-hormones in mediating these differences is not well understood. Given the known effect of estrogen receptor alpha (ERα) signaling in maintaining vascular wall homeostasis, the present study examines its role in the pathogenesis of AAA. Specifically, we scrutinize whether endothelial cell (EC) ERα protects against AAA via increased lysyl oxidase (LOX) activation and regulation of vascular smooth muscle cell (VSMC) phenotype. Methods: AAA was induced in male and female ECERα knockout (ECERαKO) mice and their littermates (n=6-11) by administering β-Aminopropionitrile (BAPN) via drinking water (1 mg/ml; 0.15 g/kg/d) from 3 days prior to angiotensin II (Ang II; 1 μg/kg/day) infusion for 2 weeks. The development of AAA was assessed by ultrasound measurement of aortic luminal dilation and histology. Relevant molecular mechanisms were examined in abdominal aorta and in human aortic endothelial cells (HAECs). Results: BAPN Ang II resulted in an increased incidence of AAA in male ECERαKO mice (72%), whereas female ECERαKO mice did not develop aneurysms. No difference in AAA incidence was observed between male and female littermate control mice (12.5%). Elastin fragmentation was significantly higher only in male ECERαKO mice compared to littermates, while female ECERαKO and their littermates had comparable elastin fragmentation. Ang II receptor type 1a mRNA expression was higher in male ECERαKO, whereas female ECERαKO mice had higher Ang II receptor type 1b mRNA expression. Gene expression of smooth muscle alpha-actin and smooth muscle 22 (contractile VSMC markers) was significantly higher in female aortas compared to males irrespective of genotype, whereas, osteopontin, synthetic VSMC marker was only upregulated in male ECERαKO. HAECs treated with estradiol (10 nM, 24 h) significantly increased LOX activity. Conclusions: Our findings identify a critical role of endothelial ERα in protection against AAA in male mice likely through increased LOX activity and maintenance of VSMC phenotype. Further studies are needed to delineate the crosstalk between endothelial ERα and VSMCs, and their impact in the pathogenesis of AAA.