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Table 2 In vitro and adult rodent evidence of sex hormone-mediated effects on Vegf

From: Sex, hormones and cerebrovascular function: from development to disorder

Hormone

Sex & model

Age

Finding

Refs

Estrogen

in vivo

Females OVX rats implanted with a 17β-estradiol slow-release pellet + exposed to a recombinant human VEGF patch on the cerebral cortex

12–14 weeks old

Exposure to VEGF significantly increased BBB permeability in OVX + vehicle-treated animals. This effect was rescued by 17β-estradiol

[232]

ERɑ or ERβ knockout female mice

15 week old

Constitutive deletion of both ERɑ or ERβ decreased levels of Vegf, Kdr and Flt-1 in frontocortical tissues

[113]

in vivo

OVX female mice orally treated with resveratrol (estrogen agonist) + middle cerebral artery occlusion (MCAO)

10–11 weeks

Resveratrol pretreatment elevated tight junction protein levels and BBB integrity, resulting in reduced subsequent ischemic brain injury. MCAO-induced elevation of Vegf was attenuated by resveratrol, suggestive of neuroprotective effects mediated in part by ERs

[233]

in vivo

OVX female rats subjected to global cerebral ischemia (GCI)

 + 

Treatment with GPER-1 agonist (G1) upon reperfusion by intracerebroventricular injection

Adult (age unspecified)

GCI induced BBB breakdown in the CA1, which was rescued by G1 treatment and concomitant with decreased Vegfa protein levels

[234]

in vitro

Primary human endometrial epithelial cells transfected with human VEGF promoter-luciferase reporter + 

Exposed to 17β-estradiol

N/A

Treatment induced a 3.8-fold increase in luciferase activity, demonstrating a regulatory role of 17β-estradiol in VEGF gene transcription

[114]

Progesterone

in vitro

Primary human endometrial stromal cells

N/A

Genome-wide high-throughput sequencing of human endometrial stromal cells revealed a binding site for progesterone receptor B (PGR-B) upstream of the VEGF transcription start site

Several angiogenesis-related genes were reported downstream of PGR-B, including VEGF

[115]

Testosterone

in vitro

Human endothelial progenitor cells (EPCs) isolated from peripheral blood of healthy adult men, exposed to dihydrotestosterone (DHT)

N/A

DHT, a bioactive metabolite of testosterone, promoted proliferation, adhesion and migration of EPCs as well as VEGF secretion

[235]

in vitro

Primary human umbilical endothelial cells (hUVECs) exposed to testosterone

N/A

Testosterone impacted hUVEC cell migration through AR-dependent mechanisms

[116]