Investigating the Effects of Testosterone and Dihydrotestosterone on Atherogenesis in Normoglycemic and Hyperglycemic Mouse Models

<b>Objective:</b> The effect of testosterone on the development of cardiovascular disease (CVD) is of interest due to the higher risk of CVD in men. This study aims to examine the impact of testosterone depletion and supplementation on atherosclerosis progression in normoglycemic and hyp...

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Main Authors: Daniel Venegas-Pino, Brooke D’Mello, Mark De Leon, Geoff H. Werstuck
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Endocrines
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Online Access:https://www.mdpi.com/2673-396X/6/1/1
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author Daniel Venegas-Pino
Brooke D’Mello
Mark De Leon
Geoff H. Werstuck
author_facet Daniel Venegas-Pino
Brooke D’Mello
Mark De Leon
Geoff H. Werstuck
author_sort Daniel Venegas-Pino
collection DOAJ
description <b>Objective:</b> The effect of testosterone on the development of cardiovascular disease (CVD) is of interest due to the higher risk of CVD in men. This study aims to examine the impact of testosterone depletion and supplementation on atherosclerosis progression in normoglycemic and hyperglycemic mouse models. <b>Methods:</b> Male apolipoprotein E-deficient (ApoE<sup>−/−</sup>) and hyperglycemic (insulin deficient) ApoE<sup>−/−</sup>Ins2<sup>+/Akita</sup> mice were fed a standard chow diet and were either castrated or subjected to sham operations at 5 weeks of age. At 8 and 16 weeks of age, subsets of these mice were implanted subcutaneously with a silastic tube containing either 40 µL of dihydrotestosterone (DHT, 25 mg/mL) or sesame oil as a vehicle control. Survival was monitored and all remaining mice were sacrificed at 24 weeks of age. Blood, heart, and aortic samples were collected for analysis. Metabolic parameters were evaluated, and atherosclerotic lesion volumes were measured at the aortic sinus and in <i>en face</i> whole aorta mounts. <b>Results:</b> Castration significantly promoted atherosclerosis in normoglycemic mice, with a 3.0-fold increase (<i>p</i> < 0.05) at the aortic sinus and a 3.5-fold increase (<i>p</i> < 0.05) in <i>en face</i> aortas. However, in hyperglycemic mice, castration attenuated atherosclerosis in <i>en face</i> aortas. Supplementation with exogenous DHT led to increased atherosclerosis in hyperglycemic mice and was associated with significant cardiac-related mortality in 21–24-week-old hyperglycemic mice. <b>Conclusions:</b> In this mouse model, while testosterone/DHT may offer cardioprotective benefits under normoglycemic conditions, it appears to exert substantial harmful effects, such as promoting atherosclerosis and increasing the risk of myocardial infarction, in hyperglycemic conditions.
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spelling doaj-art-fb780bf4f48d4afc8100aa87ef5637022025-08-20T03:43:36ZengMDPI AGEndocrines2673-396X2025-01-0161110.3390/endocrines6010001Investigating the Effects of Testosterone and Dihydrotestosterone on Atherogenesis in Normoglycemic and Hyperglycemic Mouse ModelsDaniel Venegas-Pino0Brooke D’Mello1Mark De Leon2Geoff H. Werstuck3The Thrombosis and Atherosclerosis Research Institute, Hamilton, ON L8L 2X2, CanadaTemerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 3K3, CanadaThe Thrombosis and Atherosclerosis Research Institute, Hamilton, ON L8L 2X2, CanadaThe Thrombosis and Atherosclerosis Research Institute, Hamilton, ON L8L 2X2, Canada<b>Objective:</b> The effect of testosterone on the development of cardiovascular disease (CVD) is of interest due to the higher risk of CVD in men. This study aims to examine the impact of testosterone depletion and supplementation on atherosclerosis progression in normoglycemic and hyperglycemic mouse models. <b>Methods:</b> Male apolipoprotein E-deficient (ApoE<sup>−/−</sup>) and hyperglycemic (insulin deficient) ApoE<sup>−/−</sup>Ins2<sup>+/Akita</sup> mice were fed a standard chow diet and were either castrated or subjected to sham operations at 5 weeks of age. At 8 and 16 weeks of age, subsets of these mice were implanted subcutaneously with a silastic tube containing either 40 µL of dihydrotestosterone (DHT, 25 mg/mL) or sesame oil as a vehicle control. Survival was monitored and all remaining mice were sacrificed at 24 weeks of age. Blood, heart, and aortic samples were collected for analysis. Metabolic parameters were evaluated, and atherosclerotic lesion volumes were measured at the aortic sinus and in <i>en face</i> whole aorta mounts. <b>Results:</b> Castration significantly promoted atherosclerosis in normoglycemic mice, with a 3.0-fold increase (<i>p</i> < 0.05) at the aortic sinus and a 3.5-fold increase (<i>p</i> < 0.05) in <i>en face</i> aortas. However, in hyperglycemic mice, castration attenuated atherosclerosis in <i>en face</i> aortas. Supplementation with exogenous DHT led to increased atherosclerosis in hyperglycemic mice and was associated with significant cardiac-related mortality in 21–24-week-old hyperglycemic mice. <b>Conclusions:</b> In this mouse model, while testosterone/DHT may offer cardioprotective benefits under normoglycemic conditions, it appears to exert substantial harmful effects, such as promoting atherosclerosis and increasing the risk of myocardial infarction, in hyperglycemic conditions.https://www.mdpi.com/2673-396X/6/1/1testosteronedihydrotestosteroneatherosclerosishyperglycemiacardiovascular diseasediabetes mellitus
spellingShingle Daniel Venegas-Pino
Brooke D’Mello
Mark De Leon
Geoff H. Werstuck
Investigating the Effects of Testosterone and Dihydrotestosterone on Atherogenesis in Normoglycemic and Hyperglycemic Mouse Models
Endocrines
testosterone
dihydrotestosterone
atherosclerosis
hyperglycemia
cardiovascular disease
diabetes mellitus
title Investigating the Effects of Testosterone and Dihydrotestosterone on Atherogenesis in Normoglycemic and Hyperglycemic Mouse Models
title_full Investigating the Effects of Testosterone and Dihydrotestosterone on Atherogenesis in Normoglycemic and Hyperglycemic Mouse Models
title_fullStr Investigating the Effects of Testosterone and Dihydrotestosterone on Atherogenesis in Normoglycemic and Hyperglycemic Mouse Models
title_full_unstemmed Investigating the Effects of Testosterone and Dihydrotestosterone on Atherogenesis in Normoglycemic and Hyperglycemic Mouse Models
title_short Investigating the Effects of Testosterone and Dihydrotestosterone on Atherogenesis in Normoglycemic and Hyperglycemic Mouse Models
title_sort investigating the effects of testosterone and dihydrotestosterone on atherogenesis in normoglycemic and hyperglycemic mouse models
topic testosterone
dihydrotestosterone
atherosclerosis
hyperglycemia
cardiovascular disease
diabetes mellitus
url https://www.mdpi.com/2673-396X/6/1/1
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AT markdeleon investigatingtheeffectsoftestosteroneanddihydrotestosteroneonatherogenesisinnormoglycemicandhyperglycemicmousemodels
AT geoffhwerstuck investigatingtheeffectsoftestosteroneanddihydrotestosteroneonatherogenesisinnormoglycemicandhyperglycemicmousemodels