2004
DOI: 10.1530/eje.0.1510029
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The influence of testosterone upon vascular reactivity

Abstract: Recent clinical studies have reported that testosterone therapy reduces myocardial ischaemia in men with coronary artery disease, and the beneficial modulation of coronary vascular tone by testosterone has been proposed as an effector mechanism. Maintenance of a correct response to vasoconstrictive and vasodilatory agents is essential in the control of vascular tone. Endothelial dysfunction, most commonly manifested through an elevation in vascular tone, is implicated as an initiating factor in conditions such… Show more

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Cited by 105 publications
(73 citation statements)
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References 52 publications
(71 reference statements)
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“…Furthermore, it appears that the effect of testosterone on the vascular system may have an indirect component through the secretion of this vasodilator peptide. These results may partly explain observations that there is an inverse relationship between testosterone concentrations and blood pressure in men and that there can be beneficial effects of testosterone on the vasculature (Khaw & Barrett-Connor 1988, Jones et al 2004.…”
Section: Discussionmentioning
confidence: 70%
“…Furthermore, it appears that the effect of testosterone on the vascular system may have an indirect component through the secretion of this vasodilator peptide. These results may partly explain observations that there is an inverse relationship between testosterone concentrations and blood pressure in men and that there can be beneficial effects of testosterone on the vasculature (Khaw & Barrett-Connor 1988, Jones et al 2004.…”
Section: Discussionmentioning
confidence: 70%
“…77 FMD was increased with short-term physiological and acute supraphysiological testosterone treatments in middleaged men with underlying coronary artery disease. 78 In contradiction to the above data suggesting that testosterone has either a neutral or beneficial effect on vascular reactivity, men undergoing androgen deprivation for prostate cancer show increased 85 Placebo-controlled studies in which serum testosterone was increased within the healthy young adult male normal range showed minimal effects on total and LDL cholesterol and triglycerides, although the decline in HDL cholesterol levels was significant in two of four studies of 12 months or longer 86 (Table 3). Oxandrolone was associated with unfavourable lipid changes.…”
Section: Relationship Of Endogenous Testosterone To Markers Of Cardiomentioning
confidence: 91%
“…One of the interesting factors is the proposed interaction between androgens and endothelial nitric oxide (NO; Tep-areenan et al 2003, Jones et al 2004. In this regard, most studies have been focused on analysing the effects of androgenic derivatives on different aspects of the NO system, such as endothelial nitric oxide synthase (eNOS) expression, NO release or NO vasodilator effect (Hutchison et al 1997, Ceballos et al 1999, Teoh et al 2000.…”
Section: Introductionmentioning
confidence: 99%