Androgen receptor independent cardiovascular action of the antiandrogen flutamide

J Mol Med (Berl). 2003 Jul;81(7):420-7. doi: 10.1007/s00109-003-0449-4. Epub 2003 Jun 12.

Abstract

We have previously shown that flutamide (specific antagonist of the androgen receptor) has antihypertensive effects. In the present study we examined the mechanisms of flutamide action in the vasculature. The vascular effects of flutamide were assayed in aortae isolated from male or female Sprague-Dawley rats and from rats or mice lacking a functional androgen receptor ( tfm, testicular feminization mutation). The effect of flutamide on coronary flow was tested in isolated hearts. In addition, male hypertensive rats with tfm mutation were treated with flutamide, and blood pressure was monitored. Flutamide induced a relaxation of rat aortae from all the strains used (maximum relaxation at 10 microM: 51.3+/-5.2% of phenylephrine contraction) and increased the coronary flow. The aortic relaxation to flutamide was abolished by endothelium removal, or by inhibition of nitric oxide synthase, guanylyl cyclase, and tyrosine kinase but not by calmodulin inhibition. Flutamide treatment attenuated the development of hypertension in mouse renin transgenic rats with the tfm mutation. Flutamide produces direct vasodilation by inducing release of NO from the endothelium and causes subsequent activation of soluble guanylyl cyclase in an active androgen receptor independent manner. This response may contribute to the observed antihypertensive actions of flutamide.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Androgen Antagonists / pharmacology*
  • Animals
  • Animals, Genetically Modified
  • Antihypertensive Agents / pharmacology*
  • Aorta, Thoracic / drug effects
  • Blood Pressure / drug effects
  • Cardiovascular Physiological Phenomena / drug effects*
  • Female
  • Flutamide / pharmacology*
  • Hypertension / genetics
  • Hypertension / physiopathology*
  • In Vitro Techniques
  • Male
  • Mice
  • Mutation
  • Rats
  • Rats, Long-Evans
  • Rats, Sprague-Dawley
  • Receptors, Androgen / genetics
  • Receptors, Androgen / physiology
  • Vasodilation / drug effects

Substances

  • Androgen Antagonists
  • Antihypertensive Agents
  • Receptors, Androgen
  • Flutamide